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stCOl2Lr CERTIFICATE OF LIABILITY <br />INSURANCE <br />�� � Noe a Ba,ctar <br />7!1812008 <br />THIS CERT1FtcAm 15 ISSUED A5 A MATTER OF INFORMATION <br />Wood Gutmann & Be q art Insurance Brokers <br />15901 Red Hill Ave.: Suite 100 <br />Tustin <br />714 505.7000 CA 92780 <br />License o,067 2�S -t <br />License No. 0673283 <br />ONLY AND CONE €RS NO RIGHTS UPON THE CERTIFICATE HOLDER, <br />THIS CERTIFICATE DOES NOT AMEND, EX LEND OR ALTER THE <br />COVERAGE AFFORDED BY THE. POLICIES BELOW, <br />L E <br />( <br />msuRER 9nsurance Company of the M Wesf <br />_ <br />M SURER Hartford Casualty insurance Company <br />B <br />Pulmonary Consultants & Primary Care <br />Physicians Medical Group, Inc. <br />auSUR R <br />1310 W. Stewart Dr ive 9410 <br />Orange CA 92868 <br />01S"RER <br />E <br />COVERAGES <br />HE POLICIES OF INSURANCE LISTE BELOW HAVE BEEN ISSUED O HE INSURE NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Lk R <br />TYPE OF INSURA <br />POLICY <br />EFFECTIVE <br />MNVDQrYY <br />POLICY <br />EXPIRATION <br />DATE <br />LIMITS <br />B ENERAL LIABILITY <br />CMMfRGAL( NERALUAB ` 72SBAIA4429 <br />CLAMS MA ©OCCUR <br />5/1!2008 <br />51112009 <br />EACH OCCLMRENCE <br />; <br />nREDAMAGE 9fe <br />s <br />MEDEXP one lwawil <br />$ 10 <br />ADV MHURY <br />; <br />AW -KR <br />GENERAL AGGREGATE <br />S <br />POI JECT Loci <br />AUTOMM OBILE LIABILITY <br />B ANY AUTO 72SBAIA4429 <br />AU.OWNED ADIOS <br />SaIEDIA EG ABTaS <br />NON.OWNEO �� <br />. ...... .... ..._......_ <br />5!1!2008 <br />511!2009 <br />PRODUCTSGOMPATP AGG <br />S 4 <br />c X� xFL D sMK E EMR <br />z <br />; 2,000 000 <br />BCmILY INAHPI <br />BIXNLY INJII2Y <br />dbr acJMUC) <br />S <br />PRt�ERTY DAMAGE <br />GARAGE LIABILITY <br />ANV AIM <br />EXCESS LIABLE] Y <br />B DGCUR �]LxwMS MADE 72SBAIA4429 <br />5/1/2008 <br />5/172009 <br />MM aa.amrl <br />AUTO ONLY . EA ACC90ENt <br />; <br />; <br />AAU1TO 0NLY Y. . �_ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />z <br />; <br />DEOUCTIeLE <br />RETENTIONS 10,000 <br />; <br />STATUTORY L.tlT T <br />S <br />W)RKERS' COMPENSATION & <br />A EMPLOYERS' LIABILITY WHO2163B7900 <br />10/1/2007 <br />10/1/2008 <br />EL EACH A RIENT <br />S <br />EL DISEASE - EA EMPLOYEE <br />S <br />USInMSS ersona <br />P Including <br />I <br />1 <br />EL DISEASE. PDUCY MCI S <br />mlt o nsuran i <br />1,000 Deducible, cz g�I F��r <br />Certificate holderts is/are named as additional insured as per the above specifications. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City Of Santa Ana <br />Attn: Roberta <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRAEIGN DATE THEREOF, THE ISSUING COMPANY I'LL ENDEAVOR TO MAIL <br />3 ©. DAYS WRI TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAR. SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />OR HALNUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />SERTATIVES. 16 Days !w RwMsyrtrc rt of P smium <br />AUTHORIZED <br />REPRESENtATiVE <br />$Torre Peters fl - t:u-W <br />ACORD.25 -S (7197) <br />O ACORD CORPORATION 1988 <br />