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ACORD DATE (MMlDDrvWY) <br />TM. CERTIFICATE OF LIABILITY INSURANCE 10/1512008 <br />PRODUCER Phone (898) 395 ENS Fax (858)519,0522 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />FITNESS AND WELLNESS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />380 STEVENS AVENUE, SUITE 206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />SOLANA BEACH CA 92075pp ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />3 (, INSURERS AFFORDING COVERAGE NAICIf <br />INSURED <br />INSURER A. Philal <br />FRANKALANIZ <br />INSURER B: <br />2234 SOUTH TOWNER ST <br />INSURE_R_ <br />SANTA ANA CA 92707 <br />D. _ <br />.INSURER D. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIE POLICY PERM INDICATED, NOTN'THSTANDING <br />ANY REOUREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, ME INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAMS, <br />WSR IDD'L POLICY - POLICYE�OLICYEXNMTIM <br />LTA INSR TYPE OFINSURANCE POLICY NUMBER DATE QVD PATE NMO LIMRS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />GENERALUABLLRY PHPK284105 I 10119108 <br />10119109 <br />EACH OCCURRENCE <br />Is 1.000,000 <br />DA 10G REMED <br />PPEMISE$ Ed Bcwennl <br />$ 100,000 <br />Attention: <br />X COMMERCIAL GENERAL LIABILITY ". <br />_ <br />CLAIMS MACEn OCCUR <br />MED. EXP(Anyone Person) <br />$ 2,50g <br />PERSONAL B ADV INJURY <br />S 1,000,000 <br />A <br />$ 3,000,000 <br />GENERAL AGGREGATE <br />PRODUCTSGOMPIOP ASS <br />$- 3,000,000 <br />GEN'LAGGREGATELIMRAPPLIESPER. <br />X PRD- <br />(POLICY JECT LOC <br />_ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />AUTO <br />(Ea=Idaat) <br />$ <br />BODILY INJURY <br />�ANY <br />ALL OW N EO AUTOS <br />J SCHEDULEDAUTOS <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />" <br />NON DAWNED AUTOS <br />(Per accide0l)- - <br />- <br />g <br />PROPERTY DAMAGE <br />Per (accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />I j ANY AUTO <br />$ <br />__ <br />$ <br />AUTOONLY. ADS <br />EXCESS) UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />//� /��y�.1 <br />/ ��( U r <br />/ / ` <br />`•(� <br />I EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />$ <br />DEDUG16LE <br />_._ __..... <br />S <br />is <br />RETENTION $ <br />WC T <br />STARV <br />WORKERS COMPENSATION AND <br />LLL <br />TO IMITS OTHER <br />EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT $ <br />AM PROPRIETpUPARTHER/EYELVINE <br />—_ .... <br />'I$ <br />OFFDERT,EMaG excLUO[oa <br />EL DISEASE-FA EMPLOYEE <br />rc�, aaara u�aB, <br />E. L. DISEASE - POLICY LIMIT �$ <br />ISPECWL PROVegNSMW <br />OTHER: <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />It is understood and agreed that the following entity Is added as an additional insured but only as respects the operations of the named Insured <br />except that liability resulting from the additional Insureds sole negligence. <br />ACORD 25 (2001108) Certlticate R da4ti W B V.. wlaraPrtBAI L.I. m.D <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />THE CITY OF SANTA ANA <br />DO SO SHALL IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS <br />20 CIVIC CENTER PLAZA <br />AGENTS OR REPRESENTATIVES. <br />SANTA ANA CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Attention: <br />J� Frick, CEO <br />ACORD 25 (2001108) Certlticate R da4ti W B V.. wlaraPrtBAI L.I. m.D <br />