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FICATE OF LIABILITY INSURANCE <br />DATE(MMIDD/YYY(I <br />THIS CERTIFICATE IS ISSUED AS A MATI ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVEL OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURA4CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND T IE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is ar NAL INSURED, the poilcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, Carl tin policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such ondorsem t(a). <br />PRODUCER 800 287 3467 760 630 5222 NAME: RON BELL INSURANCE SERVICE LLC <br />RON BELL INSURANCE SERVICE PHONE 1 800 287 3467 n c Na: 760 630 5222 <br />PO BOX 278 o Hess: RONBELINS@AOL.COM <br />INSURED 7146372000 7146375378 <br />SANDWOOD ENTERPRISES INC D8 ORANGE COL <br />2424 BATAVIA <br />AN IMRPR- REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF <br />NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUI <br />HEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PER <br />AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POL <br />IES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OFINSURANCE <br />AD <br />POLICY NUMBER <br />P YEFF <br />MMIDDIITYY <br />OLI EXP <br />MMIDDIYYYY <br />LIMITS <br />J <br />COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENNCCEE <br />$1000000_ <br />PREMI E Eeo nca <br />5100000 <br />A <br />CLAIMS -MADE D1 OCCUR <br />MED EXP (An one pereon) <br />85000 <br />MP00004002005 <br />04117120016 <br />04/1712017 <br />PERSONAL &ACV INJURY <br />s 1 OOOy00O,_ <br />GEN'L AGGREGATE LI MIT APPLIES PER: <br />GENERALAOGREGATE <br />$2.000000 <br />PRODUCTS - COMPIOPAGG <br />$2000000 <br />POLICY M JEOT LOC <br />S <br />OTHER; <br />– <br />C INED GLELIMI'r <br />AUTOMOBILE LIABILITY <br />ecdtleni <br />BODILY INJURY(Porpereon) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per eccidpnl) <br />$ <br />ALL OWNED SCHEDULED <br />,' <br />_ AUTOS AUTOG <br />NAON4VINED <br />PROPCRTY MAGE <br />" "- <br />HIRED AUTOa <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAWS-MADE <br />5 <br />DED RETENTIONS <br />PCR OTH- <br />WORKERS COMPENSATION <br />UTE E <br />._ <br />E:L EACH <br />$ <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERMECUTIVE <br />_ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />OFFICER/MEMBER EXCLUDED? F7 <br />N/ <br />(Mandatory in' NH) <br />If yyes describe under <br />DESCRIPTION OF OPERATIONS below <br />_^ <br />OISEASE•POLICYLIMIT $ <br />E.L. -- -- --SEAS <br />6 <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES <br />ACORD 101, Additional Remarks Sohedulo, maybe attached if more space is required) <br />PER THE ATTACHED ENDORSEMENTS INCLUDING LIABILITY AND DEFENSE <br />THE CERTIFICATE HOLDER IS AN ADDi <br />HONAL INSURED <br />ARISING FROM THE <br />OPERATION ANS USES PERFORMED B <br />OR BEHALF OF THE NAMED INSURED. PRIMARY AND NON CONTRIBUTORY APPLIES AND IS <br />NOT ADDITIONAL TO <br />ANY OTHER INSURANCE CARRIED BY GR <br />FOR THE BENEFIT OF THE ADDITIONAL INSURED, 10 DAYS NOTICE FOR NONPAYMENT <br />AND 30 DAYS FOR ALL <br />OTHER. <br />ITS OFFICERS, EMPL( <br />REPRESENTATIVES <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />AND ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN <br />ACCORDANS.E.WtTH THE POLICY PROVISIONS. <br />ACORD 25 (2014101) �he ACORD name and logo are registered marks of ACORD <br />