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ACDRD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDLVYYW) <br />1211012007 <br />7DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Istin Redhill Insurance - �' /'3 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />BOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Box 540 1 I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Istin CA 92791 A- 2008 -182 m% pEc 14 M INUERS AFFORDING COVERAGE NAIC 9 <br />URED Luis E Rivera, MD, Inc. INSURER A! SEQUOIA INSURANCE <br />2222 S. Main Street � CITY ' €. <br />C e: <br />Santa Ana, CS 92707 ; ER <br />y c <br />Fa .- 714 751.9050 �.��'� � «� :N � Pt <br />INSUR F' <br />)VEiRAGES <br />rKE POLICIES OF INSURANGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIM3 <br />iNY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />NAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRI81e0 HEREIN 18 SUS.IECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />bnt ICMr,,. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />R <br />I Web <br />POLICY NUMBER <br />POUCYePI�cTNB POLICYEXPIR/4TfON <br />LNAtTS <br />X <br />1 <br />Ot CRAL LIABILITY I <br />X COMMERCIALOENERALLIABILITY j $BP2046152 <br />CLAIMS MADE D OCCUR + <br />-- <br />' GEN'L AGGREG; LIMIT APP 1 6 P$R; <br />POLIY PRO- <br />' LOC <br />7/1912007 711912008 <br />EACH OCCURRENCE 1,000,000 <br />_15A <br />VA C+E TO RENTED <br />LMISES(EaoCCillADAOL— <br />x 300,000 <br />MED EXP Demon) <br />S 10,000 <br />PERSONAL A ADV INJURY <br />s 2,000.000 <br />GENCAAL AGGn A <br />S 2,000,000 <br />PR DV 7 • COMpIOP AGG <br />s2,00 0,000 <br />X <br />AUTOMOBILE <br />A <br />LIAB1LfrY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON- OWNED AU708 <br />SBP2046162 <br />0711912007 0711912008 <br />I <br />I <br />COMBINED SINGLE LIMIT <br />(E' aeadrnp <br />1 000 000 <br />! ' <br />SODILY INJURY <br />{Pnrp4rS8M) ! <br />BODILY INJURY I ; <br />X <br />I(AetAccidgri) <br />PROPERTY 9AMAGE <br />(POP seddend) <br />! <br />FCA 09 LIABILITY <br />ANY AUTO <br />AUTg ONLY -EA ACCIDENT <br />OTHER THAN ACC <br />AUTO ON.- AGG <br />! <br />! <br />XWSMMBRELLA LIABILITY <br />OCCUR ❑ CLAIMS MADE <br />DEDUCTIBLE <br />R rcNTION i <br />EACW OCCURRENCE <br />A(30R 15QATE <br />S <br />i <br />s <br />! <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRtETOR!*ARTNERIIXECCTNE <br />OFFICZRIMEMBER EXCLU0604 <br />1"S. deealbn undOr <br />SPSCIAL SI Ns <br />WC ST UM ElATL• OTH- <br />&Y_l <br />I., EACH ACMDENT <br />,L. D1SE A MPLOYlr <br />f <br />I.L. DISEASE - POLICY LIMIT <br />I S <br />{ OTHER <br />;SCRIPTION OP OPERATIONS I LOCATIONS I VEMOLU I EXCLUSIONO AoMED uy HMDOROEMENrj $PEY.'fAL PROVISION$ <br />Iterest will receive a ten -day cancellation notice in the event of Non - Payment of premium <br />SHOULD ANY OF THE ABOVE MORIMO POUC128 DE CANC6LLBD ORFORH THE 9XPR7ATION <br />The City Of Santa Ana DATE THEMCF, THE ISSUING NBURBR WILL ENDEAVOR TO MAR 3Q MAYS WRITTEN <br />20 Civic Center Plaza NOTIOS TO THE CERTIFICATE HOLDER NAMED TO THE LWT, BUT FAILURE TO DO SO SHALL <br />Santa Ana, CA 92701 W20SE NO OBLIGATION OR UAWLflY OP ANY KIND UPON THE INSURER, ITa A02MM OR <br />REPRESENTATIVE& <br />AUTHORED REPRr1ANTA1IV <br />,CORD 26 <br />