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C� �E�TI�I�TE �F LI�IL�T� �I�F���E ���� � <br />DATE (WDIYYYY <br />MD <br />'&- TL- <br />O 11 O <br />PRODUCER <br />THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1N ERSURE Insurance Brokers <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />17912 Mitchell South <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Irvine CA 92614-6014 <br />Phone: 949-7a - 1 0 Fax:949-756-4199 <br />INSURERS FF F DING COVEMGE <br />I AIC # <br />INSURED <br />INSURER A: Philadelphia Iusur=ce Cos . <br />INSURER B: <br />East L.A. Clas Theatre Corp <br />Lena Sanchez P B 79 <br />INSURER C. <br />2168 South Atlantic Blvd. <br />Monterey Park, CA 91754 <br />INSURER D. <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD D INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />NSRC <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />FE <br />DATE MMIDDIYY <br />POLICY EXPIRATION <br />DATE MMIDDIY <br />LIMITS <br />GENET -AL LIABILITY <br />EACH OCCURRENCE <br />$ 1 4ro o r o <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE [*] OCCUR <br />PK4 97 <br />7 1 9 <br />7 1 10 <br />PREMISES a occurence) <br />100 , co <br />MED EXP (Any one person) <br />f 0 0 <br />PERSONAL S AD1V INJURY <br />$ 1jr000f000 <br />sex phys 1It1 m <br />GENERAL AGGREGATE <br />$ 1 1000r 000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 10,000f000 <br />POLICYF-] PRO <br />JECT LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />PHP 4 97 <br />7 1 0 9 <br />7 1 1 <br />persens �JLif� <br />(pBODILY (Per on) <br />HIRED AUTOS <br />NON -OWNED ► UITO <br />BODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT <br />CPPROVE <br />GARAGE LIABILITY <br />OTHER T14AN EA A= <br />AUTOONL AGC3 <br />ANY AUTO <br />XSEPHYFLETgi <br />R <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />lu <br />EACH OCCURRENCE <br />OCCUR � CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />$ <br />DEDUCTIBLE <br />RETENTION <br />WO RK E RS COMPENSATION AND <br />EMPLO ERV LIABILITY <br />ANY PROPRIETORIPARTNERJEXECUTIVE <br />TOI If LIl 11TS ER- <br />E.L. EACH ACCIDENT <br />$ <br />E.L DISEASE - Ell EMPLOYEE <br />$ <br />OFFICER/MEMBER EXCLUDED' <br />If ryes. describe under <br />SPECIAL PROVISIONS below <br />E.L DISEASE. - POLICY LIMFr <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*except 10 days for non-payment. City of Santa Ana, its officers, agents, <br />employees, representatives, and volunteers are additional insured per policy <br />form. Walver of subrogation applies per the attached. <br />CERTIFICATE HOLDER CANCELLATION <br />ClAy of Santa Ana-P C A <br />Athena Martinez <br />P.C. Box 1988 -7 <br />Santa Ana CA 92702 <br />CITY.SAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUT $EP iiATIVE <br />ACORD 2 (201391081 <br />988 <br />