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C: V- MPKOXG ERTPROS. FP5 _ DATE (MMIDDA-Y) 06/22/2009 'Am PRODUCER Serial # 100712 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MAGUIRE INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 27101 PUERTA REAL SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MISSION VIEJO, CA 92691 COMPANIES AFFORDING COVERAGE COMPANY PHILADELPHIA INDEMNITY INSURANCE CO A INSURED COMPANY COMMUNITY SENIORSERV, INC B 1200 N KNOLLROAD CIR __.. _ .... _... . ANAHEIM, CA 92801 COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR T TYPE OF INSURANCE POLICY NUMBER POLICY AA MEWDECTIYE ( D/YY) POLICY EXPIRATION DATE(MMIDOIYY) LIMITS GENERAL LIABILITY PHPK434049 7/1/09 7/1/10 GENERALAGGREGATE ,. .. s 3,000,000 A X COMMERCIAL GENERAL LIABILITY PROWCTS-COMPpPAGG S 3,000,000 CLAIMS MADE X � OCCUR PERSONAL d ADV INJURY s 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE s 1,000,000 X PROF U AB FIRE DAMAGE ("oneft) 0,000 s 100 MED EXP ("one person) $ 5,000 AUTOMOBILE LIABILITY PHPK434049 7/1/09 7/1/10 COMBINED SINGLE LIMIT s 1,000,000 A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS^® DILY IN URY BOer (Pperson S HIRED AUTOS lA NON -OWNED AUTOS �+ iy� / (P.O, s _..._. .. ...,.....'.. ��0 V ORCji� PROPERTY DAMAGE $ GARAGE LIABILITY•CAty P AUTO ONLY - EA ACCIDENT $ ANY AUTO ^Gsa� OTHER THAN AUTO ONLY: ..........._......_._.._ PISS, __.._.._._ EACH ACCIDENT $ AGGREGATE s EXCESSLIABILRY PHUB275210 7/1/09 7/1/10 EACH OCCURRENCE s 1,000,000 JAGGREGATE $ 1,000,000 A X UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND ATLL TORY ER - EMPLOYERS' LIABILITY EL EACH ACCIDENT s TME PROPRIETOR/ INCL PARS EL DISEASE - POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER PHPK434049 7/1/09 7/1/10 BLDG LIMIT $1,297,100 PROPERTY EMPLOYEE DISHONESTY $200,000 CRIME THEFT IN/OUT $2,000/$2,000 DESCRIPTION OF OPERATKINSA=ATIONSNEHIMES!SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. CANCELLATION NOTICE: 10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM. CERTIFICATE HOLDER ;; ' CANCELLATION S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P.O. BOX 1988 _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SANTA ANA CA 92702 30T FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE f/ ° �Ijacf t r � ACORD ,�.,•,-,.�.. jpjp_�j C: V- MPKOXG ERTPROS. FP5