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STJOSEP -05 GAIKWADSM <br />A "R"" <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (%IWI)CrYYYYI <br />r..s' <br />512912014 <br />HIS 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 THI= 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 certifleato holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 1S 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 <br />NAME, certlficates Wlllis,com <br />Willis Insurance Services of California, Inc. <br />C/o 26 Centu Blvd <br />PHONE 877 945 -7378 FAX <br />ac No E + Arc Na ; (888 467 -2378 <br />E-MAIL <br />ADDRESS: <br />P.O. Box 306191 . <br />Nashville, TN 37230 -5191 <br />$ <br />GE TO RENTED <br />PREMISES ffa aacurrerca <br />INSURERS AFFORDING COVERAGE <br />NAIC A <br />INSURER A: Hartford Accident and lndE)mnk Company <br />22357 <br />INSURED <br />INSURER 8: <br />Taller San Jose <br />INSURER C; <br />and Hope Builders, Inc. <br />- <br />PERSONAL & ADV INJURY <br />801 N. Broadway <br />INSURERS: <br />INSURER E; <br />Santa Ana, CA 92703 <br />INSURER F: <br />GEN'L <br />AGGREGATE LIMITAPPLIESPER: <br />PRD- <br />POLICY F7 JECT 1:1 LOO <br />L:UV CNALit .h C:1- H- I- 11- ii-ATF NI IMRFR. r]MACIMI I.II IRM[T 7. <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 />INSR <br />LTR <br />TYPEOFINSURANCE <br />ADD <br />POLICYNUMaER <br />MIb <br />1VDmYY <br />POLICY EXP <br />MMnDY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MAOE El OCCUR <br />EACH OCCURRENCE <br />$ <br />GE TO RENTED <br />PREMISES ffa aacurrerca <br />$ <br />MED EXP (Any one pardon) <br />$ <br />- <br />PERSONAL & ADV INJURY <br />$ <br />- <br />GEN'L <br />AGGREGATE LIMITAPPLIESPER: <br />PRD- <br />POLICY F7 JECT 1:1 LOO <br />GENERAL AGGREGATE <br />S <br />PRODUCTS - COMPIOP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED nt SINGLE LIMIT <br />Ca accide <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident) <br />{ <br />$ <br />NON -OWNED <br />UIRED AUTOS AUTOS <br />POr PERY DAMAGE <br />$ <br />$ <br />UMBRELLA L1AB <br />OCCUR <br />FACH OCCURRENCR <br />$ ' <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DEL) RETENTION $ <br />g <br />A <br />WORKERSCOMPENSA71pN <br />AND EMPLOYERS' LIABILITY Y 1 N <br />ANY P1?CPRIETORIPAR7NER1FXECUTIVE <br />OFFICERIMEMBER ERCCLUdED7 <br />N 1 A <br />72WNG93300 <br />5131)2014 <br />5/31/2015 <br />PER 0TH• <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />E.L. DISEASC - EA EMPLOYE <br />$ 1,000,00 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS belaw <br />E.L. DISEASE - POLICY LIMIT <br />$ 1, 000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES tACORD 101, Additional Remarks Schadulo, many 13,e4sttached If more space 15 required) <br />1�6 TO <br />Us �ttorn Y � r <br />iatar<t Ct�Y <br />L ctt 1IH1�A I I_ HULUt,R CANCELLATION <br />Santa Ana Work Center <br />1000 E. Santa Ana Blvd. <br />Suite 2000 <br />ACORD 25 (2014101) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED /REPRESENTATIVE <br />(D 19(885 -2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />