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Feb 04 2013 3:55PM DPSS GRIN 7608632691 p.4 <br />02/04/13 11:21AH TjM UPS 9TOF '398 12405 VENICE BLVD 3109156590 p.01 <br />1/ <br />o d CERTIFICATE OF LIABILITY INSURANCE 02/04/2013 <br />THIS CER71FlCATE IS ISSUED AS A MATTER OF INPOrAATION ONLY AND CONFERS NO RIGHTS UPON THE CERTI'FILATB HOLDER. THIS <br />CEHitpFCAtC DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND) OR ALTER THE COV2RAde APF'OADED BY TH9 POLICIES. <br />BELOW. TfiIS CEATIF'ICATE OF INSURANC9 DOES NOT CW"TUtE A CONTRACT BETYVEEN THE ISWINti 1N9VMR(0- AU1`)#b1AIZED <br />REPRESENTATIVE OR PRODOCBR. AND THE CERTIFICATE HOLDER. <br />IMPORTANT: 11 The Cett)EZ hdldifr Is an ADOMONAL INSURED, the ttoheypes) must ba ohdolaed 9 SUBROGA'E' ow I8•WANED, sub0d i to <br />The terialr and COW1110he of (he Polley. certain policies rhsy re"re an onderserwt. A statement on this r6di mica does not cpnTSr rights tb the <br />trtoGUM <br />Veracity Iasuronce Solvti*08 , LLC <br />260 South 2500 West, Suite 303 <br />Pleasant Grove UT 64062 <br />Pabi's Fashion (Chandru Gulrajeni) <br />3945 Wade Sltrket <br />Las Angeles, Ca 90066 <br />wcom r yet"" Crap or Varyla Btellord <br />�.DN� (866) 395 =1308 RUI ttaatTea - 1714 <br />1101 Al m�aaak'' �IBPP. Q�QtFarlAi !esHAl�R?�'cwiAOM..__.._ ...... ........ <br />,wsuaeRA:Great �watriCan , l>�,fenaeastnce_ - „_. <br />THIS 15 90 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVF, BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTK/THSTMIDINO ANY REGAREMENT, TFRM OR CONDITION OF ANY CONTRACT OR OTHER DOCLWENT'MM RESPECT TO V*UCH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTA11. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONOITK)NS OF SUCH POLICIES. LIMITS SHOYM MAY HAVE BEEN REDUC_EO BY PAID CLAIMS. <br />...., _. _ ............. _._. <br />! Isroc- ° TI 77� awls <br />TYr'E CiO3SURAxCa awn , POLICY N R _ 1 m i _Y.1.;...__ - <br />ONtIrALIJAAIJ11 j 1 IFACNOCCIIRIENCE t ,o <br />I : ttctmc TOI:E�J17!tT• _ -.... s too li'ol <br />.. X_:; ; Cf�ft!!IFFAfk__l._:. 'too,oal <br />: -'.- :. <br />` PL. 4 01185) ' oT/ofnotl l s:,arlou IMEOlt� am - �,1 <br />A �_i_�a' OCCUR x 7A �ai. I I _ 1!�._. _k Tr ' r °!2 . _ <br />PEASONAL s ACW HJURY ! ! ... 67calttded <br />I GEWRALAOt:RF.OAT6 s _ 2,000,004 <br />� CBfLat1GREW1fE UtMr ApiUEE PER. i D ® TO FO <br />® A/( t PN000CiE .: C*~ AGO . a ClVded <br />I I POLICY 4 - .I[GL -; !LOG - <br />AU1DaIOBILEUNlLnY I ; UMrr <br />I A Y&no ; ! I i 9001LY <br />I....1 ALLOWNEDAUTOS i /i / tooGlr lnAw!•t I'�•�oeaerq >i - --•--.. <br />1 4 _ 6c COULIMAUTOS v , ! PROPERTY DzfaA f_ <br />L — NR[DAUms kisk Mfi 20 I [Per occlare.) I .. . <br />i I <br />IAmOKLU .tae ; ocCyI I i EACH OCCURRENCE ... .... <br />! j a overam i ' s I 1..... ....... _.._ ... _..__ -• -f _._ _.._.... .._ _ <br />HoaltBta oottst.ta;A.Iat ; ; - -- : I <br />AID IsrtvLO� sae• LtASaJrr f! I i �.... :....� R. I <br />• ANY NtOPWTORffMTMEN9MCUTIYF ; 2 s - E.L EACH ACCIDE -• <br />Uof.- 1 I e_1.01sVSe .E;taAPCOr 3 <br />F]FSC'a3PT W F n TC•MS ` I � J; iILLasame - PnuCYWAIT <br />_ I i <br />D1:8CIiPr1pM OP OPDMTIDNB / lgeATlDFIa/ Y[M1CLl[ tAem.l+ ACORO tm.11aFSOa.t IAwrr4a 9ehatlah, a we.s prA■ Is.epWgtll <br />Certificate bolder teed been e4dod as ddditioeal insured regarding the above mastinnod polity per attached <br />alaMat Additional Insured (CO9225 03/99) <br />PAL:nLI r AT.n. <br />The City Of Itiveraide <br />al+ct tiLC ANY o f TNe A6611G oaeetNet: PoLictES s6 e ANCELleO sEroRe <br />THE BxP)RATIOM DATE TH IMOF, NOT= WILL Ba DELNERED N <br />, <br />ACCOROWE WITH THEPOLICV PROVISION!. <br />AtmtroRwo nerneaerrnrNe <br />ACORD Z5 (ZUWJ9) v trap -sous aawnv %.vnrvrwtra,n. ~ ngrne reserress <br />IN W23 Ram"m The ACORD name and logo are reblstered tnusrks at ACORD <br />