H5 VENTURES INC - Laserfiche WebLink

Commercial Certificate of Insurance FARMERS' Agency • Johnson Insurance Services Name . 1233 Alpine Rd.#101& • Walnut Creek CA 94596 Issue Date (MM/DD/YY) 04/24/07 Address This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does rat amend,extend or alter the 96 92 37 coverage afforded by the policies shown below. St. Dist. Agent Companies Providing Coverage: Insured Com n . H5 Ventures Inc. Lettn� y A Truck Insurance Exchange Name . DBA:Baci Cafe Ccotempany B Farmers Insurance Exchange Letr & • 500 Main St. company CMid-Century Insurance Company I Address • Pleasanton CA 94566 Letter tComerpany Coverages 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 1 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. - i Co. ! T of Insurance Policy Effective Polity Expiration ! Policy Limits Ltt. Type Policy Number ;Date(MIWDDNY) I Date(mm/DD/YY) cy OS/O1/08GnealAJ 8ateA I General liability 603448106 05/01/07 $ 2,000,000 Products-Comp/OPS Commercial General Liability I Aggregate $ 1,000,000 Penal& X Occurrence Version Advrsoertisr'ng Injur7 $ 1,000,000 Contractual-Incidental Each Occurrence $ 1,000000 j Only Fire Damage ' (My one fire) $250 000 Owners&Contractors Prot.j Medical Expense -- _ (Any one person) $5,000 Automobile Liability — Combined Single All Owned Commercial Limit $ Autos Bodily In1jury Scheduled Autos (Per pew) $ Hired Autos Bodily injury $ Non-Owned Autos (Per accident) Garage Liability Property Damage f $ Garage Aggregate $ Umbrella Liability Limit $ B Workers'Compensation !A]9520847 OS/O 1/07 05/01 i08 Statutory and Each Accident $ 1,000,000 Employers'Liability Disease-Each Employee! $ 1,000,000 - _ _ —-- --- ---- -- --_-- Disease Policy Limit $ 1,000,000 Description of Operations/Vehicles/Restrictions/Speciat items: Added as an Additional Insured Certificate Holder Cancellation . City of Pleasanton Should any of the above described policies be cancelled before the expiration date Name . 1213 Main St. thereof,the issuing company will endeavor to mail 30 days written notice to the & • Pleasanton CA 94566 certificate h to the left,but failure to mail such notice shall impose no Address obligation o ability of any kind upon company,i nts or representatives uthorized Representative 56-2492 "-94 Copy Distribution:Service Center Copy and Agent's Copy }�o�