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.4coizop CERTIFICATE OF LIABILITY INSURANCE °ATE,MMR%1/YWY> <br />06/3{/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 7HE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: N the cartlTleate holtlaT Is en ADDTONAL INSURED, the pollcy(les) must be entlorsstl. H SUBROGATION 18 WAIVED, subJeet to <br />the terms entl eonditlons of the policy, eertaln pollc las may raqulre en endorsement. A atetemant on thla csRlRests tloas not confer rlphta to lha <br />eertlTleets holder In Ileu of such antloraement(a). <br />PRODULEp 1 -990- 552 -4335 <br />6ray11ag Ineursnce Brokerage <br />CONTA Serry Neyela <br />PHONE _990- 5.53 -4325 NC Ne: B66- 550 -4093 <br />•50 Hortbridge Psxkvay <br />Butte 103 <br />'PAIL - -- <br />ADDRE jerZy.noyolaagxeyling. com <br />__ -. <br />INSURERI9I AFFORDING COVERAGE <br />NAIC• <br />Atl9nle• q1L 30350 <br />Ce <br />INEURER A: Ce ®ai E IndV eCiy InaYZaaCe COmpeny <br />INSURER e: Chax'tie BH O1aliCy IneVi ante c ®paay <br />Matte• OZmaxi <br />_ <br />IN9VRED <br />'lRC BOSVt10ne• IS1C. <br />_ _ <br />IN9URERC: Stria city @ize IasuranGa Company <br />IN9VRER D: <br />S 500,000 <br />133 ieClOr010gy DZ1Ye <br />INSUwEw E: <br />Irvine, CA 9]file <br />_ __ <br />INS V RER F <br />__ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSVRED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIDEgSp. LIMITS�SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ATP TYPE OFIN3UpANLE qD pOLILy NVMBER POCKY EFF M LILY EYP LIMn9 <br />A <br />GENERAL LIABILRI' <br />ACCORDANCE WRH THE POLICY PROVISIONS. <br />I <br />OL 7168709 <br />OT /O1 /1 <br />07/01/13 <br />EgCH OCCURgENCE <br />S 1.000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES Ee TED <br />S 500,000 <br />MED EXP (M_y pia palm,) <br />55,000 <br />LWMS.MADE OOCGVR <br />PERSONAL6gDV IfLURY <br />51,000.000 <br />__ <br />______ <br />GENERAL AGGREGATE <br />S 3. 000, 000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS. COMP /OP qGG <br />- <br />S 3.000,000 <br />POCKY X P0.0. X LDC <br />i � - <br />A <br />A <br />AUTOMOBILE <br />X <br />LIABILT' <br />ANY AUTO <br />G 16E NA <br />G 9169886 A/O <br />OT /Ol /1 <br />OT /01/13 <br />L nl I LE LIMIT <br />a IN <br />y • 000, 000 <br />BODILY INJURY (Per penm) <br />t <br />- <br />ALL OWNFD SCHEDULED <br />AVTOS AUT09 <br />BODILY INJURY PeremGenO <br />( <br />S <br />X <br />HIRED AVTQS X rvONyWNED <br />AUT09 <br />PROPERTYDMIAGE <br />f <br />S <br />B <br />X <br />UMBRELLA LIAR <br />% <br />OCCUR <br />rJl® '1168710 <br />OT O1 1 <br />/ / <br />O'J /01/13 <br />EACH OCCURRErvCE <br />1 10,000,000 <br />ApOIiEOATE <br />910.000.000 <br />EYCEHS LIAR <br />CLAIMS -MADE <br />DEO Z pETENTION 10.000 <br />y <br />- <br />L- <br />C <br />WORKERS COYPENSATNNI <br />AND EYPLOYEpS'LIABILITY <br />ANY PROPp1ETOR/PARTNEp/EXECIJTIVE Y/N <br />OFFlLEIVMEMBER EXCLUDEDi YO <br />N/q <br />30 MI M @9434 A/O <br />30 TIHR M @5433 tit <br />0T O1 <br />/ /1 <br />OT /O1 /1 <br />OT /01/13 <br />0T /01/13 <br />X WC BTATV- OTN- <br />E.L EACH ACCIDENT <br />9 1,000,000 <br />E -L OISEA9E -EM EMPLOYE <br />-- - <br />E.L. OIBEASE .POLICY LIMIT <br />-- <br />51. 000, 000 <br />S 1, 000. 000 <br />IMenyefpyh MN) <br />If yes tleemGe ur,tler <br />OEBCRIPTION OF OPERATIONS Mev <br />H <br />Preiaaaienal Liability <br />3978259 <br />OT O1 /1 <br />09 /01/12 <br />Par Claim 10,000,000 <br />6e0- Including pellutien LSab. <br />Aggregate 15,000,000 <br />DESCRIPTION W OPEpATONS / LOCATgN6 / VENKLEB (ARacN ACORO t0'I.,Wa1bnN RwnaN,F aPPaeulA M mve apnea h rep,YW) <br />iba City e! Santa Aaa, 20 Civic Centex Dlaxa. 9snta Ans G 93901, Sta o!licara, a ployaaa, agante, volvntaara n <br />rapraaaatativaa a named a• Additional Inavrede varier tba Oaneral Liability i Autemebila Liability vbara raQVirad by <br />vrittan c atsa<ta able Sneuranca ie prisary A a n- contributory ov nay axlalting lneuranca i Se Simitad to 1labllity <br />arlaing out o! tba eperatieae o! the Demad ineurad E wbara �a¢uirW by vritten contract. paiver o! Hubregstion ie <br />aDD11eaD1a vhara raqui sad by written UL {�ctAtS a3Ji�ra +. ��t11�2. <br />/,prxo 1 <br />` l.aur9 Stu Shce Y <br />CU.y '�fl Ur n' -� <br />SFIODLD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City Oi Bents Ana /y `�)Ctl)Dr <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WRH THE POLICY PROVISIONS. <br />30 Civic CantaZ plena - Roe• Annez (M -36) <br />AVTHORYEO REPRE9ENTATVE <br />Santa Ana, G 93701 <br />/_ <br />��J -'��� <br />OBA <br />® 79tH -2010 ACORD CORPORATION. All rights rasenrad. <br />ACORD 25 (2070/05) The ACORD name and logo ere raglstered marks o1 ACORD <br />JNOyela <br />21930015 <br />✓ , J/ 1 � � V rI / / �. <br />