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- `'GOROp CERTIFICATE OF LIABILITY INSURANCE °ATE' "" /° °'YY""' <br />L 06/24/3011 <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 INSU RER(S). AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: N the certficate holder Is an ADDITIONAL INSURED, the pollcy(lea) must be andorosd. N SUBROGATION IS WAIVED, aubJaet to <br />the tem+a end conditlona of the pulley, eertaln polic lea may raqulre en endoroemant. A statement on thls certificate does not cooler rlflhts to the <br />eertillcate holder In Ibu of such andoreament(s). <br />PRODUCER 1 - »0- 552 -4225 <br />Gzeyling InaOranca Brokerage <br />NoMTA Gerry Noyola <br />- <br />PNONE »0- 532 -4235 N Ne: 866- 550 -1083 <br />150 Northridge Fsrkvay <br />fiuiee 102 <br />yreY q. oem <br />A nwi Terry. aeyolse lin <br />' <br />__._ -__. <br />___ INBVRERIBI AF_FOR_D_ING COVENAGE <br />_.. <br />NAIC• <br />Atlantis O]I 3D350 <br />INSURER A: CODmerCe G IDAnatry InaYiaaCa COalpany <br />_ <br />Matisa Ormais <br />INBVRED <br />TRC 6o lYCieaa. Inc. <br />INBVRER a: Chortle Hpeciallty InaYianOa COapany <br />WSVRERC: lyin City 11ra InenranCe Company <br />$ 3D °. 000 <br />INSURER D: <br />SS, 000 <br />133 TeChnOlO9Y Dr1 Va <br />INBVRER E: <br />Iivine• CA 92616 <br />INSURER F' <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 REpUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED Oft MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />INBR TWE OFINBURAMCE -AO POLICY EFF- POL YEYP - - -- <br />TR POLICY NVMBER M LWRH <br />A <br />GENERAL LIA9ILRY <br />I <br />OL >16! >09 <br />O >/01/1 <br />O>/O1/12 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIM$ -MADE OOCCUR <br />PREMISES Ee TED <br />$ 3D °. 000 <br />ME°FXP (My me peRa�) <br />SS, 000 <br />PERS_ONAL6ADV INJURY <br />$ 1,000.000 <br />____ <br />GENERAL AGGREGATE <br />1 2. OD°, 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />$ 2. ODD, O°O <br />pR_ODUCT$ - Cp4P /OP AGG <br />POLICY X PR0. Z LOC <br />___ <br />S <br />A <br />A <br />AUTOYOHILI <br />% <br />LIABILT' <br />ANY AUTO <br />G >16B MA <br />G >168a36 A/O <br />O > /Ol /1 <br />OT /01/12 <br />C INE° 1 LE LIMI <br />Fe �I <br />1,000,000 <br />BODILY INJURY (Per P�eeIJ <br />S <br />_ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY PM e6iew�0 <br />( <br />S <br />% <br />NIRE°AUTQ. Z ONOWNED <br />AUT09 <br />PROPGRTY DAMAGE <br />1 <br />S <br />B <br />X <br />UMHwELLA LMB <br />% <br />OCCVR <br />Vl® >3E! >10 <br />O>/O1/1 <br />O>/O1/12 <br />EACH OCCURRENCE <br />$ 10, 000, 00D <br />AGGREGATE <br />i 10, 000, 000 <br />F3CE98 LIA9 <br />CLAIMS -MADE <br />OED X RETENTION 10.000 <br />$ <br />L, <br />C <br />WORKER$COYPENSATNJN <br />ANDEYPLOYER9'LUIBIYTY <br />ANY PROpg1ETORFARTNE(VEXECVnVE Y/N <br />OFFICE WMEMBER EYCLUDEDi YO <br />N/A <br />2° RM Np5431 A/O <br />20 IIBR MF3433 MI <br />OT O1 <br />/ /1 <br />OT /O1 /1 <br />O >/O1/12 <br />O >/OS/13 <br />X WC $TATU- OTH- <br />vLTS. _ <br />E_L EACH ACCIDENT <br />°OO. OOD <br />_t_1, <br />$ 1.000.000 <br />S 1. 000. 000 <br />(Yyes,Itletwyb NN) <br />OE6CRIPTI N OF OPERATIONS bNav <br />E -L g9EA$E -EA EMPLOYE <br />E.L. DISEASE - POLICY LIMIT <br />H <br />PreGaaaional Liability <br />3 »6255 <br />O> Ol /1 <br />07/01/13 <br />Per Claim 10,000,000 <br />aG0- Inoluding Po1lYtion Liab. <br />Aggregata 13,000,000 <br />DEBCgIPTgN OF OPERATON$ /LOCATION$ /VEHICLE/ (AtYdI ACORD 101. AJJIbnY RmnerRe Sehem,b. N mete apse N ,puYp) <br />Tha City oZ Banta Ana, 30 CSVSC Ceater PSaaa. Haata Ana G 93701, Sta oGGicera, ampleyeee, agents, volunteers 4 <br />rayresentative• amed as Additional iasureda under the Oeaeral Liability i Aueemebile Liab 111 Cy vhere regYired by <br />vrlr<en Oeatracta Tbis insysancs is primary G n - ntributozy ev any ax1a1t1nq Snsursa0• i i• limited to 11 ab 111ty <br />°G <br />zisiaq eut et tba operations oZ the named insured vhere � gYired by Yrri Ctea eentract. tlaiver oZ 9ubregatioa is <br />aDDl icable vhere required by vri ttew ZAfS a�'JElre }. �yytl�i. <br />L�lO <br />�aPrx lJ <br />�� - -- /\ I UI RIB �. I SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />oZ San Ca Ana !��i151'J Ot l -II'�' THE E%PIRATION DATE TNEREOF, NOTCE WILL BE DELIVERED IN <br />ACCORDANCE WRH THE POLICY PROVISIONS. <br />2° C1VSC CenEer Plafa - ROaa AnneZ (N -36) AUTNORILEO REPREBINTATVE /_� <br />Santa Ana, G 927°1 / /���%'�� <br />I vBA <br />® 7998 -2070 ACORD CORI <br />ACORD 25 (2010/05) The ACORD name and logo are regletered marks of ACORD <br />JNOyola <br />21930015 <br />