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<br />' <br />.acoRO CERTIFICATE <br />Q '" <br />F`INSURANCE DATE (MM/DD/YY) <br />, o?n22o1, <br />PRODUCER THIS CERTIFICATE IS ISSUED AS AMATT ER OF INFORMATION ONLY <br />ALLSTATE INSURANCE COMPANY ANID:CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />OH INSURANCE AGENCY CERTIFICATE DOES NOT AMEND, EMEND OR ALTER THE COVERAGE <br />1421 WARNER AVE., STE. D AFFORDED By THE POLICIES BELOW. <br />TUSTIN, CA 92780 <br />INSURED COMPANIES AFFORDING COVERAGE <br />Janet Oh COMPANY A ALLSTATE INSURANCE COMPANY <br />DBA Oh Insurance Agency LETTER <br />1421 Warmer Ave Ste D COMPANY B HARTFORD INSURANCE <br />Tustin, CA 92780 LETTER <br /> COMPANY C <br /> LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD IND[CATED- NOTWRHSTANDINGANY REQUIREMENT, TERM OR CONDITIONOF.ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS <br />LT EFFECTIVE DATE EXPIRATION DATE <br />A GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 <br /> X COMMERCIPL GENERALLJAB WTV PRODUCTS-COMP/OP AGO. $ 1,000,000 <br /> CLAIMS ]OCCUR 50661033 6/1612011 6/1.8/2012 PERSONAL &ADV. INJURY $ 1,000,000 <br /> OWNERS. CONTRACTORS PROT_ EACH OCCURRENCE $ 1,000,000 <br /> FIRE DAMAGE (Any one fire) $ 50,000 <br /> VIED EXPENSE (Any 'I Person) $ 1,000 <br /> AUTOMOBILE LIABILITY <br />VED AS T COMBINED SINGLE LIMIT <br /> ANYAUTO App7it BODILY INJURY (Per P,mOn) $ <br /> ALL OWNED AUTOS <br /> SCHEDULEDAUTOS <br />BODILY INJVRY(Per <br /> HIREDAUTOS y TOR <br />A E K ACCident)' <br /> NON-OWNEDAUTOS <br />GARAGE LIABILITY LIS <br />• tt <br />tant City PL <br />i rney PROPERTY DAMAGE $.. <br /> s <br />ss <br /> PER OCCURRENCE <br /> EXCESSLIASILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM a _-? <br />6 - WORKER'S COMPENSATION EACH ACCIDENT $ 1 .000,000 <br /> AND 83 WEC JZ6626 10/13/2010 10/13/2011 DISEASE POLICY LIMIT $ 1,000,000 <br /> EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE <br />$ 1 .000,000 <br /> <br />A OTHER <br /> CLAIMS MADE Description: Amount: <br /> Ds scrlpti- Deduc[IWe: _ <br /> BPP $ 500.00 $ 15,000.00 <br />DESCRIPTION OF OPERATIO NS/LOCATIO NSfVEHICL ES/SPECIAL ITEMS <br />10 DAY NOTICE OF CA,NCEL.LATIONF OR NON PAYMENT OF PREMIUM <br />With respect to claims arising out of the operations and uses performed by or on behalf ofthe named Insured, such insuracne as is <br />afforded bythis policy is primary and 1s not additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insureds. <br />- CERT IFJCATE.HDLOEF7;. a }, "CANCEULAT10" '; <br /> SHOULD ANY OF TIE ABOVE OESCRIBEO POLICIES BE CANCELLEO BEFORE THE <br /> EXPIRATION DATE THEREOF. THE. ISSUING COMPANY VYIL.L. MAIL <br />City of Santa Ana 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE NAMED TO THE'-T <br />_ <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE <br />