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YAKAR -1 OP ID: EW
<br />DATE (MMIDDIYYYYI
<br />CERTIFICATE OF LIABILITY INSURANCE 1 06/10113
<br />THIS CERTIFICATE IS ISSUED AS A f.IATTER OF 1NFOtRMATION O:`IL) AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AF 1RVIAnVEL Y OR %IEGATIVEt-Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS C'aRriFICA'E Ct INSURANCE DOES fjur CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR. i-'RODUCER AND THE CEPTIFICATE HOLDER.
<br />IMPORTANT: If tlwe certificate hoick. Is an ADDITIONAI INSURED, the policy(ies) must be eneorsed. F SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the poi: t-y certain pohcies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holdrar in keu or such F,itrlOrSP.meht(5 ;. _
<br />PRODUCER — 81 B -S30 -II643 kM
<br />AEA0T
<br />Brown & Browo 1! :suranco PI
<br />Brokers of Sacrainc�tc Inc. 2300 -7 Ed -0083 ( /Ctho; Extl FAX No).
<br />P. O. Box 61904' Lic #0H3800-1 E-MAIL
<br />Roseville, CA 95661 -904' A )DP.ESS.
<br />INSURED Y A P A P2 R
<br />113 E A ; -ro„ -, i iVif`!
<br />Sa:l Dimas CA -17'
<br />f _ INSU =.ER ;S) AFFORDING COVERAGE NAIC #
<br />INS:RER A I_ar,i r irk Amencan ii,surance Co 33138
<br />IHSURER o RSUi ir.d mimt-y 22314
<br />INSURER c integon Nanonal Insurance Co. 29742
<br />INSURER D Benchmark Insurance Co. 41394
<br />i,JSUREIt E
<br />� r. ;auRC:r
<br />COVERAGES CEPTiFIr_,ATE NUMBER. REVISION NUMBER:
<br />THIS IS TO CEP, IF!' Ti °.I TI-E c'C -1' La
<br />CF INSURANCE LIST '° D 6EL -',V H.=,VL-
<br />BEEN ISSUED TO THE INSURED FLAMED ABO E FOR THE POLICY PERIL-,F
<br />INDICATED. NC.TVi17nP- ANDING /,1',1 PFOUIREMENT TFR-1A OR :'ONDITION OF A%"i CONTRACT OR OTHER DC
<br />I_MENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE VL i '3E .SSUED OF" ' n
<br />P =R''/ X -i �E !IVF'U: Nr E A- FOP,C
<br />-c`_ 3" T-1E POLICIES DESCRIBED
<br />- -rEIN IS SUBJECT TO ALL
<br />THE TERMS
<br />EXCLUSIONS AND OF SLC'r
<br />- 01-I01E:j. LWITS S -,C' 'N MAY HA,'E
<br />d..N R, =DUCED EY °r C' CI -AiNiS
<br />,NSFi - - -- - -
<br />I_TR iYPE _,i- INShF d ;',.E- _
<br />ADDI. SURR
<br />;NSR rIVO_ — _P JLIOY NU?ABER
<br />POLIC\ '3— FGL IC EXI
<br />— +M10Cf�' r I ,-: _11r p'V IY�}
<br />LIMITS
<br />GENERAL L.IA °:_ Iti'
<br />`��
<br />—
<br />_ Cwi OCCURRENCE S
<br />1,000,000
<br />A X� COMM1'EFc,,\ ('iCL =..�..! =.r3i
<br />X
<br />C+a' 06,14
<br />"i.41 ETfCRENTED
<br />_I'r,
<br />_HA
<br />_
<br />PES'S "c5 IEa occurrence! S
<br />50,000
<br />CL "MS -M "' -' sC p;.;u''
<br />PRO D
<br />TO FORM
<br />.i ��E�CP,Any one person S
<br />EXCLUDED
<br />P °_FSONAL.ADVIN,;URY
<br />1,000,000
<br />_ ---' _ --
<br />G =NcRAL AC3GREG_ATE 5
<br />2,000,000
<br />LGEN'L AGC —(%, =_ . !P.J,1 rtoui iF.; -c,;
<br />CC ', 1 - COMP /OP AGG
<br />2,000,000
<br />���
<br />AUTOMOBILE L,ABF !T,'
<br />Risk Manager
<br />_ _ VB13 lED SINGLE LIMIT
<br />1,000,000
<br />_ _
<br />- -X
<br />,'cadent; _
<br />C ANY vtTr.
<br />1;:,2 C'0,i . =, C'
<br />Jai ?i11ia
<br />- ., C:`, INJURY (Per per n S
<br />(- ALL 011 iJ=: :' -iE -i iLLD
<br />-•IL'/
<br />AUTOS
<br />- IrvJURY (Per a d nt
<br />HIRED P. I'U -::n
<br />- - ER,YDAV. AC-E S
<br />_ ,-
<br />.arc,. dent,
<br />UFABRELLA 1,.8 1+
<br />''' OCCURRENCE S
<br />10,000,000
<br />B I X EXCESS !-!A'-) 'w v --
<br />X NFIA233178
<br />06/06/13 0"6/06/14
<br />._. ;- E._.,r�,T.!:.. ._ —_.— S
<br />10,000,000
<br />DEi PI
<br />S
<br />_ _ _
<br />! WORKERS CONFECSAr10'J !�-
<br />------- - - - - --
<br />- -_"- — - -
<br />-- 1.'C STATU- OTH-
<br />I
<br />ANDEMPLOYERS'LIAEILIT',
<br />Tr•PY ;_.I - 5. - ER_,;
<br />Y h
<br />D ANV FROPR!E1 'H ?,=�: '.eR _FEi-LT lF
<br />CcaT�0uY 6u' "t
<br />f)2i28)i3 132128114
<br />S L c:C i ACCIDENT i 5
<br />1,000,000
<br />I OFFICEP
<br />� _
<br />(Manuatu'v "I w'i
<br />_ ,'!S_. SE - "r LAdPLCYEE S
<br />1,000,000
<br />I If yes descril ,
<br />1DESCRIPTi0i .' =� =- --- =X-,- -- - --
<br />- -- -- -- °- ----- -- - ^—
<br />-- -- --- -'-- -- -- -
<br />- - -- }
<br />-i)!r, :SE- POLICYLIMIT!S
<br />1,000,000
<br />DESCRIPTION OF OP- /' r10NS, -- CA',iiDNS '—HiC -.=S l:;dach ACORO 101 Add. ti�njI Remarks Schedu!i ,` snore opace.. re(.urted)
<br />Certificate holder iE; includsd es a,, Additional lns!aed tinder -"oinmercial
<br />General Liability policy pei enriarsea.ont IRSG 1 5017 120.1 (1185), subiect ro n
<br />written contract Detw6en the Nn,:n,ed Insured and the .Additional Insured.
<br />Sample endorsemn .m a :ached. omp,-ny approva ;.
<br />CERTIFICATE HOLDER
<br />Ciro' ,n �tf�erid�=.
<br />h1SI: ti /i %li "%:LI �:fTi P_rt1
<br />ACORD 25 (201'7'Gt l
<br />CANCELLATION
<br />— - - -- ,iTYOFR —1 -- -- - - - - -- --
<br />SHOULD ANY G° THE ABOVE DE; CR :BED POLICIES BE CANCELLED BEFORE
<br />1HE EXPIRATiO :': DA7E THEF,2OF NOTICE WILL BE DELIVERED IN
<br />Ar'CORDAN,:E'/'ilT ' THE POLICY °RC,ViSIONS.
<br />f!I-
<br />i uU -H WZED REPRES",N TATIVE -- --
<br />(cc; 1985••2014 ACORD CORPORATION. All rights reserved.
<br />Ti-e ACOFD na.nc. and Logo are registered sharks of ACORD
<br />
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