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<br />AUG-21-2008 09:20 <br />...----, <br /> <br />COUNTY OF SAN MATEO HSA <br /> <br />6505963478 <br /> <br />P.002 <br /> <br />6.18 <br />e 22 <br /> <br />ACORD' CERTIFICATE OF LIABIL~TY INSURANCE r"\_ <br />I DATE <br />.~ 0512812008 <br />..-ca THf.S cermFlCATe IS 1$SOl;D AS A MATTER OF INFC,lRMAlIOH <br />BROOKE AGENCY $ERVICES CO.. L.L.C ONLY AND CONFERS ..0 RIGHTS UPON '11-l" c:enmCATE <br />fotOLDER. 1lfl$ CERT1F1CA~ DOES NOT AMENb. exl'iNO OR <br />2151 PROFESSIONAL ORIVE #105 ALTER THE CQVERAGEAFF'ORDED BY THe POUCIES BELOW. <br />ROSEVlL.I..1: CA 95661 <br />(916)183-??oo Ext. 3002 INSURERS AFl=ORDlNG COVEAAGe HAle # <br />IIdUllEO IfoISURe~A; INS CO OF THE STATE OF PENNSYLVANIA <br /> SAN MATEO COUNTY INSURER &. LEXINGTON lNS~NCE COMPANY <br />455 COUNTY CeNTER.5TH FL IHSVA~R c: ACE AMERICAN INSURANCE COMPANY <br /> REOWOOD ClTY. CA 9406J.1664 1N$U"~1'l 0: ARCH speCIAl.. TV INSURANCE COMI1ANY <br />I : IN$I,ll'lEI'l E: <br /> <br /><:oveRAGES <br /> <br /> THl! PDUCtal OF lNSUflANCE USTSO Bel-OW HAVI; BI:.E.N ISSUED TO 'l'l'lE llIISUfU!O NAI.leO AeovE FOR THE POUCY PeRlOO INOt~no. N01'WlTHSTAf>()lNG <br /> ANY REQuI~. TCI'lM OR CONOmON,OF ANY CONTRACT OR c:miER DOCuMSNT v.m-l RESPECT TO WHlC/ol THIS ceR'TlFlCAn!: MAY Be lSSUeo OR MAY <br /> PERTAIN. THE INSUAANCe AFFOFltleO BY THE POUCIES DESCRiBED HERSN IS SU8JECT TO AlL THE TERMS. EXCLUSIONS ANO CONOtnONS OF SUCH <br /> POl.JClE$. AG~TE UMIT$SHO'Ml MA.Y HAVE BEEN REl)UCQ) If( PAlOCl.AtMS. <br />L'IR - TYPI!! OJ' IINSl/IWICI POUCY NUMIlI!Jt ~ ~ LIMITS <br />A GI!N!I\AL UAmUTT 7251829 5I22JOS 5/22/09 EACH OCCURl'lENee j 4,7liO,OOO <br /> ;ZI OO"''''5~LlJ, G:E~RAl UABlLITY ~\ J N1A <br /> D Cl.AIMS MADE 0 OCCUF: MW EXP IAItf eM DlI'llOIl) J NtA <br /> ~. PUBUCeKnTY ' EXcess OF P!RSON.ti. & Ami INJURY J 04,750.000 <br /> ERFlOR/OMISSIONS $300,000/500.000 SIR GEN1!:RAl. AGGREGATE S NtA <br /> ~~AQ~rl~.~~A~ri$pe~ Pr<<)i:lUCT$ . CQMPIOP AGe> $ . 4,75Q,OOO <br /> POUCY Pl>OJEC'I' ~oc ; <br />A ~UIl8lu'N I 7251829 5122108 5122109 ~~DI1lSINGLE UM1T S ~:I'SO.OOO <br /> ~Y AUTO <br /> = All OWNED AlITOS <br /> "" BOOIl Y INJlJRY S <br /> SCHlroUlEll AUTOS (Pfi"jllll8OIl) <br /> , HI~ AUTOS ' EXCESS OF ~llY INJlJlfl' <br /> ~ $300.000/500.000 SIR $ <br /> NON-OWNIOD AUTOS -~ <br /> l= PllOl"eRTY ~ s <br /> (p...~t) <br /> GAAloQ! IJAIIll.m' AIlrO ONLY - 1iA ACC\OE"r s <br /> ~ I<<f AlfrO ~g~~. IlA ACe s <br /> "00 $ <br />B IlXCI:lISIUM8RI!UA UMlU1Y 6502224 5I22J08 5/22/09 EACH OCCURRENCE $ 26,000.000 <br /> ;a. OCCUR 0 CLAlM5 NAOE . ACGREGATE S 2MOO,OOO <br /> $ <br /> R OEOUCTI!l1.fi s <br /> ~mJllTION $.0- s <br />C WCMfRlI COIIIIl'III<<IA'nON NiO . WCU C44996443 512.2108 5122/09 ~ TOOVLIMITS r TER~ <br />IMl'LO'tDS" UAIIIIJTY <br /> ~ PRO~I'lII:TOIVPARTNeI'tll!XliCVTllle EXCESS OF $1.000.000 E.L EACH ACCIOEHT S 2,000,000, <br /> OFF!CERIloIl!M8tm V<Cl.l.IOED? SIR ~L._.&\Elll'I.OVEE s 2,000,000 <br /> ~~~I~~~IOW E.L. I)lSfAIIE - PO.ICY I.IM,rS 2,000,00<1 <br />D 0_ UXP0Q271 0600 5/22/08 5f2.2J09 EACH OCe- $25.000,000 <br /> Exc:esslUmb Liab. 3rd Layer GENERAL AGG- $25,000,000 <br />Evidence of Insurance purposes only <br /> <br />CERllFlCA T1!! HOLDER <br /> <br />CAHCw.AnoN <br /> <br />Evidence of Insurance for atIOUl.DN/Y OF THIt ~ ~ i'OI.lClU. e&WOtR I ... -0Rt~ I!XPIrlATIOH <br />DAW, 'IMIINlOf'. 'n41 I!laUINO lHSuAI!R WUJ.. ~IIO<< TO MAlI.. $0 DAYS WIIlT'I'!N <br />San Mateo COunty - MmeI! '10 '1M!! C2R11FJCA 115 HOl.DeRNA/oIItO 11) ""Ie U!l'T. BUT I'AIUlU '10 DO so lIKALL <br /> M'QSI! N() 0IlUQA1lON OR ~OF MY K1NO\l1i'ON lilt ~I\, ITSAOelt'T$ OR <br /> "'eMTA1M!S.. <br /> ~QllIZI!D IlI9'fII99(fA'f'l\IE <br />r Felicia Chandler <br /> <br />ACQRO 2G (2001108) <br /> <br />ACORDCORPORAnON1~ <br /> <br />TOTAL P.002 <br />