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Em <br />CERTIFICATE OF LIABILITY INSURANCE CFO Ms DATE1110Y" <br />SOULA -1 OS CS 10 <br />PRODUCER THIS CERTIFICATE LS ISSUED ASA MATTER OF INFORMATION <br />United Agencies, Inc, (2) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #0252636 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3011. Colorado Blvd, Ste. 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Pasadena CA 91101 <br />Phone;626.535 -8300 Fax;626- 577.1346 INSURERS AFFORDING COVERAGE HAID0 <br />INSURED INSUREAR uaemtrttm nrv�nn m. 20494 <br />N-200846N-2008467-001 00861�001 <br />INSURERS. pNm,l Fin rnnnn m. 20893 <br />Soul At Home - Tustin LLC INSURERQ. <br />17612 B 17th Street INSURER D. <br />Tustin CA 92780 <br />SURER E. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI ICY PER I00INDICATED .NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF MY CONTRACT OR OTNER DOWMEN IMTN RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERUS, EXGUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS <br />iNSR L7R N6 TAPE OF INSURANCE POLICY NUMBER DATEMIM DATEMMNDTOYY UMPfi <br />GENERAL LIABILITY EACH OCCURRENCE 12000000 <br />A X COMMERCIAL GENERAL LABILITY` 3013144914 ✓O5/29/10 05/29/11 PREMISESEeAwimn 1300000 <br />CLAMS MADE 0 OCCUR NED EXPIAp me PmAI ;10000 <br />X Business Demers PERSONAL &ADVINJURY s2000000 <br />GENERAL AGGREGATE ;4000000 <br />GE ML AGGREGATE LIMIT AP PLIES PER PRODUCTS CCMPOPAGG 14000000 <br />POLICY JEC LCC <br />AUTOMOBILE UNILITY <br />Ca amd DSINCW IMF 1 <br />ANYFNIG EBBIXEW <br />ALL OWNED AUTOS <br />BODILY INJURY <br />6CHEDULPo s AUTOB #pHRQ TO FARM (PeigNTAn <br />X HIRED AUTOS BODILY INJURY <br />X NDNOWNEDAMOB IPelxdtlanll 9 <br />JOS NEIL <br />Y A TORNEY PBOPEenOatiuOE <br />(PaIrNGnll s <br />GARACEn1mLITY Wi00NLYFAACCIOEM 1 <br />ANYAMO EAACC 9 <br />DTNER7NAN <br />AUiDONLY'. AGG 9 <br />EXCE6BNNBPE0.ALLASLIIY EACNCCSIRRENLE 9 <br />OCCUR �CLAMSMADE AGGREGATE 9 <br />9 <br />DEDUCTIBLE g <br />RETENTION 1 g <br />WOgNEAS COAPEN6AININ <br />WID EMPLOYFRS'WBILIIY iX IDRYOMITB ER <br />B AurPwPBIETOwazaTNERIE�LUT� 4012469961 OS�29�10 OS�29�11 BL. EAr�ACmDENT 81000000 <br />OFFICEWMEMBERFMCWDEC7 L <br />IMtMeoryln NNE BL. DISEASEEAEIALOYEE S ID00000 <br />U�&d�IMUn9i <br />6PECIALPROVISIONSh{Aw eL. DISEASEPOLICYIAUT $1000000 <br />O1XER <br />OESCRIPDONOFOPERARONSIWCATNINSII' ENICLESI GLLU610N6A➢ DEDBYENPoRSEMFNTISPELIN PAOYISION6 <br />City of Santa Ama, its officers, agents, employees, representatives, and <br />volumteera are named ae additional insured per the attached endorsement. <br />CEftiIFICATE HOLDER CANCELLATION <br />SXOULD PNY OF THE OBOYe DE6CmBE0 PoLreES BE CANCEllEO BEFORE ME EMPIR47gN <br />BAtVMA-A DAIEmEREOF, INEI56UINGINSOPFAINLIENQFAVORiO MAL 3D AdYaWgmEN <br />NOTICE f0 iNE LERDFIGATE IXIWEq NAMFa 70 Mf LEFl, BAIT fAIW PF i0 DD Po SX111 <br />Glty Of 9amta Ana IMPoSENOOBLIn1ilON Oq LIABILI7YOf ANVXINDOPON AEIN80RER, O6 AGENi60R <br />Attn: Athena Nartinez <br />20 Civic Center Plasa eaveESSgquwBS, <br />Santa Ana CA 92702 Au7HOaz6oaFPREaENTATmE <br />ACOAD ZS (2009101 (91196BQ009 NCGftD fAR�b�iION. All rights reserved, <br />the ACORO Dame and IDga are registered m arks Df AC OAD <br />ACOAD ZS (2009101 (91196BQ009 NCGftD fAR�b�iION. All rights reserved, <br />the ACORO Dame and IDga are registered m arks Df AC OAD <br />