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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. <br />