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~.~QBD~ CERTIFICATE OF LIABILITY INSURANCE ~'~~'~~' <br />PRODUCER THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE <br />PRIME INSQRANCE SERVICES, INC. HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />9891 IRVINE CENTER DRIVE #160 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />IRVINE, CA 92618-4319 <br />_ _ <br />INSURERSAFFORDING COVERAGE <br />NAICft <br />INSURED JOIiNSON & VERCLIFF <br />LLC. INSURER 0. <br />, <br /> INSURER B: <br />120 TBIRD ST INSURER c <br /> <br />5`72LT• BEACB <br />CA 90']130 INSURER q <br />, <br /> INSURER E: <br />COVERAGES <br />THE POUGES OF INSURANCE LISTED BELOW HAVE BEEN 153UFD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INgCATED. NOTWITHSTANDING <br />ANY REpUIREMENi, TETBA OR CONDITION OF ANY CONTRACT OR OTHER gJCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THEINSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IGSUBJECT TOALLTHETERMS, EXCLUSIONS AND CONgTIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CWMS. <br /> POLICY EFFECTVE POLICY IX%RATIIXJ <br /> TYPE OF INSURANCE POLICY NUMBER DATE MMlD DATE D UMffS <br /> GENERAL LIABILITY EACH OCCURRENCE E 1 QQ oO <br /> X COMMERCIAL GENERAL LIABILITY PREMISES (Ea aurence) E Q <br /> <br /> CWMSMADE ~IOCCUR MED IXP(A~ryanaperson) $ <br />A X 72SBMIA4897 OS~14~O8 OS~14~O9 PERSONALSADV INJURY E ]~ OQQ OQ <br /> <br /> GENERAL AGGREGATE E <br /> GEN'L AGGREGATE LIMB APPLIESPER: PRODUCTS-COMPIOP AGG E <br /> PR0. <br /> POLICY JECT LOC <br /> AUTOMOBILE LWBILITY <br />COMBINED SINGLE LIMIT <br /> E <br /> ANYAUTO (Ea arriCeM) <br /> ALLOWNED AUTOS (( <br />~~ BODILY INJURY <br />E <br /> Y <br />~ <br />~ (Per person) <br /> SCHEDULED AUTOS l~ <br />~ <br /> HIRED AUTOS O ~ BODILY INJURY <br /> <br />w <br />(Pera¢Hant) E <br /> NON~WNED AUT03 r <br /> ~ PROPERTY DAMAGE <br /> O <br />G`~ <br />(Per acciCenq E <br /> <br /> GARAGE LIABILITY ~ C F~~OC ALRO ONLY- EAACCIDENT E <br /> ~ ~~ T` <br /> ANYAUTO ~\ <br />~ h OTHER THAN EAACC $ <br /> `yt$~ ~y AUTO ONLY: AGG E <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> I OCCUR CICUIMS MADE AGGREGATE b <br /> a <br /> DEDUCIiBLE Y <br /> RETENTION 3 $ <br /> WgRKERS COMPENSATION ANO TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> £%ECUI WE <br />MIY PROPRIEfOfLPARrNER E.L. E4CH ACCIDENT' E <br /> i <br /> OFFILERRAEMBEft EXCLUDEDi EL. DISEASE- EAEMPLOYEE $ <br /> Ifyes, descAbauntler <br /> GPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT E <br /> OTHER <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS !VEHICLES / E%CLUSIONS ADDED BYENDORSEMENi I SPECIAL PROVISIONS <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES eE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />CITY OF SANTA ANA <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO W SO SNALL <br />BOX 1988 <br />P <br />O <br />. <br />. IMPOSE NO OBUGATON OR LIABILITY OE ANY KING UPON THE INSURER RS AGENTS OR <br />SANTA ANA, CA 92702 <br /> REPRESEMATIVES. <br /> AUTHORIZED REPRESENTATIVE f^ <br />r- <br />ACORD 25 (2D07108) ©ApORD CORPORATION 1888 <br />