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<br />Digitally signed by <br />Francine <br />Francine R. Villareal <br />Date: 2021.01.20 <br />R. Villareal <br />10:23:30 -08'00' <br /> DATE(MM/DD/YYYY) <br /> 12/30/2020 <br />CERTIFICATE OF LIABILITY INSURANCE <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 <br />BELOW. 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 have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />CONTACT <br />PRODUCER <br />NAME: <br />PHONE <br />FAX <br />(A/C. No. Ext): <br />(A/C. No.): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGENAIC # <br />INSURED <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />570085475465 <br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Limits shown are as requested <br />INSR ADDL SUBRPOLICY EFF POLICY EXP <br /> TYPE OF INSURANCEPOLICY NUMBER LIMITS <br />LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) <br />A <br />COMMERCIAL GENERAL LIABILITY <br />XEACH OCCURRENCE <br />DAMAGE TO RENTED <br />CLAIMS-MADEOCCUR <br />X <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person) <br />X <br />XCU Coverage is Included <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO- <br />X <br />POLICYLOC <br />PRODUCTS - COMP/OP AGG <br />JECT <br />OTHER: <br />A COMBINED SINGLE LIMIT <br />AUTOMOBILE LIABILITY <br />(Ea accident) <br />BODILY INJURY ( Per person) <br />A <br />ANY AUTO <br />X <br />SCHEDULED <br />BODILY INJURY (Per accident) <br />OWNED <br /> AUTOS <br />A <br />AUTOS ONLY <br />PROPERTY DAMAGE <br />NON-OWNED <br />HIRED AUTOS <br />(Per accident) <br />AUTOS ONLY <br />ONLY <br />A <br />EACH OCCURRENCE <br />UMBRELLA LIAB <br />OCCUR <br />AGGREGATE <br />CLAIMS-MADE <br />EXCESS LIAB <br />DED <br />RETENTION <br />BWORKERS COMPENSATION AND <br />PER STATUTE <br />OTH- <br />X <br />ER <br />EMPLOYERS' LIABILITY <br />Y / N <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />E.L. EACH ACCIDENT <br />N <br />C <br />N / A <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE-POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDERCANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br /> <br />