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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD/YYY1f) <br /> 07 14 2011 <br /> PRODUCER (858) 487 -8839 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> TANENBAUM— HARBER OF CALIFORNIA, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 1160 IBERIA PLACE, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> SAN DIEGO CA 92128— INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A EVEREST INDEMNITY INS <br /> V —FIRE SYSTEMS CORPORATION INSURER & EVEREST NATIONAL INS <br /> PO BOX 3008 INSURER C: <br /> INSURER R <br /> MONTCLAIR CA 91763— INSURER <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br /> REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INORD TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE MMID LIMITS <br /> A GENERAL LIABILITY 51GL003240 -111 07/08/2011 07/08/2012 EACH OCCURRENCE E 1,000,000 <br /> X MERCIAL GENERAL LIABILITY WI R NTED <br /> PREMISS Ee oocu 1 nos S 50,000 <br /> CLAIMS MADE � OCCUR / / / / MED EXP one person) s 5,000 <br /> PERSONAL & ADV INJURY s 1,000,000 <br /> COM <br /> / / / / GENERAL AGGREGATE S 2,000,000 <br /> GEN'L AGGREGATE L APPLIES PER- PRODUCTS - COMPIOP AGG $ 2,000,000 <br /> POLICY X PO- LOC <br /> AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT <br /> ANY AUTO PROV O / F / ( Em accident s <br /> ALL OWNED AUTOS / / BODILY INJURY s <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS / / / / BODILY INJURY <br /> NON -OWNED AUTOS (Pw accident) $ <br /> 171 anag I / / PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 3 <br /> ANY AUTO / / / / OTHER THAN EA ACC 3 <br /> AUTO ONLY- AGG S <br /> EXCESSIUMBRELLA LIABILITY / / / / EACH OCCURRENCE S <br /> OCCUR 0 CLAIMS MADE AGGREGATE S <br /> s <br /> DEDUCTIBLE / / / / $ <br /> RETENTION i $ <br /> B WORKERS COMPENSATION AND 5300001273 -111 04/01/2011 04/01/2012 XjT I C 6 T R H ' <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT S 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? <br /> HYesdescribeunder / / / / E.LOISEASE - EAEMPLOYEES 1,000,000 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> RE: ORANGE TERRACE COAIIdMTY CENTER, 20010 ORANGE TERRACE PARKWAY, RIVERSIDE CA 92508. <br /> CE RTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> THE CITY OF RIVERSIDE FAILU D BO SHAL POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> 3900 MAIN STREET INSU ITS GENTSO RE RESENTATNES. <br /> AU RQED RESEN <br /> RIVERSIDE CA 92522 — <br /> ACORD 25 (2001108) ® ACORD CORPORA N 1988 <br /> Ani INS025 (O1os) o5 ELECTRONIC LASER FORMS, INC - (BDO)327 -MS Pepe 1 of 2 <br />