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OP ID: BJ <br />?'?°R°? CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDM/YY) <br /> 05/06/1 1 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER 925-934-8500 <br />WC <br />H <br />ff CONTACT <br />( <br />) <br />e <br />ernan Insurance BrkrS <br />925 <br />934 <br />8278 PHONE FAX <br />- <br />- <br />t350 Carlback Ave, Suite 200 A/c No EXt : ac No <br />Walnut Creek, CA 94596 E-MAIL <br />Taml Unsw <br />rth ADDRESS: <br />o PRODUCER <br /> AARDV-2 <br />CUSTOMER ID #: <br /> INSURER 5 AFFORDING COVERAGE NAIL # <br />INSURED Aardvark Tactical Foundation INSURERA:SOUthern Insurance Compan <br />1935 Puddingsto ne Drive <br /> INSURERS: <br />La Verne, CA 91750 <br /> INSURER C <br /> INSURER D <br /> INSURER E <br /> INSURER F <br />COVERAGES CERTIFICATE NUMBER: RFVICInN NI IMRFR• <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 />IN$R <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFF <br />MM/DD/1'YYY POLICY EXP <br />MM/DD/YYW <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence <br />$ <br /> CLAIMS-MADE ? OCCUR MED EXP (Any one person) $ <br /> PERSONAL S ADV INJURY $ <br /> <br /> GENERAL AGGREGATE $ <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ <br /> POLICY PRO LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> <br />ANY AUTO (Ea accitlen[) <br /> <br />ALL OWNED <br />TOS BODILY INJURY (Per person) $ <br /> AU <br />SCHEDULED <br />TOS BODILY INJURY (Per accitlent) $ <br /> AU R <br />T n <br />DAMAGE <br />O $ <br /> HIRED AUTOS tl <br />t <br />a c <br />(Pe <br /> NON-OWNED AUTOS S <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE g <br /> <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STAT U- OTH- <br />X <br /> AND EMPLOYERS' LIABILITY M <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N <br />DED? ? <br />OFFICER/MEMBER EXCL <br />N / A WS1003377802 11/OS/to 'If/08/11 E. L. EACH ACCIDENT $ 1,000,00 <br /> U <br />(Mantlatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,UU <br /> If yes, tlescribe untler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,DU O,O() <br /> pppjRO?IED AS TO FORM <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AHach ACORD 101, Atltlltlonal Remarks Schedule, If more space Is requlratll <br />RE: As on file with insured. <br />DD <br />a..crt 1 Ir II..M I c nI.JL.ucrt GANGCLLA I IVN l.R /?1w?o?7 <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza (M-30) <br />P.O. BOX 1988 AUTHORIZED REPRESENTATNE <br />Santa Ana, CA 92702-1988 /? <br />"'? <br /> <br /> © 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD