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,t/- 2DV5- >D1 -D2- <br />A CORD DATE (MMIDDIYYYY) <br />TM. CERTIFICATE OF LIABILITY INSURANCE 07119/2007 <br />PRODUCER Phn : (S00) 3V eD7 Fw.. (a5B) 510-M2 THIS CERTIFICATE IS ISSUED AS A MATTER OF <br />FITNESS AND WELLNESS INFORMATION <br />360 STEVENS AVENUE, SUITE 206 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />SOLANA BEACH CA 92075 1 HOMER, THIS rRRTIFICATF 1309n <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />RAYMUNDO SUAREZ <br />610 S TOWNSEND STREET <br />SANTA ANA CA 92703 <br />NAIC # <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED FOR THE POOCYPERIOD INDICATED. NOTWITHSTANDING <br />ANY REO(AREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR <br />MAY PERTH{ THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUB.ECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- <br />LTR <br />TYPEOFNSURANCE <br />POLICYNUMBER <br />MM <br />,. . _ <br />Representatives and Vosu148017 4 <br />20 Civic Centar Plaza / - "- <br />LIMITS <br />jA <br />cf+ <br />• <br />Je" ffre� Frick, CEO <br />GENERAL LIABILITY <br />X cGMMEac+aLCB=NEw.uaaL <br />CLAIMS MADE[j] OCCUR <br />PHPK215316 <br />' <br />O6H5107 <br />06116106 <br />EACH CE <br />$ 1,000,0 <br />;M) <br />$ <br />L®.EXP(A9 pmw) <br />_ _100.000 <br />s 2,600 <br />PERSONAL& ADV INJURY <br />S 1,000,000 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />GENLAGGREGATELN)TAPPLESP <br />X POLICY n PRO- LOC <br />PRODUCTS�COMPIOP AGG. <br />S 3,000,000 <br />AUTOMOBILE <br />LIABILITY <br />MY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTO$ <br />NON-OVMEO AUTOS <br />COMBINED SINGLE LIMIT <br />(EA&cddsOO <br />$ <br />SODRYPUURY <br />VPWPK9" <br />$ <br />80DLY INJURY <br />(Pwwodd -% <br />$ <br />PROPERTY DM1AGE <br />$ <br />— <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY -EA ACCIDENT <br />$ <br />DINER 7HAN EAACC <br />AUTOONLY: AGG <br />$ <br />$ <br />EXCESS f UMBRELLA LIABILITY <br />OCCUR FI CLAIMS MADE <br />DEDUCTIBLE <br />RETENTIONS <br />EACHOGCURRENCE <br />$ <br />AGGREGATE <br />$ <br />Is <br />$ <br />$ <br />WORKERS COMPENSATIONAND <br />EMPLOYERS' LIABILITY <br />ANYNlAP9ATdlflARINERRRlCUIYE <br />a1E W L PNAlY810NA ANOrr <br />I TORYNAMRB uT1ER <br />E.LEACHACCIDENT <br />$ <br />F dSF.ABE -EA EMPLOYEE <br />$ <br />EL OISEASE- POLICY LIMIT <br />$ <br />OTHER: <br />DESCRIPTION OF OPERA7TONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />it is understood and agreed that the following entlty Is added as an additional Insured but orgy as respects the operations of the named Insu <br />except that liability resulting from the additional Insureds sole negligence. <br />Policy is Primary and Non - Contributory. <br />ACORD 25 (2001108) Certificate # 59631 ®AGORLI cOKPORAI ION laaa <br />t <br />_ ,• 1 T <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED eEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br />City of Santa Aria: y <br />I <br />t- <br />Ifs Agents, OffiCBrs+r �./"( �. <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT <br />FAILURE TO DO SO SHALL IMPOSE NOOBLIGAMON OR UABILRY OFANY KIND UPON THE <br />INSURER. ITS AGENTS OR RFPRESENTATNES. <br />,. . _ <br />Representatives and Vosu148017 4 <br />20 Civic Centar Plaza / - "- <br />AUTHORIZED REPRESENTATIVE / <br />�. <br />Santa Ana, CA 92701 .r +.. <br />Attention: ✓ <br />cf+ <br />• <br />Je" ffre� Frick, CEO <br />ACORD 25 (2001108) Certificate # 59631 ®AGORLI cOKPORAI ION laaa <br />t <br />_ ,• 1 T <br />