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ACORD CERTIFICATE OF LIABILITY INSURANCE DAT0813320 ems' M. PRODUCER Phone: (800)395A075 Fa% (858)519L822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FITNESS AND WELLNESS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 380 STEVENS AVENUE, SLATE 206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SOLANA BEACH CA 92075 1 ALTER THE COVERAGE AFFORDED -BY. THE POLICIES BELOW. INSURED RAYM UNDO SUAREZ 610 S TOWNSEND STREET SANTA ANA CA 92703 INSURERS AFFORDING COVERAGE INSU RER A: INSURER B: INSURER C' INSURER D: Insurance 12InRlI3 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOO INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSA, nno L1R INS rypE OF INSURANCE POUCYNUMBER POLCYEFFECTNi ppiE MM➢ P 11CYE %Pw.TpR DATE M LIMITS GENERAL LIABILITY PHPK284105 06%16108 06%15/09 EACH OCCURRENCE $ 1,000,000 AUTHORIZED REPRESENTATIVE 77 7 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR Je Frick, CEO IDNMGE TO REMEp .. PREMSES (Ea 0¢urence) $ 100,000 MED. EXP (Any one person) $ 2,500 PERSONAL& ADV INJURY $ 11000,000 A GENERAL AGGREGATE _ $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-0OMP /OP AGG. $ 3,000,000 X POLICY PRO- LOG ECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB (Ea aoottlenp $ ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Per person) $ BODILY INJURY (Peraccitlent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE IPeracciCent $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT '$ OTHER THAN EAACC 'S ANY AUTO AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR ::1 CLAIMS MADE AGGREGATE S $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND 'EMPLOYERS' LIABILITY WCTORY LISTATU- MITS OTHER E.L.EACHACGDENT _ "'- $ AN/PRCPRETOR EE %FCUTNE E.L DI$EA$EFA EMPLOYEE $ OFFX:ENMEMBER E%CLIAERi EXCLUDED? e Yes, UFm.MPUnJPr SPECIAL PRpJMNM15 Me. -- ' " -' —" E . DISEASE - POLICY LIMIT $ OTHER. DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS It is understood and agreed that the following entity is added as an additional insured but only as respects the operations of the named insured except that liability resulting from the additional insureds sole negligence. this insurance is primary and noncontributing to any other insurance carried by or on behalf of the additional ins Additional Insured Endorsement is Effective: 07/23/08 CERTIFICATE HOLDER CANCELLATION ACORD 25(2001/08) peo4jeejUdw, 0 ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO CITY OF SANTA ANA DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS 20 CIVIC CENTER PLAZA _ - - G ^.e i1�i ['Og VENTS OR REPRESENTATIVES. SANTA ANA,CA,92701 J AUTHORIZED REPRESENTATIVE 77 7 Attention: Je Frick, CEO ACORD 25(2001/08) peo4jeejUdw, 0 ACORD CORPORATION 1988