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ACG.CQ,M ...ITIFICATE OF LIABILITY INSURANCE <br />os/1z9/2 o <br />PRODUCER (714)838-1912 FAX (714)838-7568 <br />Lake Insurance Agency <br />THIS CERTIFICATE 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 />13891 Newport Ave., Suite 285 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC# <br />Lic #0747473 <br />Tustin, CA 92780 <br />-Therapeutic <br />INSURED Orange County Children's <br />INSURERA Philadelphia Insurance Co. <br />1 <br />Art Center, Inc N'��3 <br />INSURERS. <br />INSURER C: <br />2215 N. Broadway�� <br />Santa Ana, CA 92706 Y' v,619— C) (0q - 1V <br />INSURER D: <br />INSURER E. <br />12/21/2008 <br />COY FI <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 REDUCED BY PAID CLAIMS. <br />INSR <br />DO' <br />-R <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />INIMMIYY1 <br />D,CY EXPIRATION <br />POLIDAM <br />LIMITS <br />TFL <br />N <br />GENERAL LIABILITY <br />PHPK281597 <br />12/21/2007 <br />12/21/2008 <br />EACH OCCURRENCE $ 11000,000 <br />DAMAGE TO RENTED 3 1_0_0_,00a <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one parson) $ S,000 <br />OLAIMS MADE � OCCUR <br />PERSONAL& ADV INJURY $ 1,000,00 <br />A <br />GENERAL AGGREGATE b 2,000,00 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $ 2,000,00 <br />X POLICY PRO LOC <br />ECT <br />AUTOMOBILE <br />LIABILITY <br />PHPK281597 <br />12/21/2007 <br />12/21/2008 <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) 1 QQQ QQ <br />ANY AUTO <br />BODILY INJURY $ <br />ALL OWNED AUTOS <br />(Per person) <br />SCHEDULED AUTOS <br />A <br />X <br />HIRED AUTOS <br />_ R <br />BODILY INJURY $ <br />X <br />NON -OWNED AUTOS® <br />(PeremiEenU <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />7 <br />- <br />/ <br />AUTO ONLY: AGO $ <br />EXCESSIUMBRELLA LIABILITY <br />j <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR F1 CLAIMS MADE <br />E <br />S <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WC STAH- <br />TU- OT <br />WORNERS COMPENSATION AND <br />E.L. EACH ACCIDENT $ <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />E. L. DISEASE - EA ENI S <br />M yes, Cescrios under <br />SPECIAL PROVISIONS cel. <br />E DISEASE - POLICY LIMB E <br />PHPK281597 <br />12/21/2007 <br />12/21/2008 <br />Incident Limit: $1,000,000 <br />A <br />P�oessional Liability <br />Aggregate Limit: $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />ertificate holder is Additional Insured as per form CG2026 <br />buse & Molestation is included with General Libility, $25,000 Each Incident and $50,000 Aggregate <br />10 Day notice for non-payment of premium <br />rR. Ian <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />The City of Santa Ana <br />Attn: Frank Hernandez <br />PO BOX 1988 <br />Santa Ana, CA 92702 <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILTTY <br />OFANYKINDUPON EINSURER. ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRE Ei <br />ACORD 25 (2001108) ©ACORD CURHURA I HUN TBIW <br />