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A� v CERTIFICATE OF LIABILITY INSURANCE D06/19,1201 Y, 0 611 9/2 0 1 6 THIS CERTIFICATE IS ISSUED AS A MAT €R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVEL OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURA 4CF DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND T IE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is ar ADDITIONAL INSURED, the pollcy(ies) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Can Iln policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorse m t(s), PRODUCER 800 287 3467 760 630 5222 1 NAMEp° RON BELL INSURANCE SERVICE LLC RON BELL INSURANCE SERVICE PNONE - 800 287 3467 P o Na: 760 630 5222 PO BOX 278 E "AIL RONBELINS @AOL.COM Daess: INSURED 7146372000 SANDWOOD ENTERPRISES INC 2424 BATAVIA ORANGE �n - n.nr•n !`GOTICIII'ATIe Ln IMRFR• REVISION NUMBER: w THIS IS TO CERTIFY THAT THE POLICIES OF INDICATED. NOTWITHSTANDING ANY REOUI CERTIFICATE MAY BE ISSUED OR MAY PER EXCLUSIONS AND CONDITIONS OF SUCH POL NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD EMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, IES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL SR TYPEOFINSURANCE ADD B R POLICY NUMEEft POLICYEFF MMDDIYYYY P I YEXP MIDDVYYYY LIMITS A COMMERCIAL GENERAL LIASIUTY CLAIMS -MAO, ❑✓ OCCUR MP00004002005 04117/2001 04/17/2017 EACH OCCURRENCE S 1.00q,DOO MES fE�oaNr carte ce S 100 000 2121 AN, one arson s 5 000 PERSONAL SADV INJURY b 1.000,000 GSN'L AGGREGATE LIIMIT APPLIES PER: POLICY M PRQ LOG GENERAL AGGREGATE 52000000 PRODUCTS- COMP /OPAGG $2,000,000 $ / OTHER: AVTOMOSLELIABIUTY ANY AUTO AVT09NEU SCHEDULED NON -OWNED HIRED AUTO5 AUTOS !' I� ,/ COMeI ED SINGL LIMI Eeec dent! $ BODILY INJURY (Per person) $ BODILY INJURY (Par accitlent) --- S P °eidaanl MA E $ b UMERELLA UAB OCCUR EACH OCCURRENCE 3 AGGREGATE b EXCESS LIAS CLAIMS -MADE DEC RET €N IONS �— WORKERS COMPENSATION ER T ERH S E.L. BAD H ACCIDENT AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatary In NHi II yes deACdba under DESitBJPTION OF QPER8TIObLE below NI FL, DISEASE -EA EMPLOYE 5 E.L. DISEASE -POUCV LIMIT S 5 DESCRIPTIONOF °PERATIONSILOCATIONS /VEHICLES THE CERTIFICATE HOLDER IS AN ADD ACORD 101, AddAlonalRamerks SChedula, rmy be Reached It more apace is required! IONAL INSURED PER THE ATTACHED ENDORSEMENTS INCLUDING LIABILITY AND DEFENSE ARISING FROM THE OPERATION ANS USES PERFORMED 8 OR BEHALF OF THE NAMED INSURED. PRIMARY AND NON CONTRIBUTORY APPLIES AND IS NOT ADDITIONAL TO ANY OTHER INSURANCE CARRIED BY GR FOR THE BENEFIT OF THE ADDITIONAL INSURED. 10 DAYS NOTICE FOR NONPAYMENT AND 30 DAYS FOR ALL OTHER. ITS OFFICERS, EMPLOYEES, AGE 4TS, AND SHOULD ANY OF THE ABOVE DESCRIBED POLIMES OF CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN REPRESENTATIVES ACCORDAN TH THE POLICY PROVISIONS, PO BOX 1988 SANTA ANA, CA 92702 A CRIZED REP ENTATIVE I _ ©tsa0.201aA coRPDRA o . reGelvea, ACORD 25 (2014101) �he ACORD name and logo are registered marks of ACORD