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'"~ACdR©,~ CERTIFICATE OF LIABILITY INSURANCE °"~ <br />°lzoouCER Serial 1R 100478 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />MAGUI~ WSUWINCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />LK~0377646 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />27101 PUERTA REAL, S'IE Z00 <br />MISSION VIEJO, CA 9269'! gJSURER3 AFFORDING COVERAGE IiA1C6 <br />ro r~suR~t A: PHILADEI.PI-MJ1 INDEMNITY INSURANCE <br />FEEDBACK FOUNDATION, INC ~~ <br />1200 N KNOLLWOOD CIRCLE te>suRER C: <br />ANAHEIM, CA 92801 a+sUr~ER o: <br /> <br />COVERAGES <br />THE POLICIES OF DANCE LISTED BELOW HAVE BEEN ISSUED T'O THE lNSt7RED NAMED ABCJVE FORTHE POLICY P£RpD NODIGITED. NOTWRFfSTANDgr(i <br />ANY REOUIRHrENr TERM OR CONDTIION OFANY CONTRACT OR OTHER DOCLMAFJ~lf WITH RESPECT TAO WHICH THIS CERTIFICATE M!1Y 8E 1SSIIED OR <br />MAY PERTAIN. THE >NSURANC£ AFFORDED BY THE POLICES DESCRIBED HEREIN IS 5UBIECT TO ALL TH£ TERMS EXCLUSIONS AND WNDTTIONS OF SUCH <br />POLICIES, AGGREGATE Lp~T3 SHOWN !MY HAVE BEEN REDUCED BY PAT) CLAg13. <br /> "~0'L TYPE OF WsURAMGr PoLACY MI~F.It ~~"'~ torts <br /> ce~ALLIABaM FJ1CHxcur~cE s 1000000 <br />A X cMS~cw.cw-eanY PHPK177613 07/09/2006 07/01/2007 ~~D s 100,000 <br /> galas MADE [~X occxst MED ~ on. .m s 5000 <br /> X PROFESSIONAI.LWBII.ITY PERSONAt.d,Al}VrrxxtY ~ s 1.000,000 <br /> r*a-~Lr~-rra~aACO GENERALAG~GREGATE s 2.000,000 <br /> ts=x~ACCS~c~teulrt~ESa~ ~ooucts-FASO s 2,000.000 <br /> Pa.ICY LOC <br /> PHPK177613 07/01/2006 071'0112007 SRIGLEUMKT s 1 <br />000 <br />000 <br />A X ANrAUro ~ , <br />, <br /> ALL oAnIgED AUT08 ~~ <br />s <br /> ~ <br /> HIRED AUTOS 80DILYWJUR1f <br /> <br />NOIFOVYI~DAUTUS <br />~tl i <br /> R <br />OPER Y <br />DAMAGE <br /> ~ <br />p <br />~ i <br /> CiARAfiE LlABr.1TY N/A AUTO OPLY- EA ACCrIENT s <br /> ANYAUTO OTFIERTf1AP1 EA ACC s <br /> AUTO ONLY: AtDO _ <br /> ~'AUaernY B06 <br />01 07/01/'1006 07/018007 ~0~ s 1000000 <br />A X ocam [~cxAr~sw+oe PHU <br />56 AG(a'REGATE s 1,000,000 <br /> s <br /> DEDUCTIBLE s <br /> RETE~moN s 10,000 s <br /> wowcors aIDN AIO WA <br /> >auPLVre+is LIABN.RY <br />ANY cuTnrE <br />EL EACHACCDENT <br />s <br /> ~ElocLU~m ~LOISFasE-Fa ErwI.oYEE s <br /> ~w~rRav~ edow a olsEASe - ~oucY UNIT s <br />A ate PHPK177613 07!0112006 07/01/2007 BUILDING: ;1,297,100 <br /> PROPERTY EMPLOYEE DISHONESTY: 5100,000 <br /> CRIME THEFT IWOUT: $1,000/;2,000 <br />oESCxIPrlonar~oPenATIONSA.ocu ADDFDBY Ptto~V~torrs <br />CANCELLATION EXCEPTION: 10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM <br />THE CITY OF SANTA ANA; RS OFFlCERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATNES ARE NAMED AS <br />ADDITIONAL INSUREDS WITH REGARDS TO LIABILITY AND DEFENSE OF SUBS ARISING FROM THE OPERATIONS AND USES <br />PERFORMED BY OR ON BEHALF OE THE NAMED INSURED. <br />CERTIFICATE HOLDER ELLATION <br /> SHWLD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFdtE THE E7~rL1TICN <br /> DATE THEREOF THE >SSUr~Ip YiSURER wx.L ENDEAVOtt TO AIAL ~ DAYS WRITTEN <br />THE CITY OF SANTA ANA <br />NOTICE TO THE CERTIFICATE HDLDER NAMED TO THE LEFT BUi FAILURE TO DO So SHALL <br />2O CMC CENTER PLAZA <br />SANTA ANA, CA 92709 <br />- uiwosE No oeLloATx>rI oR Luenm of ANY IaND uPON THE srsuReR TIS AGEMS oR <br /> REPRESENTA71VE3. <br /> <br />~ AUt}IOfilt~D REPRESENTA <br />. <br />Z <br />- -T _T -- - ---- -_ ®ACOR['fCORPORAi10N1988 <br />ACORD 25 (200'1f08) <br />