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0-1933 <br />Apr -03-208 10:37am Frwn-DCBE _ - _ Um.rt,%..6•1kr.ewa-. T-143 P.002/002 1117 /7 <br />-587I <br />PRODUCER (714)979-6S43 <br />Wigmore Insurance Agency, <br />FAX (714) S49-2943 <br />Inc. <br />THIS CERTIFK:AT1= IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2970 Harbor Blvd. #21S <br />Mm <br />ALTER THE COV RAGE AFFORDED BY THE POUCIHS SE O . <br />INSURERS AFFORDING COVERAGE NAIL # <br />License 00811959 A-2008-069-47 <br />Costa Mesa, CA 92626 <br />INSURCO Orange County r Foundation <br />INSURrkA; Philade phia Indemnity Ins. Co <br />INSUREH5: <br />313 N. Birch Street, <br />2nd Floor <br />(NSUREH0: <br />Santa Ana, CA 92701 <br />EACH OCCURRENCE S 1 000 000 <br />rNSURER D <br />INSURER E; <br />C VERA <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE 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 REDUCE=D BY PAID CLAIMS- <br />LAIMS.INR <br />Mm <br />D' <br />TYPE OF INSURANCE <br />ER <br />POLICY NUMBER <br />POLICY EFFL�CTIVE <br />03/15/2008 <br />POLICY EXPIRATION <br />03/15/2009 <br />LIMITS <br />LIABILITY <br />PWK292306 <br />EACH OCCURRENCE S 1 000 000 <br />DAMAGE TO RENTED00- <br />X COMMERCIAL GENERAL LIABrLITY <br />MED EXP (Mson <br />y one per) S 510001 <br />CLAIMS MADE XX OCCUR <br />PERSONAL & ADV INJURY $ 1.000,000 <br />A <br />GENERAL AGGRfiGATE b 2 1 000,00 <br />GEI,M AGGREGATE LIMIT APPLIES PER: <br />PROOUCTS - COMPIOP AW S 21000,00 <br />POLICY F I J%ECT F7 LOC <br />AUTOMOCILELIA Uty <br />PHPK292306 <br />03/IS/2008 <br />03 1S/2009 <br />COMBINED SINGLE LIMIT S <br />la a—icwd) <br />( 11000,000 <br />ANY AUTO <br />BODILY INJURY S <br />ALL OWNED AUTOS <br />(Par parson) <br />SCHEDULED AUTOS <br />200ky INJURY S <br />X HIRED AUTOS <br />(Por accident) <br />X NONAWNED AUTOS <br />PROPERTYOAMA0E S <br />(Per G=KW rx) <br />GARAOEUAINLITY <br />AUTO ONLY -EA ACCIDENT $ <br />OTHER THAN &A ACC E <br />ANY AUTO <br />AUTO ONLY AWi <br />I!XCESSNMBROAA LIABILITY <br />EACH OCCURRENCE A <br />AGGREGATE <br />OCCUR FICLAM MADE <br />_s <br />S <br />DEDUCTIBLE <br />RETENTION <br />149mmi <br />WORKEM COMPENSATION AND <br />E.L. EACH ACCIDENT S <br />FMMQYERS'LIABIIIY <br />ANY PROPRIBTORIPARTNERIDECUTNE <br />F.L. DISEASE . EA EMPLOYE $ <br />OFFIC;ZPAGUSER QMUDED7 <br />E.L. D (SEAS£ - POLICY LIMIT S <br />K yea deetnbe under <br />SPECIAL PROVIS)ONS below <br />PHPK29Z306 <br />03/15/2008 <br />03/15/2009 <br />$2,000,000 Aggregate <br />ROFESSIONAL LIABILITY <br />$1,000,000 Each Incident <br />A <br />IP <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS / V6MCLES J EXCLUSIONS ADDED 6Y 040ORSrr�FAIT <br />'CCTTCYrA'CC MAI TC NAMFn AS AMTTIQNAI INSURED AS <br />3/EC1AL <br />PER ADD ION <br />INSURED FORM CG20100704. <br />.00ATION: 313 N. BIRCH STREET FL 2 SANTA ANA, CA 92701-5263 <br />IIRECTORS & OFFICERS LIMIT $1,000,000 TRAVELERS INSURANCE COMPANY POLICY #104911676 EFFECTIVE 04/01/07 <br />ANCELLATION NOTICE IS 10 DAYS IN THE EVENT OF NON PAYMENT OF PREMIIUM. <br />CITY OF SANTA ANA <br />PO BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />ACORD 25 (2001/08) <br />SHOULD ANY OF THE ABOVE DESCM86D POLICIES RF CANCELLED BEFORE THE <br />PJDMRATION DATE THEREOF. THE ISSUING INSURER WILL. ENOEAVOR TO MAIL <br />30 _ oAY3 WRITTEN NOTICE TO TNS cBRTNFICATE BOLDER NAM W TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LK9IUTY <br />OP AMY,ONO UPON TNe INEURCN. ITS AGu+ro C1P.FCPNC3r.NT^TNSJ- <br />AUTHORREP REPRE:IINTATIVE _ 2 1 1 <br />CACORD CORPORATION 1988 <br />