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---`s"i. AI� CERTIFICATE OF LIABILITY INSURANCE EIF GATE (NWDD/YYYY) WI222023 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 have ADDITIONAL INSURED provisions or 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 Maguire Insurance Agency. Inc. FWI 1 Bale PIZ Star 100 Bela Cynwyd, PA 19004-1401 NAME: PHONE (A/C, No, Ext): FAX (AIC, No): E-MAIL 610.617.7 00 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICk INSURER A : Philadelphia Indemnity Insurance Company 18058 INSURED INSURER B : Katherina Suder 430] Archway INSURER C: INSURER D : Irvine, CA 92618 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION 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 ADDL SUBS POLICY EFF POUCYEXP LTR TYPE OF INSURANCE INSD VAID POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) LIMITS A X COMMERCUILGENERAL LUIBIUTY X PHPK2304127-002 07I2112023 072112024 EACH OCCURRENCE $1,000,000 CLAIMB-MADE % OCCUR DAMAGE TO RENTED PREMISES( Ea acwnence) $10.000 X MED EXP (Any one person) $2,500 PROFESSIONAL LIABILITY PERSONAL B ADV INJURY $1pD0,ow GEN'L GENERALAGGREGATE $3,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ElPROJECT ❑ LOG X PRODUCTS -COMPIOP AGO $3,000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaaccident) $ BODILY INJURY (Per person) $ ANY AUTO OWNED AUTOS SCHEDULEDAUTOS ONLY BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Peraccident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CIAIMS-MADE BED RETENTION $ Is WORKERS COMPENSATION PER OTHER AND EMPLOYERS'UABIUTY YIN STATUTE ANYPROPRIETORIPARTNERIEXECUTNE NIA OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ F.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yes, doscribe under E.L. DISEASE - POLICY LIMIT 8 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) It is understood and agreed that the following entity is added as an additional insured but only with respect(s) to the operations of the named Insured except that liability resulting from the additional insureds sole negligence. CERTIFICATE HOLDER CANCELLATION City of Santa Me Risk Management Division 20 Civic Center Pla R 4 Santa Ana. CA 927014058 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4- MIT "' ? Risk McugartadDWMwt RE SWED 6 APPROVED BY: A4V Acw44 Risk Management Spedalist 01 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD