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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(Mi <br />TM. 12//09/200912009 <br />PRODUCER Phone. (900)395-90]5 Fax (866)422699 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />FITNESS AND WELLNESS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />380 STEVENS AVENUE, SUITE 206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />SOLANA BEACH CA 92075 1 ALTER THE COVERAGE AFFORDED BY THE POI ICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Agency L11#03]]6451 _._._. __._ <br />INSURER A Philadelphia Indemnity Insurance Company <br />CHOC V. LE INSURER B: ' <br />4 FABRIANO -- - —- -- - _-- <br />IRVINE CA 92620-2576 INSURERC _ <br />INSURER D <br />INICI lovo c <br />JVvith J <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS. EXCLUSIONS AND CONDITIONS OF <br />SUCH <br />of the City of Santa Ana <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />m Civic Center Plaza (M-25) <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />1NS'LTR <br />Jew I E Frick, CEO <br />IIA'DNSRPTL TYPE OF INSURANCE POLICY NUMBER POucY EFrECNe <br />DATE MMI00 <br />POICY EXP -TION LIMITS <br />DATE (MWi I <br />GENERAL LIABILITY <br />PHPK504907 <br />12/17/09 <br />12/17/10 EACH OCCURRENCE <br />I$ <br />1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />S <br />100,000 <br />_ _ _, <br />F <br />PR <br />, EMISES IEa nce) <br />_ _ <br />_ <br />.CLAIMS MADE X ' OCCUR <br />MEO EXP (A Y One person) <br />S <br />2,$00 <br />A <br />r <br />i <br />PERSONAL B ADV INJURY <br />$ <br />1,000,000 <br />GENERAL AGGREGATE <br />$ <br />3,000,000 <br />GEN'L AGGREGATE LIMIT PRO- PLIES PER <br />PRO- <br />PPR <br />ORM ,PRODUCTS-COMP/OP AGC. <br />�$ <br />3,000,000 <br />POLICY JECT LOCA <br />AUTOMOBILE LIABILITY <br />NED SINGLE LIMIT <br />ANY AUTO H W, <br />-- <br />HER I(E. accdent) <br />S <br />ALL OWNED AUTOS <br />CITY AT <br />BODILY INJURY <br />0 EY <br />SCHEDULED AUTOS <br />(Per person) <br />IT$ <br />HIRED AUTOS <br />—_ <br />INJURY <br />NONOWNEDAUTOS <br />.BODILY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />'.i5 <br />(Per accident) <br />GARAGE LIABILITY <br />IA-- I TO ONLY -EA ACCIDENT <br />III <br />ANY AUTO <br />OTHERTHAN EAACC <br />S <br />I <br />AUTO ONLY. AGO <br />3 <br />EXCESS I UMBRELLA IABILITY <br />EACH OCCURRENCE <br />S <br />OCCUR CLAIMS MAGE I II <br />AGGREGATE <br />S <br />DEDUCTIBLE <br />RETENTION S <br />1 <br />WORKERS COMPENSATION AND <br />WOCRST a ( OTHER <br />To'v <br />EMPLOYERS'UABIUTY <br />I <br />ANY PROPRIETORIPARTIERIEXECUTNE <br />ACCT <br />IrEL EACH ACCIDENT <br />$ <br />OFFCERIMEMBER EXO-UDEDi <br />EL DISEASE EA EMPLOYEE <br />$ <br />LNC... d.—I..d., <br />F ;E <br />- - <br />SPECIAL PROVISIONS I <br />E.L. DISEASE POLICY LIMIT <br />$ <br />OTHER'. <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION <br />N -- 201 -ori <br />ACORD 25 (2001/08) Certificate # 94514 © ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />Community Redevelopment Agency <br />DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br />of the City of Santa Ana <br />AGENTS OR REPRESENTATIVES. <br />m Civic Center Plaza (M-25) <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />Attention: <br />Jew I E Frick, CEO <br />ACORD 25 (2001/08) Certificate # 94514 © ACORD CORPORATION 1988 <br />