TM CERTIFICATE OF LIABILITY INSURANCE Date(MM/D /R)Acord
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms
<br /> and conditions of the policy,certain policies require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of
<br /> such endorsement(s).
<br /> PRODUCER CONTACT Sherry Young
<br /> Risk Strategies Company NAME:
<br /> PHONE 2040 Main Street,Suite 580 (A/C,No,Ext): 849.242.9240 FAX JA/ ,No): 949.596.0886
<br /> Irvine,CA 92614 ADDRESS:
<br /> INSURERS syoung @risk-strategies.corn
<br /> Uc.#0F06675
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Citizens Insurance Co.of America 31534
<br /> Pacific Municipal Consultants INSURER B: Hanover American Insurance Co. 36034
<br /> DBA: PMC INSURER C: Massachusetts Bay Insurance Co. 22306
<br /> 2729 Prospect Park Dr., Ste 220 INSURER D: Continental Casualty Co. 20443
<br /> INSURER E:
<br /> Rancho Cordova, CA 95670 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
<br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
<br /> ISSUED OR MAY PERTAIN,THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF
<br /> SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD (MM/DD/YYYY) (NMIDD/YYYY)
<br /> GENERAL L LIABILITY EACH OCCURRENCE $2,000,000
<br /> A X COMMERCIAL GENERAL LIABILITY
<br /> DAMAGE TO RENTED $1,000,000
<br /> PREMISES(Es occurrence)
<br /> CLAIMS-MADE I X I OCCUR 063914666102 07/01/13 07/01/14 MEDEXP(Any oneperson) $10,000
<br /> PERSONAL.8 ADV INJURY $2.000.000
<br /> GENERAL AGGREGATE $4,000,000
<br /> GENL.AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $4,000.000
<br /> POLICY PROJECT n LOC E -
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $2,000,000
<br /> (Ea accident)
<br /> A ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED AUTOS SCHEDULED OB3914666102 07/01/13 07/01/14 BODILY INJURY(Per accident) $
<br /> NON-
<br /> X HIRED AUTOS X OWNED PROPERTY DAMAGE
<br /> _ AUTOS (Per accident)
<br /> $
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $2,000,000
<br /> A EXCESS LAB CLAMS-
<br /> MADE OB3914666102 07/01/13 07/01/14 AGGREGATE $2,000,000
<br /> DED l X I RETENTION $10,000 _ $
<br /> WC STATU- OTH-
<br /> WORKERS COMPENSATION X TORY OT
<br /> F1-
<br /> AND EMPLOYERS'LIABILITY Y/N LIMITS
<br /> WZ3912749003 AZ 07/01/13 07/01/14 E,L.EACHACCIDENT $1,000,000
<br /> ANY PflOPRIETOR/r'ARTNER/EXECUTWE/ (CAS
<br /> C OFFICER/MEMBER EXCLUDED? Y N/A E.L.DISEASE-EA
<br /> (Mandatory in N.H.) WZ3912749602(OR) 07/01/13 07/01/14 EMPL OYEE $1,000,000
<br /> If yes,deecnbe under DESCRIPTION OF
<br /> OPERATIONS below E.L_DISEASE-POLICY LIMIT $1,000,000
<br /> D PROFESSIONAL LIABILITY MCH288307507 07/01/13 07/01/14 Per Claim - $2,000.000
<br /> Aggregate $3,000,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required)
<br /> This certificate issued for proposal purposes only.All contractual requirements will be addressed at the time the contract is awarded-see attached sample
<br /> endorsements.Professional Liabihty Deductible:$50,000 per claim. 'The above policies contain a 30-day notice provision for non-renewal and cancellation
<br /> except for cancellation due to non-.a ent of•remium,in which a 10-da notice a.'lies."
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
<br /> THE POLICY PROVISIONS.
<br /> For Proposal Purposes Only
<br /> AUTHORIZED REPRESENTATIVE
<br /> ( A40-410-tiA.44—
<br /> ACORD 25(2010105) 01-B-2010 ACORD CORPORATION.All rights reserved.
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