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CERTIFICATE OF LIABILITY INSURANCE 1D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF BROCKTON INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE 6117 BROCKTON AVENUE, STE 206 HOLDER THIS CERTIFICATE DOES NOT AMEN[ ALTER THE COVERAGE AFFORDED BY THE POI RIVERSIDE, CA 92506 I INSURED Valery Monroe 2801 Adams St Riverside, Ca 92504 INSURERS AFFORDING COVERAGE INSURER United States Liability Inn COVERAGES DATE (MMIDDIYYYY) TION NAIC # Inc rULIL ft0 Ur INSUHANt;t Las FLU OELUW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUCH I ADD' POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER - LIMITS GENERALLIABILITY X COMMERCIAL GENERAL EACH OCCURRENCE $1,000 LIABILITY .X, - PREMISES Eeooarenn r S1 000 000 X' CLAIMS MADE OCCUR MHBO12CO167 10/09/2012 1010912013 MEDEXP(Anv.Pit.) s6000 PERSONAL & ADV INJURY 91000000 GENERAL AGGREGATE s2,000.000 GE N - L AGGREGATE LIMIT APPLIES PER J PRODUCTS- COMPIOPAGG S1.000.000 I POLICY 4 I f LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE UMR (Ea DCddatll) S - ALL OWNED AUTOS r f SCHEDULED AUTOS A R l BODILY INJURY (Pa P -) $ HIRED AUTOS L'i Mkj o R'pv,Q o _ NON -0WNED AUTOS `-` •+ BODILY INJURY (Peret:Cdenq S PROPERTY DAMAGE S t I (per mcident) GARAGE LIABILITY Z AUTO ONLY - EA ACCIDENT $ ANY AUTO Jt] 8II8,geP OTHER THAN EA ACC S $ "O AUTO ONLY AGG EXCESS I UMBRELLA LIABILITY _ EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE IF RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- TH- t ANY YIN RIEXECUTIVE _ CFRIME ETORI OFFI EXCLUDED? CE EXCLUO E L. EACH ACCIDENT t IMarWa In NH) In NH) E L. DISEASE - EA EMPLOYE S . describe under S y SPECAL PROVISIONS below E L. DISEASE - POLICY LIMIT S OTHER 7- -F DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Educational Consultant that goes to diffrent sites in Riverside Areas SHOULD ANY OF THE ABOVE DESCRIBED POUCIESBE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSWNO INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Riverside NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO So SMALL 3900 Main St IMPOSE NO OBUGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Riverside, CA 92522 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE K le Youn ACORD 25 (2009/01) ®1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD