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DEC-1.7-2 8 01:38P FROM: <br />T0:17145G52A0P P"2/3 <br />•, <br />PRODUCER (i <br />Lake In! <br />13891 Ne <br />Li c #074 <br />Tustin, <br />INSURED 6r& <br />Art <br />221 <br />San <br />THE POLICI <br />ANY REQUI <br />MAY PERTE <br />POLICIES. < <br />The <br />Emp <br />Att <br />888 <br />Sui <br />San <br />P. CERTIFICATE OF LIABILITY INSURANCE <br />is/16iia s` <br />0838-1912 FAX 714)838-7S68 <br />lance Agency <br />ort Ave., Suite 28S <br />73 <br />92780 <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 />ALTER THg CO ERA E AFFORDEPBYTH POi.ICIEe SALOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />e County C ren s TFerapautic <br />enter Inc <br />N Broadway <br />Ana, Ca 92706 <br />INSURBRA: Philadelphia Insurance Co. <br />INBURERE+ <br />rT <br />INSURERC: <br />INSURERD: <br />INSURER IL <br />OF INSURANGe LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />VENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA'BE ISSUED OR <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU8dECTTO ALL THE TERMS, EXCLUSIONS AND CO NDITIONS OF SUCH <br />)REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCO <br />POLICY NUMBER <br />POl1CY E FE <br />DXP L TtON <br />uMr"S <br />kLLIABILITY <br />)MMERCW.GENERAL LtABILITY <br />1 CLAD.18 MADE XX OCCUR <br />PHPK370576 <br />12/21/2008 <br />12/21/2009 <br />EACH OCCURRENCE <br />$ 1000 00 <br />pR L _ <br />I 10000 <br />MED EXP (Arty one Pawn) <br />S $ 00 <br />PERSONALSAOVINJURY <br />: 1 oao oa <br />GENERAL AGGREGATE <br />S 2,000,00( <br />,GGREGATt:LIMIT APPLIES PER: <br />UCY Mr M LOC <br />PRODUCTS -COMP10PAGO <br />S 2 000 0O <br />OOILELIABILITY <br />Y AUTO <br />LOwNEDAUTOS <br />HEDULRO AUTOS <br />ZEOAUTOS <br />IN•QYJNED AUTOS <br />PHPK370576 <br />12/21/2009 <br />D A.s To <br />12/21/2009 <br />°RM <br />COMBINEOSINGLE LIM11' <br />(Ea ftmv M) <br />$ 1, 000 000 <br />BODILYINAIAY <br />(Perpenan) <br />$ <br />ODI4YINJURY <br />Per xcdenn <br />$ <br />(Perreeedd4ni) AGE <br />$ <br />IS LIABILITY <br />Y AUTO <br />E, SZ�R <br />8 <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY, AGO <br />S <br />S <br />IUMDRELLAUARIUTY <br />:CUR CLNMS MADE <br />OUCTIBLE <br />TENTION S <br />Assi <br />taClt <br />EACH OCCURRENCE <br />S <br />AOOREGATE <br />S <br />S <br />$ <br />$ <br />IMPBHSATIN ANO <br />LIABILITY <br />.TORIPARTNER/EXECUTNE <br />IBER RXCLUOED4 <br />der <br />VISIONS balk <br />OTH <br />ELEACH ACCIDENT' <br />$ <br />E.L. DISEASE • EA EMPLOYE! <br />S <br />E L DISEASE - POLICY LW.R <br />S <br />onal Liability <br />PHPK370576 <br />12/21/2008 <br />12/21/2009 <br />Incident Limit; $1,000,000- <br />Aggregate Limil: $2,000.000. <br />Q ��CC NN y' pRov� <br />� of cter Lf sATAtldli tionaiE IrLlsured�as ner f rm CG205AL(1 LYSIO <br />(� <br />astation is included with General Liability, S2S,000 Eash Incident and SSO,000 Aggregate <br />ice Shall be Primary and Non -Contributory but Only in the Event of the Named <br />)le Negligence <br />Ice for non-payment of premium <br />ity of Santa Ana, Its Officers, Agents, <br />yeeS & Volunteers <br />Frances Cadenas/Donna Schultz <br />Santa Ana Blvd. <br />200 <br />Ana, CA 92702 <br />SHOULD ANY OP THI A50VO 0880MBRO POUOIES OO OANOELL ED 0 BFORR THG <br />EXPIRATION DATE THBREOP, THE ISSUING INSURER WILL ENDE/,VOR TO MAIL <br />3V DAYS wRrTTEN NOTICE TO THE CERTIFICATE HOLDER I AMED TO 7H8 LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGA -ION OR LIABILITY <br />Of ANY KIND UPON THE INSURER, ITS AOENT8 OR REPRESEHTF TNES, <br />AUTROR1280 REPREAENTAY10 <br />ACORD 25 1 D1108) OACORD CORPORATION 4988 <br />