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O ?"`°,?°' 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: 06/08/20 ? 2 <br />AGENT Oo3731 <br />KOSMOS INS. AGENCY, ING. <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 eertificeteholder. This certificate does not amend, extend or altar <br />the coverage afrorded by the policies below. <br />_ _.... <br />Is 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, farm, or condition of any contract or other document ?vilh respect to which this certificate may ba issued or may pertain, the insurance <br />afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. The limits shown may have bean <br />reduced by paid claims. <br />Type of Insurance policy Number Effective Date Expiration Date <br />Limits of Insurance <br />Businesaownera BS P 704 1 4 <br />Liability 5 <br />08/ 1 2/201 2 <br />08/ 1 2/ZO 1 3 <br />General Aggre ate <br />9 $ 4 , 000 , 000 <br /> Products/Compicted Operations $ 4 , 000 <br />QOO <br />(Oecurence Basis) , <br />Aggregate <br /> Business Liability $ 2 , 000 , 000 <br /> Personal & Advertising injury $ INCLUDE D <br /> Medical Expense -Per Person $ 5 , 000 <br /> Fires Legal Liability - Any ? Fire $ 1 00 , 000 <br /> <br />Nonowned Auto BSP704154 08/12/2012 08/12/2013 <br /> <br />Hired Auto Liability $ INCLUDED <br /> <br />Buslneasowners g3p701115i+ <br />Property 08/12/2012 08/12/2013 Deductible: $ 2 <br />, 500 <br /> <br />SUS. PERS. PROP. $ <br /> 661,000 <br />Other <br />Description of Operations/Locationa/Special hams <br />OFFICE <br />LOCATION: 001 BUILDING: 002 <br />1530 E EDINGER AVE STE 1-2 SANTA ANA CA 92705-1+9i5 <br />ERTIFIC.AT€HOL4ER;.=. FANG,?4.4HT101`1 <br />? <br />?? <br />CITY OF SANTA ANA Should any of the above described policies be cancalled <br />ba(o re the expiration <br /> <br />SEE F1206 1 B date thereof, the company will MA 1 L j0 DAYS <br /> <br />?? 20 C 1 V I C CTR PLAZA written notice to the carlificeleholder named to the left, bu ailuro to mail such <br />ti <br />h <br />g <br />? <br /> no <br />ce s <br />a <br />impose no obligation or liability o/any kind up <br />the company, its <br />SANTA ANA CA 92701 agents or representatives. <br />.^^.^^ ^' AUTHO IZED REPRESFCtVTATIVE <br />?!/d//???9 ?o <br />