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,95/ 16/2013 12:49 (FAX) P. 001/001 <br />INSURANCE BINDER <br />TN! TERMS AND CONDITIONS OP In NI CONFIRMATION OP INSURANCE MAY NOT COMPLY WITH M SP&CIFTOATIONS SUBMITTED i <br />FOR CONWIRAT101 PLUSH READ THIS CONFIRMATIVE CAREFULLY AND COMPARE IT WITH ANY QUOTE AND 8mm= I <br />DOCUMENTS AND RIVIew PO= PCRMB FOR THE ACTUAL COVERAGES PROVIDED, <br />IN ACCORDANCE WITH YOUR INSTRUCTIONS, AND W RELIANCE UPON THR STATEMIINTS MADE BY THE RETAIL BROKER IN THE l <br />DNNERWB APPLICATIONIMMIS81ON. WE HAVE OBTAINED INSURANCEATYOUR RBQUBST A8 FOLLOWS: <br />DjI 188Ut D: <br />Ard 19.2013 <br />�ftltil;Sl <br />Tony Moreno insurance <br />941 W. Mission Blvd. Ste J, <br />Ontario, CA 91762 <br />INSURED <br />Ice Cream Blanca, Blanca Portdlo <br />929 N. Sacramento Avenue, <br />Ontario, CA 91764 <br />lNBU.I S <br />Penn•8tetr Insurance Company <br />Non Admitted <br />ED LICY NO.: <br />CPS5040011 <br />co yERAa!~ C OMMercl al General Llablilty " <br />POLICY PER OD : 6118/2013 TO 5118/2014 <br />TM: 12 Months <br />123M AJIL BTANDARD TIMIZ AT THE LOQATIONADDRE68 OF THE NAMIDMOURE0. THIS INSURANCE BINDER WILL BE TIERMWATaD AN8 <br />SUPERSEDED UPON CONERY OFTHE PMwmLpoUwV CB) ISSUED To REPI.AOE IT. <br />$2,000,000 <br />$1,000,000 <br />$1,000,000 <br />$1,000,000 <br />$100.000 <br />$5,000 <br />DEDUCTIBLM <br />PREMIUM <br />EM: <br />TAIL <br />IBIS PREMIUM: <br />Tom <br />General Aggregate <br />Producte/Completed Operations Aggregate <br />Per Occurrence <br />Personal & Advertleing Injury Liability <br />Fire Legal Liability <br />Medical Payments <br />$600 Per Occurrence <br />$600.00 <br />Broker Fee $160.00 <br />$19.20 <br />REJECTED <br />$709.20 <br />='S"F f <br />Risk Mss <br />