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,;ei !;;. 1�v� 1iZYY LRtt :1JJIER:4l,t AUt1CY t�_. �y17 Y. iil <br />�A�R. CERTIFICAT" OF LIABILITY INSURAV yE 12/16/2 0" <br />aAWLICIR (714)838-1912 FAX (714)833-7568 THIS CERTIFICATE 18 ISSUED ASAMATTER OFINFORNATION <br />Lake Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />13891 Newport Ave.,Suite ZBS M.DER. THIS CIRTIFICATE DOES NOT AMEND, EXTEND OR <br />p ALTER THE COVERAGERDED 8YT►tEBELOW. <br />tic 100747473 -- <br />Tustin, CA 92780 INSURERS AProRO1NOCOVERAGE NA1C0 <br />Wmoo Orange County Chi rens Therapeutic iftmeRA! Philadelphia Insurance Co. <br />Art Center inc IIRURERB. -- <br />2215 N Broadway INSURER C. <br />Santa Ana, Ca 42706 iNSURERD. <br />eRSUREA E, <br />1 H POLICIES OF INSURANCE LISTED BELOW HAVE BEEN rSSUI:D TO THE INSURED NAMED ABOVE POR 711E POLICY PERIOD INDICATED, NO1 WITHSTANDIN0 <br />ANY REOUIRrME:NT, TERM OR CONO!T!ON OF ANY CONTRACT OR OTH SR DOCUMENT WITH RESKCT To MIc;I THIS CERTIFICATE MAY BE ISSLMD OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TEIMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />I POLICIES. AGGREGATE LIMITS S14OWN MAY HAVE BEEN ReUUI:EO BY PAID CLANS. <br />'R'110 <br />priv—riPE <br />OF INSUAAIICE <br />POLICYaXIYIIER <br />P A POLICY RIxP TMH <br />INUMBITY1 <br />lwnA <br />GCAM <br />I:kkRAILuA"RV <br />I P1iPX370S76 <br />12/21/2008 12 tl/2009 <br />E4H000URMeNce is 1,000,000 <br />B E 70 HEN1 i 100,000 <br />X COMHieilf:NL 1iENERAL LIAVIITY <br />CfAy.{9auye OOCWAj <br />I <br />MEDEFPfAAyafuPanon) S 5,00 <br />A <br />i <br />11� <br />PERSOMILADVINIURY S 11000 0 <br />ee11ERALACCRIXIME S 2 000 00 <br />tiEh:.A;.:.RECA:ty.�Ltpt�TAPAus$rik <br />PR000CTS•COMPMOAGO S Z OOD D <br />I <br />FOLICY QCT tuG <br />AUtfMCJs,.EalAfuull' <br />ANY Av:J <br />PHPK3T0576 <br />( <br />12/ZI/2008 12/21/2009 <br />COMBMEDIMOLEIINIT a <br />(Ea =-d W4 1.000.00( <br />EOOilY1N.AJRY S <br />(Petr .34 <br />I <br />E A <br />I <br />I <br />I <br />ALL : VWEO Ac110Z <br />u OC;fE JLLDAGTCu <br />11IZEDAUT03 <br />� <br />L_ ,IcD"ow%,EDAUre; <br />1 <br />I <br />II <br />BODILY INJURY <br />(Puaxeenl) t <br />I 1 <br />I <br />1. <br />. - <br />I <br />PROPERTYDAIMOE J <br />(Por ar,*8 Q <br />I I <br />1 <br />-ARA--UA=;'.Y <br />H AhTr ni:TO I <br />> <br />I �. <br />L L / <br />(' <br />Ay700HLY-EAACCMHT i <br />OTHER THPN EA ACC i <br />AUTO CHIP:A. AGG 7 <br />ac_CES:i7L1IIAi:::.iN80.1r1f <br />��' <br />eACH OCCOkRENCE S <br />I <br />CCCUA U 0;;jM4MADE <br />1 <br />1 <br />AGCAtOATE S <br />IE I <br />r 1 DrawTIEL[ <br />a <br />S <br />I � <br />RETEJITICI: � I <br />ri�R%sR5 C0EIPFILATIG'i AIN <br />All, WC 9TAll, <br />I <br />I <br />SMPLOVERS'IA►BILITY <br />ANY PROPAIETORVARTNEMXECUTIVE <br />OFFMER1MEMIIEREXCtUQEO7 <br />sFromC 0i' 10143, ".7. - ( <br />I <br />I <br />I <br />I <br />tL cAanAcaomvl' s <br />E.L.OW"I!•CAEMPLOYE S <br />B.L DMEA8E•POLICY LIMIT S <br />roilessional PHPK370576 12/21/2008 12/21/2009 Incident Lim t: I,0001000. <br />Liability <br />A I I Aggregate Limit: $2,000,000. <br />1 L <br />aR Aro+ <br />�eErLillicate�fla� r ins A dit onalPYnsurµed as per orniHCG2STAL(11/Qs)t <br />buse & Molestation is included with General Liability, $2S,000 Eash Incident and $$0,000 Aggregate <br />his insurance Shall be Primary and Non -Contributory but Only in the Event of the Named <br />Insured's Sole Negligence <br />''10 uay notice for non-payment of premium <br />6HOULD ANY OPIME ABOVE DEBI:RIIIEO POLICIES BECANCKLIIOIISFOU TH! <br />I The City of Santa Ana, Its Officers, Agent-, tAPlRATX)NUAFETMEkEOP,tnE,9iNINOe+auRERYY7LLENOeAYORTOMAIL <br />I Employees & Volunteers J <br />Attn: Frances Cadenas/Donna Schultz ,j�OAY3 wkfrTiN NOTIt4 i01NlCMTtFICATe nOLOiR NANEOTO THE LEFT• <br />baa w Santa Ana Blvd. bVT PAILVA61S MAX SuGn h0F4CE MALI IMPOSE kOOBLOA110N OR LIABA.TTY <br />Suits 200 ill; ANY KWOUPON TNEIna41 ITS AOENTSORRIIPAESENTATIVea. <br />Samn Ana, CA 9Z7,33 AUTncRlzeo,4p <br />As <br />� <br />r/D <br />ACORO 26 t2601106) CACORD CORP TION 11988 <br />