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00/12/2012 13;_19 FAA 7142471031 OH INS AGENCY-ALLSTATE <br />t?jool/o02 <br />ACORD?, CERTIFICATE OF LIABILITY INSURANt:E D 06/12/12?YI <br />PRODUCER THIS CERTIFICATE IS I: )SUED AS A MATTER OF INFORMATION <br />OH INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON YHE CERTIFICATE <br />HOLDER. THIS CERTIF CATE DOES NOT AMEND, EXTEND OR <br />1421 WARNER AVE. STE. D ALTER THE COVERAGI: AFFORDED BY THE POLICIES BELOW. <br />TUSTIN, CA 92780 <br />_ INSURERS AFFORDING C OvERAGE NAIC # <br />_ _. <br />wsDREp ????•^ ? IysuRER A? _ALLSTATE_INS JRANCE COMPANY _, _„_ <br />JANET J. OH <br />DBA OH INSURANCE AGENCY <br />1421 WARNER AVE. STE- D <br />TUSTIN, CA 92780 <br />r_.-IVF1?nGFs <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE 6EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN7 WITH <br />ANY REQUIREMENT RESPECT TC WFIICH YIiIS CERTIFICATE MAY BE ISSUED 6R <br />. <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SU 6J ECT TO ALL THE ? ERMS, EXI?LVSIO NS AND CONDITIONS OF SUCH <br />PouGES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- _ _ <br />INSR DD' POLICY NV MBER POLICY EFFECTIVE POLICY E PIRMI ON LIMITS <br />GENERAL uABIUTY EACH OCCURRENCE S 2.000,000 <br />50661033 06!16/2012 ?tr $ 2000 <br />06/16/2013 <br />000 <br />?o <br />? <br />X COMMERCIAL GENERALUg01LITY , <br />P <br />E <br />o <br />CLAIMS MADE O OCCUR MED E%P (Any one paraafl % 1 ,000,000 <br />A K PERSONAL&ADV INJURY y 1.000,000 <br /> GENERAL AGGREGATE $ 50.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG 5 1, 000 <br />POLICY PRO• LOG <br /> <br /> AUT OMOBILE LIABILITY COMEINED SINGLE LIMIT S <br /> ANY AUTO lEa sm:itlenq <br /> - <br /> ALLOWNEDAUTOS BODILY IN.)URY $ <br /> SGHED V LED AUTOS (Per p•3rGOn) <br /> - <br /> HIREDAVTOS BODIIY INJURY $ <br /> OWNED AUTOS <br />NON (Per eeeitlenp <br /> - <br /> PROPERTY DAMAGE $ <br /> (Per accitleM) <br /> GARAGE LIABILITY AUTG ONLY - EA ACCIDENT S <br /> <br /> ANY AUTO OTHER THAN EA ACC 5 _ <br /> AUTC?ONLY: qGD S <br /> EXCESSiUMBRELLA LIABILITY EACH OCCURRENCE % _._ <br /> OCCUR ? CLAIM6 MADE AGGREGATE % <br /> J <br /> $ <br /> EDUCTIBLE _ <br />? ? <br />- <br /> D ..? -? <br /> RETENTION § <br /> WC STATU• OTH- <br /> WORKERS COMPEN6ATION AND <br /> EMPLOYER6'LIABIUTY 83 WEC J26626 10/13/11 1D/13/12 E. L. IiAChI ACCIDENT S 1.01)?,ODp <br />13 ANY PROPRIETOR/PARTNERlEXECUTIVE <br />OFFICERIMEMBER EXCLUDED9 <br />E.L. IJISEASE • EA EMPLOYE <br />- % 1 ,000,000 <br /> II ea. tlosC/ibe untler E <br />L <br />DISEASE-POLICY LIMIT S i ??O90? <br /> SPECIAL PROVI IONS below . <br />. <br /> OTHER <br />DESCRIPTION OF OPERATONS I LOCATIONS / VEHICLES I E%CLV $IONS ADDED BY ENDORSEMENT /SPECIAL PROVI610NS <br />Certificate holder, its oFFicers, agents, and employees are named as Additional Ins ured in rega •ds to General Liabilitv?er??>fl(I¢,?. <br />CG 2015 11 /88 OV yI y AS <br />pR <br /> Ap <br />10 days notice Df eaneallatlGn for nonpayment. <br /> <br />CERTIFICATE HOLDER K ADDITIONAL INSURE'.D X CANCELLATION -? Ltar, - torn=? <br />SHOULD ANY OP THE ABOVEC EgC? I BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF SANTA ANA DATE THEREPF, THE 166UING INSVR6R WILL ENOEAVOR'f0 MAIL 3O DAYS WRITTEN <br />ATTN_ PURCHASING DEPARTMENT <br />20 CIVIC CENTER PLAZA NOTICE YO THE CERTFICATE iOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 30 9HAL4 <br />SANTA ANA, GA 92701 IMPOSE NO OBLIGATION OR ./ABILITY OF ANY KING UPON THE INSURER, ITS AGENTS OR <br />REPRESENYATIVES. <br />AUTHORIZED REPRESENT VI <br />_ ?...r....,? ..... n.I ir,n• / C6) ACORD CORPORATION 1888 <br />EXnibit c