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M.......... sr u A CORDTM "�^ � (MMIDDNY) PRODUCER_..,, ,& s .11, 11, 06/22/2009 Serial # 100712 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MAGUIRE INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 27101 PUERTA REAL SUITE 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MISSION VIEJO, CA 92691 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY INSURED A PHILADELPHIA INDEMNITY INSURANCE CO COMMUNITY SENIORSERV, INC COMPANY 1200 N KNOLLROAD CIRB ANAHEIM, CA 92801 COMPANY _ C r 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 Co LTR POLICY NUMBER . TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION GENERAL LUIBIpHpK434049 DATE (MMIDD/Y Y) DATE (MM/DD/YY) LIMITS LITY A X COMMERCIAL GENERAL LIABILITY 7/1/09 7/1/10 GENERAL AGGREGATE $ 300( CLAIMS MADE X ?OCCUR PRODUCTS-COMP/OPAGG S 3,000,000 ONRJERS 8 CONTRACTOR'S PROT PERSONAL E ADV INJURY S 1,000,000 X PROF LIAB EACH OCCURRENCE s 1,000,000 FIRE DAMAGE (Aone ore) S ny ................. ..........._. . __. 100 . .. ,000 AUTOMOBILE LIABILITY PHPK434049 MED EXP (Any one person) S 5,000 A X ANY AUTO 7/1109 7/1/10 ALL OWNED AUTOS COMBINED SINGLE LIMIT S 1,000,000 SCHEDULED AUTOS a® (PODILY 1)URY $ HIREDAUTOS IT �+ NON OWNED AUTOS VV a+ QOIDLYY $ {r _.. '- GARAGE LU\BILrfY 0 PROPERTY DAMAGE $ ANY AUTO CM P AUTO ONLY - EA ACCIDENT S _.._. OTHER THAN AUTO ONLY: ..._..._... EACH ACCIDENT S EXCESS LIABILITY PHUB275210AGGREGATE S A X UMBRELLA FORM 7/1/09 7/1/10 EACH OCCURRENCEs 1,000,000 OTHER THAN UMBRELLA FORM AGGREGATE $ 1,000,000 WORKER'S COMPENSATION AND S EMPLOYERS' LIABILITY ' YYC SIAM mTORY LIMRS ER THEPROPMETORr - PARTHERSrE7CECUf1VE INCLj EL EACH ACCIDENT ; __.. _..... OFviCERS ARE: EXCL _ EL DISEASE - POLICY LIMIT $ OTHER EL DISEASE - EA EMPLOYEE S PHPK434049 PROPERTY 7/1/09 7/1/10 BLDG LIMIT $1,297,100 CRIME EMPLOYEE DISHONESTY $200,000 THEFT IN/OUT $2,000/$2,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECM�I.ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL' INSURED. CANCELLATION NOTICE: 10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM. SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE P.O. BOX 1988 CITY SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL SANTA ANA CA 92702 - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 30T FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE- 95 �YAC6IiC6 115e77nu ane --