2009/07/28 Cornerstone Management, Inc. Certificate of Liability Insurance�AC `8D,M CERTIFICATE OF LIABILITY INSURANCE�05-14-2009
DATE
E
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I
BB&T INS SVCS OF CA INC/PHS/ORANGE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
�180672 P : (8 6 6) 4 6 7 - 8 73 0 F : (8 7 7) 9 0 5 - 04 5 7 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015
SAN ANTONIO TX 78265
INSURED
CORNERSTONE MANAGEMENT, INC.
PO BOX 1041
PALO_ALTO CA 94302
COVERAGES
INSURERS AFFORDING COVERAGE
INSURER A: Hartford Casualty Ins Cc
INSURER B:
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
I
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MMIDD/YY LIMITS
GENERAL LIABILITY
r�
EACH OCCURRENCE $1 , 0 0 0, 0 0 0
A
COMMERCIAL GENERAL LIABILITY
72 SBA LE 54 81
0 7/ 2 8/ 0 9
0 7/ 2 8/ 10 FIRE DAMAGE (Any one fire) $ 3 0 0, 000
I CLAIMS MADE I X I OCCUR
MED EXP (Any one person) $1 0 , 000
I XI General Liab
PERSONAL & ADV INJURY $1 , 0 0 0, 0 0 0
rI
GENERAL AGGREGATE s2,000,000
,, N'L AGGREGATE LIMITAPPLIES PER:
PRODUCTS - COMP/OP AGG s2,000,000
� -
POLICY I I JPECROT I X I LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $1 0 0 0, 0 0 0
A
ANY AUTO
72 SBA LE5481
07/28/09
07/28/10 (Ea accident) ,
ALL OWNED AUTOS
BODILY INJURY $
d
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY
$
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
III
OTHER THAN EA ACC $
I
AUTO ONLY: AGG $
—
EXCESS LIABILITY
EACH OCCURRENCE $
OCCUR u CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
OR Y ST
TORATU-
LIMITS ER OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
i
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/I.00ATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations. Certificate Holder is named
Additional Insured per the Business Liability coverage form SS 00 08, attached
to the policy.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
CITY OF MENISF.E ; Lei , ', HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
29714 HAUN RDA fI REPRESENTATIVES.
MENIFEE, CA, 92584 n�Q �i 11,00Q
�!r� l � � L��J i AUTHORI D RE QSENTATIVE
ACORD 25-S (7/97) BY: 1�1 ACORD CORPORATION 1988