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O s;?.r?r OREGON MUTUAL INSURANCE COMPANY <br />• BUSINESSOWNERS POLICY CERTIFICATE OF INSURANCE <br />INSURED <br />JOHN G ALEVIZOS DO INC <br />15751 ROCKFIELD STE 200 <br />IRVINE CA 92618 <br />ISSUE DATE: 06/08/201 2 <br />AGENT 003731 <br />KOSMOS INS. AGENCY, INC. <br />1913 E. 17TH ST., #213 <br />SANTA ANA CA 92705 <br />This certificate is issued as a matter of information only and confers no rights on the certificatehofder. This certiTicate does not amend, extend or after <br />the coverage afforded by the policies below. <br />This is to certify that the policies listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any <br />requirement, term, or condition of any contract or other document with respect to which this certificate may ba issued or may pertain, the ineuranee <br />afforded by the policies described herein is subject to all the farms, exclusions, and conditions of such policies. The limits shown may have bean <br />reduced by paid claims. <br />Type of Insurance Policy Number Effeetlve Date Expiration Date Limits of Insurance <br />eusinesaownera <br />Liability gSP704154 08/12/2012 08/12/2013 <br />9gregata <br />GeneralA $ 4,000,000 <br /> Products/Completed Operations $ 4 , 000 , 000 <br />(Occuranee Basis) ? ? -- Aggr_e?at? - <br /> Business Liability $ 2 000 000 <br />, , <br /> Personal?Advartising Injury $ 1 NCLUDED <br /> - -Medical ?xpertse -Par Person $ 5 , 000 <br /> Fires Legal Liability -Any 1 Fire $ 7 00 , 000 <br />Nonowned AUto BSP704154 08/12/2072 08/12/2013 5-INCLUDED <br />Hired Au[o Liability $ <br />Buslneasownera g$P7041 54 08/ 1 2/20 1 2 08/ 7 2/20 1 3 Detluctibte: $ -2?, 500 <br />Property <br />$ <br />BUS. PERS. PROP. 661,000 <br />Other <br /> <br />Description o/ Oparations/Locations/Special Items <br />OFFICE ?? <br />LOCATION: 003 BUILDING: 002 <br />800 N TUSTIN AVE STE A, B, C SANTA ANA CA 92705-3605 <br />Should any of the above described policies ba cancelled before the expiration <br />CITY OF SANTA ANA date thereof. the company will ENDEAVOR TO MAIL 10 DAYS <br />SEE M206 1 B written notice to the certificateholder named to the left, but }ailura to mail such <br />20 CIVIC CTR PLAZA notice shall impose no obligation or liability of any kind upon the company, its <br />SANTA ANA CA 92701 agents or representatives. <br />AUTH/O/RI/ZED REPRES/E?/Ny/p?TIVE <br />l !/?9G? ?/ G t?Q? <br />A3213B (3-95) <br />tt <br />A <br />3