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ACORD„ CERTIFICATE OF LIABILITY f NSURANCE <br />06/13/2011 <br />rlaouuceR (714)$38 -1912 FAX (714) 838 -7568 <br />Lal<e II1sTlrattca Agency <br />13891 NB(yport AVa. , 5(li to 285 <br />Lic N0747473 <br />TNStin, CAJ2780 <br />THIS CERTIFICATE IS 19SUE:0 A6 A MATTER OF INFORMATION <br />ONLY AND CONFe R3 NO R10HT8 UPON THE CERTIFICATE <br />HOLDER. THk3 CER71FiCAT5 DOES NOT AMEND, EXTEND OR <br />LTER T E COVERAGE AFFORDED (3Y THE P LIC[E!S B LOW. <br />IN8URER8 AFFORDING COVERAGE <br />NAIC fl <br />ursuREP range County C ron s T Terapeut c Art Cente <br />2215 N. Broadway <br />SalltB Ana, CA 92706 <br />INeUAERA: Philadelphia Insurance Co. <br />IN8URER O: <br />oErIERAL L1A61LnY <br />INSURER C: <br />12/21/2010 <br />IN8URER D: <br />encH OCCURRENCC <br />IN8URER E: <br />OAI.IAOET RCNTCD <br />InCA E4A[a+[snrn <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERA1 OR CONDITION OF ANY CONTRACT OR OTHER DOCUMtN7 WITH RESPECT TO WHICH THl3 CERTIFICATE IMY BE ISSUED OR <br />A(AY PERTAIN, THE INSURANCE Af•FOROE❑ BY THE POLICIES DESCRIBED HEREIN i3 SUBJC -CT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN AV\Y HAVE BEEN REDUCED BY PAID CL.AIM3.- <br />1 <br />OD' <br />TYPE OPINSURAIICB <br />POLIOY I7U /ABER <br />POLIOV F <br />P LIC B% 1 TOti <br />411,!178 <br />oErIERAL L1A61LnY <br />� PHPKG515Z2 <br />12/21/2010 <br />12/21/2011 <br />encH OCCURRENCC <br />b 1 000 000 <br />OAI.IAOET RCNTCD <br />InCA E4A[a+[snrn <br />S SOO OOO <br />x COAV,IERCIAL GENERAL LIABILITY <br />i 5 QQQ <br />CLAV.161.1A0E QOCCUR <br />NEO EXP (Any moparson) <br />PERSONAL S.ADViNJURY <br />f 1 QQQ QQQ <br />A <br />GENERAL AOOflEOATE <br />b 2 QQQ QQQ <br />OErrI AGGREGATE LAAV�IIY APPLIEB PER <br />PRODUOTS- COI,V'/Op A00 <br />i 2 QQQ QQ <br />POLICY jECOT' LOC <br />AUTOMOBILE UADILITY <br />ANYAVTO <br />PHPK651522 <br />lz /zl /zolo <br />12/21/2011 <br />COMBINED BINOlfi LIhUT <br />(Ee EOC!d W) <br />b 1 OOO OOO <br />BODX.Y INJURY <br />(per person) <br />b <br />A <br />ALL 04YNED nVT09 <br />8CHEOVLED AVTOB <br />X HIRED AVTOB <br />X NON.oWNEO nUT08 <br />14ipPROV E <br />AS TO <br />_._... <br />ORN! <br />BOPA.Y INJVAY <br />(Par acddsAl) <br />$ <br />PROPERTY Day.Pe <br />(Del a«Idsnl) <br />b <br />GARAGE LIABILITY <br />__.,.._ <br />AUTO ONLY • en ACCIOENr <br />b <br />E. STORCK <br />Attorn <br />oT1/ER THAN eA ACC <br />nuiooNLr. AGG <br />b <br />MIY AUTO <br />1_ISA <br />>V <br />$ <br />E %CE88NMBRELLA DABILITY <br />OCCUR O CLAl1A9 A44DE <br />�� <br />� <br />eACH OCCVMENCE <br />b <br />AQOREOATE <br />S <br />b <br />b <br />DEOUCTIBLB <br />; <br />RETENTION S <br />wORKfiRB COMPENSATION ANO <br />U- O <br />E.L. EACH ACOIDEHT <br />b _ <br />BMPLOYERE• UADILIiY <br />NNPROPNETORA'ARTNERIEXECViIVP <br />OFFN:ERAAEr.1BER EXCLV DEDI <br />E.L. OISEABE -FA EMPLOYEE <br />S <br />E.L, 018EA8B- POLIOY LVAR <br />b <br />11yaa, dsscnT�e under <br />SPECIAL PAOVIS IONS belmv <br />q <br />P °�o�essional Liability <br />PNPKG51522 <br />12/21/2010 <br />12/21/2011 <br />Incident Linlit: 1,000,000 <br />Aggregate Limit: 52,000,000 <br />DESCR P iON OF OPE IONS T L OAT 0119 / V MICLE9 / E 6USIOHS g9DEp BY ENDO EMEIIY SPECIAL P O 10779 <br />a0t-�t?icata f�o�der �s �lama(� as Ac�c�Tt7otTa1 Insure(�per Form C42 S Cll /85) Attached <br />hLlse Fi Fiolastation is included witEt General Liability , $25,000 Eacit Sncident and 550,000 Aggregate <br />his Insurance shall be primary and Non - Contributory but Only in the Event of the Named <br />nsured's Solo Negligence <br />•Except 10 Days Notice of Cancellation for Non- Payment of Premium <br />- SHOULD AtiY OF TH6 ABGVB DHBCRIPED POLICIES BB CANOELLED BEFORB Tr18 <br />CXPIRATION DATB Tt1ERBOF. T 1[B LSBUINO 11re URER PALL ENDEAVOR TO I,IJUL <br />TITe City of Santa Ana n <br />ZtS OPfice rs, Employees, Agents 81 VOl(Iltt @ar5 3i DAY81YAn TRNt10TICB TO THE CERTIFICATE HOLbER NAMCO TO TNC LEP 7, <br />AttlTl Julie Castro = Cardenas BUT FAILURE T061NL SUCH NOTlCB SHALL IraPOaR NO OBLIPATIO}i OA LIABILITY <br />2Q Ci ViC Canter Plaza OP ANYRIND UPON TNEI 0.BR ITS AGENTS OA PREeENTATNEB. <br />Santa Ana, CA 927Q2 AUTIIOR12eD REPREBBIITA <br />Acot:D 2s laoBiroat FAX: C714)565 -2G02 ®ACORD CORPORATION 1988 <br />