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2012/05/11 Jason De Armond Certificate of Liability Insurance/ 7® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmrY) 5/11/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ASHLEY GRIFFITH Danmar Insurance Services Inc. PHONE (951)506-6316 FAX (951)506-6326 License # OD36873 E-MAIL ASHLEY@DANMARINSURANCE.NET 43180 BUSINESS PARK DR#203 TCA 92590 INSURERS AFFORDING COVERAGE NAIC N INSURERA:Amco Insurance Cc 19100 INSSUREDURED Jason De Armond, DBA: J. Dearmond Design INSURER B 27537 Commerce Center Dr. 210 INSURER C: INSURER D: INSURER E : Temecula CA 92592 INSURER F: KtVI51UN NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLI D EXP YYVI LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X P7805651405 /11/2012 /11/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISESEa occurrence) $ 300, 000 MED EXP (Any oneperson) $ 1,000 PERSONAL &ADV INJURY $ 1, 000,000 GENERAL AGGREGATE $ 2.,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X7 POLICY PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE e accident) $ UMBRELLA LIAR EXCESS LIAR HCLAIMS-MADE OCCUR N / A EACH OCCURRENCE $ AGGREGATE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in ndnd If yes, describe auer DESCRIPTION OF OPERATIONS below WC STATULIMIT- OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ f DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES uired (Attach ACORD 101, Additional Remarks Schedule, If more space Is re ***CERTIFICATE HOLDER IS NAND AS ADDITIONAL INSURED*** q ) ***POLICY IS CONTINUOUS UNTIL CANCELLED*** CFRTIFICATI= uni nco CITY OF MENIFEE 29714 HAUN RD MENIFEE, CA 92586 ACORD 25 (2010/05) INS025 igni nnsi m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPPRATION. All rights reserved. , — name ano Togo are regisierea marKs Of ACORD TRAVELERS) AUTOMOBILE POLICY CONTINUATION DECLARATIONS 1. Named Insured JASON & AMBER DEARMOND 43040 NOBLE CT TEMECULA CA 925924385 Your Agency's Name and Address DANMAR INS SVCS P O BOX 7787 RIVERSIDE CA 92513 Your Policy Number : 931227563 101 2 For Policy Service Call 951-509-0509 Your Account Number: B00604771 For Claim Service Call 1-800-CLAIM33 2. Your Total Premium for the Policy Period is $1,160.00. The policy period is from March 18, 2012, 12:01 a.m. to September 18, 2012. 3. Your Vehicles Identification Numbers 1 2005 NISSA ALTIMA BAS 1N4AL11DX5C306170 2 2006 DODGE CARAVAN SE 1D4GP25B16B712484 4. Coverages, Limits of Liability and Premiums Insurance is provided only where a premium is shown for the coverage. 1 2 05 NISSA 06 DODGE ALTIMA BAS CARAVAN SE A - Bodily Injury $100,000 each person $ 385 $ 170 $300,000 each accident B - Property Damage $100,000 each accident Incl* Incl* D1 - Uninsured/Underinsured Motorists Bodily Injury $100,000 each person 102 52 $300,000 each accident See Endorsement A04044 E - Collision Actual Cash Value less 233 76 $500 deductible F - Comprehensive (Other than Collision) Actual Cash Value less 56 23 $500 deductible I - Towing and Labor Costs $75 per disablement 4 3 G - Extended Transportation Expense $30 per day/$900 maximum 25 18 Continued on next page Page 1 of 4 P1.77A9 A.Ad 476/0XL061 000206/00030 F311SC70 7560 02/21/12 IMPORTANT NOTICE INSURER AND INSURANCE DEPARTMENT CONSUMER AFFAIRS COMMUNICATION Because of the complicated nature of the insurance business, there may be times when you will have questions regarding your policy. If you are concerned about coverages, premium charged or the non -renewal of your policy, we urge you to contact your Travelers representative to answer your question or resolve your problem. However, if you are unable to receive a satisfactory answer or resolution to your problem; please contact us directly. THE STANDARD FIRE INSURANCE COMPANY CONSUMER AFFAIRS. 5MS 1 TOWER SQUARE HARTFORD, CT 06183 TELEPHONE NUMBER: 1-860-954-2382 If you are still not satisfied, you may contact the California Insurance Department at: CALIFORNIA DEPARTMENT OF INSURANCE 300 SOUTH SPRING STREET LOS ANGELES, CA 90013 TOLL -FREE NUMBER: 1-800-927-HELP (California Only) PL-8874 01-08 Page 1 of 1 000205/00030 F3116070 7560 02/21/12 TRAVELERS) Named Insured: JASON & AMBER DEARMOND Policy Number: 931227563 101 2 Policy Period: March 18, 2012, 12:01 a.m. to September 18, 2012. Issued On: February 21, 2012 5. Information Used to Rate Your Policy (continued) Vehicles Use of Location Vehicle of Vehicle 05 NISSA ALTIMA BAS Work TEMECULA CA 925924385 06 DODGE CARAVAN SE Pleasure TEMECULA CA 925924385 Estimated Customized Annual Mileage Cost 16,000 0 12,000 000000 Please send us your estimated mileage information. If you do not submit this information, we will use the mileage figure noted above. It is important that the above information is correct to ensure that your policy is properly rated. If there are errors or changes to this information, please notify your Travelers representative immediately. 6.Other Information Loss Payees 05 NISSA ALTIMA BAS VIN # 1N4AL11DX5C306170 Additional Insured MISSION FEDERAL CREDIT UNION PO BOX 910501 SAN DIEGO,CA 92191 05 NISSA ALTIMA BAS MISSION FEDERAL CREDIT U VIN # 1N4AL11DX5C306170 PO BOX 910501 SAN DIEGO CA 92191 Your Insurer The Standard Fire Insurance Company One Tower Square, Hartford, CT 06183 Policy Endorsements A04094 Amendment of Policy Provisions - CALIFORNIA A04044 Uninsured Motorists Coverage - CALIFORNIA A04010 Additional Insured Endorsement - CALIFORNIA A00260 Racing Exclusion A00391 Personal Auto Policy Coverage Enhancement Endorsement Policy Edition 6C Policy Form 101 Issued on 02/21/12 Continued on next page Page 3 of 4 PL-7782 5-84 478/0XL051 000207/00030 F3118C70 7580 02/21/12 IMPORTANT NOTICE AUTO BODY REPAIR CONSUMER BILL OF RIGHTS A CONSUMER IS ENTITLED TO: 1. SELECT THE AUTO BODY REPAIR SHOP TO REPAIR AUTO BODY DAMAGE COVERED BY THE INSURANCE COMPANY. AN INSURANCE COMPANY MAY NOT REQUIRE THE REPAIRS TO BE DONE AT A SPECIFIC AUTO BODY REPAIR SHOP. 2. AN ITEMIZED WRITTEN ESTIMATE FOR AUTO BODY REPAIRS AND, UPON COMPLETION OF REPAIRS, A DETAILED INVOICE. THE ESTIMATE AND THE INVOICE MUST INCLUDE AN ITEMIZED LIST OF PARTS AND LABOR ALONG WITH THE TOTAL PRICE FOR THE WORK PERFORMED. THE ESTIMATE AND INVOICE MUST ALSO IDENTIFY ALL PARTS AS NEW, USED, AFTERMARKET, RECONDITIONED, OR REBUILT. 3. BE INFORMED ABOUT COVERAGE FOR TOWING SERVICES. UNLESS THE INSURANCE COMPANY HAS PROVIDED AN INSURED WITH THE NAME OF A SPECIFIC TOWING COM- PANY PRIOR TO THE INSUREWS USE OF ANOTHER TOWING COMPANY, THE INSURANCE COMPANY MUST PAY ALL REASONABLE TOWING CHARGES OF THE TOWING COMPANY USED BY THE INSURED. 4. BE INFORMED ABOUT THE EXTENT OF COVERAGE, IF ANY, FOR A REPLACEMENT RENTAL VEHICLE WHILE A DAMAGED VEHICLE IS BEING REPAIRED. 5. BE INFORMED OF WHERE TO REPORT SUSPECTED FRAUD OR OTHER COMPLAINTS AND CONCERNS ABOUT AUTO BODY REPAIRS. COMPLAINTS WITHIN THE JURISDICTION OF THE BUREAU OF AUTOMOTIVE REPAIR Complaints -concerning the repair of a vehicle by an auto body repair shop should be directed to: Toll Free (800) 952-5210 California Department of Consumer Affairs Bureau of Automotive Repair 10240 Systems Parkway Sacramento, CA 95827 The Bureau of Automotive Repair can also accept complaints over its web site at: www.autorepair.ca.gov COMPLAINTS WITHIN THE JURISDICTION OF THE CALIFORNIA INSURANCE COMMISSIONER Any concerns regarding how an auto insurance claim is being handled should be submitted to the California Department of Insurance at: (800) 927-HELP or (213) 897-8921 California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 The California Department of Insurance can also accept complaints over its web site at: www.insurance.ca.gov P L-10576 06-01 Page I of 1 000208/00030 F3116070 7580 02/21/12 DISCOUNTS AVAILABLE TO YOU Several discounts may be available to you. Usually certain requirements must apply to receive these discounts. Be- low is a brief description of each available discount. If you feel you qualify for any of these discounts and your Declarations does not show you are receiving them; contact your Travelers representative. GOOD DRIVER DISCOUNT If a driver qualifies as a Good Driver, as defined by California law, then a discount will be applied to the car and coverages that the qualifying driver is'assigned to. Essentially, a Good Driver is a driver who has been licensed for at least 3 previous years and has not had a major conviction or accident involving bodily injury or death or more than one minor conviction or accident involving only damage to property within the last 3 years. ANTI -THEFT DISCOUNT If your car is equipped with a Travelers approved anti -theft device, you will receive a discount on your comprehen- sive coverage. MATURE DRIVER IMPROVEMENT DISCOUNT If any principal operator of a car insured on your policy is 55 years of age or older and can certify that they have successfully completed a Mature Driver Improvement Course approved by the California Department of Motor Vehicles, then a discount may be applied. The discount will be applied to the premiums for Bodily Injury and Prop- erty Damage Liability, Medical Payments Coverage, and if purchased, Comprehensive and Collision coverages for the car the qualifying driver operates most. MULTI -CAR DISCOUNT Insuring more than one car on a policy. If your policy insures more than one car, then we will automatically reduce your premiums for Bodily In' ury and Property Damage Liability, Medical Payments Coverage, Comprehensive and Collision coverages. GOOD STUDENT DISCOUNT If a driver has under 9 years driving experience, is afull time high school or college or university student, is unmar- ried and maintains good grades or is in the upper 20% of his/her class, then we will automatically reduce your pre- miums upon receiving the required written verification. This reduction will be applied to all coverages for the car that driver drives most. INEXPERIENCED DRIVER SAFETY EDUCATION DISCOUNT If any inexperienced driver has successfully completed a driver education course meeting certain standards and conducted by instructors certified by the California Department of Education, then we will automatically reduce your premiums. This reduction will be applied to all the coverages for the car that driver drives most. ACCOUNT DISCOUNT If you insure your car(s) and your property with any Travelers company then we will apply a discount to the auto policy. The discount will be applied to all coverages for all cars insured on the policy. PL-9546 Rev. 05-11 Page 1 of 2 000209/00030 F3118C70 7580 02/21/12 IMPORTANT NOTICE ABOUT BILLING OPTIONS AND DISCLOSURES This notice contains important information about our billing options and fees. You have chosen to pay your insurance premium in monthly installments by Electronic Funds Transfer (EFT). Please note that a service charge of $1.00 will apply per installment. In the event that your payment is returned by your bank, it may result in the automatic conversion of your Electronic Funds Transfer (EFT) account to Bill by Mail. If your billing needs change_, we offer several ways to pay your premium: Bill Plan Monthly Lump Sum Electronic Funds Transfer (EFT) $ 1.00 No Charge Recurring Credit Card (RCC) $ 1.00 No Charge Bill by Mail $ 6.00 No Charge Late Charge: $20.00 per occurrence Payments returned by your bank: $25.00 per occurrence In the event two payments are returned during a 12 month period you will be required to pay with guaranteed funds for 182 days from the date of the last returned payment. Guaranteed funds are credit card, bank check, money order or home banking payments. Other forms of payment will be returned. You will not be eligible to use our Electronic Funds Transfer (EFT) or Recurring Credit Card (RCC) payment plans. When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. If you have multiple policies with us you may be able to combine those policies into a single billing account. If you have selected one of our monthly billing options, and you combine your policies into a single billing account, you will be charged just one service charge per installment, and not per individual account. To add this policy to an existing billing account or if you have other questions about this notice, please call your insurance representative at 951-509-0509. P L-14216 12-11 000210/00030 F3116C70 7560 02/21/12 Qq Ar% D CREATIVE 43040 Noble Ct. Temecula, CA 92592 951-254-3846 May 11, 2012 DeArmond Creative does not have any emprloyees, therefore does not carry Workers Compensation Insurance. Jason DeArmond Owner