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ACORD, CERTIFICATE 4F LIABILITY INSURANCE <br />DATE 0 9 ' <br />PRODUCER (818)224-6100 FAX: (818)224-6099 <br />C. M. i7eiars CoDspany, Inc. <br />21045 Califs St. #(100 <br />Woodland Hills CA 91367 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC <br />INSURED <br />LaBelle Marvin, Inc. <br />2700 So. Grand Ave <br />Santa Ana CA 92705 <br />INSURER A Hartford Casualty <br />INSURER a Hartford Fire Insurance <br />INSURER c: Houston Casualty <br />INSURER D: <br />INSURER E: <br />COVIERAOFS <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />kTE LIMITS SHOWN MAY HAVE BEE 4 REDUCED BY PAID CLAIMS, <br />INSR <br />TYPEOFINSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE <br />POLICY EXPIRATION <br />DATE <br />LNIIRS <br />A <br />GENERALUABRTTY <br />X COMMERCIALGENER <br />CLAIMS MADE Q OCCUR <br />728SAMS293 <br />6/16/2009 <br />6/16/2010 <br />EACH OCCURRENCE $ 11000,000 <br />WAS ASi ftRENTED S 300,000 <br />MEp EW IAM am r n $ 10,000 <br />PERSONAL & ADV INJURY S 11000,000 <br />SILbLB&AGGFIEGATEs 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X P <br />S 2,000,000 <br />B <br />AUTOMOBILE LIABMJTY <br />X ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON4WMED AUTOS <br />72UZCAH0364 <br />6/16/2009 <br />6/16/2010 <br />COMBINED SINGLE LIMIT S 1,000,000 <br />(Ea accident) <br />BODILY INJURY <br />(per person) S <br />BODILY PWRY S <br />(per accident) <br />PROPERTY DAMAGE S <br />(Per accident) <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THAN EA ACC S <br />AUTO ONLY, S <br />A <br />EXCESWUMBRELLA LIABILTIY <br />X OCCUR ❑ CLAIMS MADE <br />DEDUCTIBLE <br />728BAN176283 <br />6/16/2009 <br />6/16/2010 <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE $ 5,000,000 <br />S <br />S <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOWPARTNERUMCUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />MyesdescMeunda <br />72WECRQ5643 <br />6/16/2009 <br />6/16/2010 <br />I TgrATW I OTH• <br />FR <br />EL EACH ACCIDENT S 11000,000 <br />E.L. E -EAE ES 1,000,000 <br />IS 1,000,000 <br />C <br />OTHER PROFFZSBXMAL <br />LIABILITY <br />CLAIIIB-I1ADB <br />NC091008405 <br />6/16/2009 <br />6/16/2010 <br />xmw mAxm ai $1,000,000 <br />AotmsaATZ <br />DESCRIPTION OF OPERATIONSA.00ATiONBNENCLESIEXCLUSIONS ADDED BY ENDORSEMEM/SPECIAL PROVISIONS <br />Certificate Holder is nomad as an Additional Insured re: General Liability- respects to the operations of the Named <br />Insured. - Sq attached. <br />10 days notice of cancellaton for non-payment of premium applies. <br />CERTIFICATE HnUnFA reurcr I Arno <br />obarkleyfsanta-ana.or9 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAIL <br />Attn: Sheri Barkely, Sr. Office Asst. <br />20 Civic Center Plaza <br />Santa Ana, CA 92R" RV Y G L � g 0 FORT <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL MWOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />ms ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />H Rothman/RZIRNI <br />ALUVHII 20 (ZUUTAM) C-'..�%•--- OACORD CORPORATION 1988 <br />INS025 (woe).oea Laura tilt Pap I of 2 <br />