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2009/07/12 Data Ticket, Inc. (4) Client#: 12154 DATTI ACORU. CERTIFICATE OF LIABILITY INSURANCE 1DATE 0/26/2009 ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ashbrook-Clevidence, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3000 W. MacArthur Blvd.,#320 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. License#0188788 Santa Ana, CA 92704 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Hartford Casualty Ins Co Data Ticket, Inc.dba: Revenue Experts INSURER B: Granite State Insurance Co 4600 Campus Drive#200 INSURER C: Newport Beach,CA 92660 INSURER D: INSURER E: COVERAGES 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. INSRADD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM DD DATE(MMIDDffYI LIMITS A GENERAL LIABILITY 72SBAIA9147 11/01/09 11/01/10 EACH OCCURRENCE $1 000 000 ]( COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMIS ocurrencel $300 OOO CLAIMS MADE 5XI OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO El LOC A AUTOMOBILE LIABILITY 72SBAIA9147 11/01/09 11/01/10 COMBINED SINGLE LIMIT $1 OOO OOO ANY AUTO (Ea accident) > > ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY 72SBAIA9147 11/01/09 11/01/10 EACH OCCURRENCE $1 000000 X OCCUR CLAIMS MADE AGGREGATE $1 OOO 000 DEDUCTIBLE $ X RETENTION $10000 $ B WORKERS COMPENSATION AND WC009560474 07/12/09 07/12/10 X WC LIMIT OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1 OOO OE;•O OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is anmed as additional insured as respects to General Liability coverages as their interest may appear. CERTIFICATE HOLDER CANCELLATION *10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Menifee EC E IV E DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL *-'An DAYS WRITTEN ATTN: Kathy Bennett NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 29714 Huan Road 7 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 2009 Menifee, CA 92586 OCT 2 7 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE rv. ACORD 25(2001108)1 of 2 #S15316/M15304 SXL © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001108) 2 of 2 #S15316/M15304