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mwDCRYYj <br />4CORD CERTIFICAT F LIABILITY INSURANCE OPID RL DATE(09 <br />GILLI-1 27 9—/27 0 <br />O6 <br />Paapucla <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br />G. S. Levine Insurance <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Services, Inc. <br />10505 Sorrento valley Rd. 0200 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Diego CA 92121 <br />FOUCT E%PIMTIOM <br />WT! IMENI <br />Phone: 858-481-8692 Fax: 858-481-7953 <br />INSURERS AFFORDING COVERAGE NAIC# <br />IxluaeD <br />NSURERA ACE American Ins. Co. <br />Gillis 6 Associates <br />NS RER B <br />wsWER c. <br />Architects Inc. <br />2900 Bristol St. Suite G205 <br />Costa Mesa CA 92626 <br />NsuRER D <br />MSURER E: <br />LJ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND COMMONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />MIRO <br />ttPI OI IXIORANC! <br />POLICY NUMGG0. <br />POLICY EFFECTVE <br />DATE jIfihVDWYYI <br />FOUCT E%PIMTIOM <br />WT! IMENI <br />UNITS <br />'RP^n•BeN*RFEs <br />(MENERALLIABBJIY <br />Arno n 99 /90M mm <br />FALX OCCUWS <br />gCOMMERCAL <br />GENERAL LAMUTY <br />PREMIERS() $MADE <br />MED END W) $PERSOWIL <br />7 OCCUR <br />SGENERALA$GREGiTE <br />UMTAPWiIFSPER <br />PROOUCTSAG GPR0.Y <br />JECT LOC <br />AUTOMOSIL! <br />LIABIIJTYCOMBINED <br />SS <br />ANYNJTO <br />(Ea xCkerP <br />ALL CARRIED AUTOS <br />BODILYINnaY f <br />SCHEDULEDAuros <br />(Pe......n) <br />MIREDPLT05 <br />BWILY PLORY f <br />NOROWNEDAUTOS <br />IPBrattgaR) <br />PROFERTYONAAGE $ <br />(PI' Mck", t) <br />DAMAGE WBIUIY <br />AUTO ONLY- EAACCIOErvi 8 <br />NYTO <br />EA ACC <br />OTHER TRAIN f <br />—-.IT AGO $ <br />G%CGYYNMIRGW LIOl1Ull' <br />EACHOCCURRENCE $ <br />AGGREGATE 8 <br />OCCUR ❑ CLAMS MALE <br />i' <br />$ <br />OEOWi15lf <br />i <br />1 <br />f <br />RETENTION S <br />�(."i' <br />�- <br />S <br />WORKERS 00-EN—ON AMD <br />V/C STATLL OTH� <br />EMPLOYERS' LIABILITY <br />TORYUNITS ER <br />FL EACH ACCIDENT $ <br />MIYPROPRIETCRPARTNERIEXECVTNE <br />OFFICERTMEMBER EXCLVOED'1 <br />L <br />E.L. gBEASE-Eq EMPLOYEE f <br />Wm mune unner <br />El. g5FA5E POLICYLAST Is <br />SPECIALPROASIONSMW <br />OTHER <br />A <br />Professional <br />EONN04080506 <br />11/08/05 <br />11/08/06 <br />C1aim/Agg $1,000,000 <br />Liabilit <br />Ded $5 000 <br />DEYCRIPPON OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY BNOORYEMGM I SPECIAL PROVISIONS <br />Re: All operations <br />Proof of Insurance. <br />*10 day notice of cancellation of non-payment of premium. <br />CERTIFICA <br />TE HOLDER CANCFI I ATIOM <br />CITSAN— <br />SHOULD My OF THE ABOVE DESCRIBED POLICIES BE CANCEULED BEFORE THE EXPIRATION <br />.3D* DAYS WNTTEN <br />CityDATETHEMOF.TNEISSUINCINSOSER4YIWiNBE1WBRiBMAIL <br />Of Santa Ana <br />Ross <br />Ross Annex <br />NOYCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. MIMWaIMBBMELYy <br />20 Civic Center P1aza,Room 429 <br />Santa Ana CA 92701 <br />'RP^n•BeN*RFEs <br />P XEO REPRI SEXTATIV <br />Arno n 99 /90M mm <br />U ACORD CORPORATION 1988 <br />