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CERTIFICATE �t C f'1C LIABILITY �+� 1 OP ID:' <br />CERTIFICATE OF INSURANCE nnretMMmorrYrvr <br />11rDgr2n19 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT; if the certificate holder is an ADDITIONAL. INSURED, the policyges) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such ondorsomentts). <br />INSURED <br />Agcy <br />6033 W. Century Blvd. 5th Fir <br />Las Angeles, CA 00045 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />_ ___ ........_ ...._..._,_ <br />INBR _W __—� mm� POLI Y EFF T Y 7(P <br />L TYPE OF INSURANCE POLICY NUMBER � LIMITS <br />'01 A S <br />Y of <br />GENERAL LIABILITY <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />AUTHORRED REPRESENTATIVE <br />Santa Ana, CA 92702/ <br />EACH OCCURRENCE <br />$ 2000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />X <br />7288AAK0318 <br />12114/2018112,H412019 <br />- <br />DRFArSE'rO`R`S'RY€6` <br />� <br />$ <br />_CWMSMAOE l X OCCUR <br />i <br />_JP_ <br />MED. EXP(Ar yi ono Porsunl <br />_1,000_100 <br />S 10,09 <br />AJ <br />PERSONAL A ADV INJURY <br />$ 2,000,_00_ <br />_ <br />OENERALAGGRCGATE_ <br />$ 4,000_,_00 <br />GENE AGGREGATE LIMITAPPLIES PER: <br />_PRODUCTS, <br />_ <br />$ 4,000,00. <br />IN <br />PNC- <br />X POLICY 1-1 LOC <br />$_.._....__._..____ <br />LIASIU <br />..a.. <br />COMBINED SINGLE LIMIT <br />$ 2,090,00 <br />(E ccid¢ny <br />ANY AUTO <br />BODILY INJURY(Perpers ) <br />$ �- <br />ALLOWNEDAUTOS <br />BODILY INJURY (Re rre, cdenQ <br />$ <br />SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />$� <br />A <br />X <br />HIRED AUTOS <br />I <br />72SBAAK0318 <br />1211412018112114/2019 <br />(PeRACCIDEND <br />A <br />X. <br />NONAWNEDAUTOS <br />72SSAAK0318 <br />1211412018112/1412019 <br />S <br />X <br />UMBRELLA LIAR X OCCUR <br />s[7.1 <br />EACH OCCURRENCE <br />$ 2,000,09 <br />A <br />____________ <br />EXCESS LIAR CLAIMS-MIAGGREGATE <br />-- <br />BAAK0318 <br />12/14/2018 <br />12114/2019 <br />—_— <br />$ 2,000,00 <br />..._.�.._..........__�„.. <br />DEDUCTIBLE <br />—” <br />s <br />X <br />RETENTION s 10,000 <br />$ <br />WORKERS COMPENSATION <br />....._.. <br />X 4c STA' OTH <br />ANOEMPLOYm8'LMSUJTY YIN <br />I <br />SORY.L1hitla <br />yW _ <br />I3 <br />ANYPROPRIETOR)NARTNER]E%ECVTIVE r� <br />7175'05-9$ <br />04/91%2918104101/2019 <br />ELEAGtIAGCIDENT <br />00 <br />$ 1009,09 <br />OFNCERIMEMSER EXGLUUE04 l^,J <br />(Mandatory In NH) <br />NIA <br />- <br />FL. OISEASE6A EMPLOYEE <br />— <br />$ 11--_000,00 <br />(yes, describe under <br />DESCRIPTION OF OPERATIONS bolo. <br />-..-.--.-. _ — _._, <br />B.L: tlISEA$E- POLI CY LIMIT <br />___ <br />$ 11000,00 <br />C <br />Professional Lieu. <br />l <br />LRA9AF817 <br />1211012018;12/10/2019 <br />Per Claim 5,000,90 <br />D <br />Cyber Liability <br />WN183087 <br />12106/2018]12/09(2919 <br />Per Claim 3,900,00 <br />DESCRIPTION OF OPERATIONS ) LOCATIONS f VEHICLES (Mach ACORC 101, Addltlonal Rommk9 schadulu, if mom apace Is re Hind) _ <br />Certificate Holder is named as an Additional Insured in regards to attached <br />General. Liability Form SS 00 08, per written contract or agreement. <br />CERTIFICATE HOLDER - CANCELLATION <br />CiTY5AA <br />SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cit $an1N Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Y of <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />AUTHORRED REPRESENTATIVE <br />Santa Ana, CA 92702/ <br />©19882009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />