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' O sb`°""` OREGON MUTUAL INSURANCE COMPANY <br /> • BUSINESSOWNERS POLICY CERTIFICATE OF INSURANCE <br /> ISSUE DATE: 06/08/201 2 <br /> INSURED AGENT 003731 <br /> JOHN G ALEVIZOS DO INC KOSMOS INS. AGENCY <br />INC. <br /> , <br />15751 ROCKFIELD STE 200 1913 E. 17TH ST., #213 <br /> IRVINE CA 92618 SANTA ANA CA 82705 <br /> This certificate is issued as a matter of information only and confers no rights on the certificateholder. This certificate does not amend, extend or altar <br />the coverage afforded by the policies below. <br /> ? <br /> This is to certify that the policies listed below have been <br />issuad to the insured named above for the policy period indicated Notwithstanding any <br />requirement, farm, or condition of any contract or other d <br />i <br />h <br /> ocument w <br />t <br />respect to which this certificate may be issued or may pertain, the insurance <br />afforded by the policies described herein is subject to all the [arms, exclusions, and conditions of such policies. The limits shown may hove bean <br /> reduced by paid claims. <br />Type of Insurance Policy Number Elie olive Da[a Expiration Date ? Limiter of Inauranoa <br />Buslnessowners <br />Liability BSP704154 08/12/2012 08 12/2013 <br />/ <br />g9regate <br />GeneralA $ 4,000,000 <br /> Products/Completed Operations $ 4 , 000 <br />000 <br />(Oecurenee Basis) , <br />Aggregate <br /> Business Liability $ 2 , 000 , 000 <br /> <br />? Personal&Advartising Injury $ INCLUDED <br />- Medical Expense -Per Parson $ 5 , 000 <br /> s Fire Legal Liability -Any 1 Fire $ 1 00 , 000 <br /> <br />Nonowned AUto BSP704154 08/12/2012 08/12/2013 $ INCLUDED <br />Hiretl Auto Liability <br /> $ <br />Property owners BS P704154 08/12/2012 08/12/2013 Deduotlble: $ 2,500 <br /> <br />BUS. PERS. PROP. 5 <br />661,000 <br />Other <br />Description of Operalions/Locations/Special hams <br />OFFICE <br />LOCATION: 002 BUILDING: 002 <br />15751 ROCKFIELD BLVD STE 100 AND STE 200 IRVINE CA 92618-2845 <br />C?R7I?ICAT>'?HOLDER;,'_ ._ _. ,,, _ ?-, C:ANCELLAT[ON - - - - <br /> <br />CITY OF SANTA ANA Shoufd any of the above described policies be ?canceFled before the expiration <br /> <br />SEE M206 1 B date thereof, the company will ENDEAVOR TO MAIL 1 O DAYS <br /> 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 />I AUTHORIZED REPRESE TIVE ?/ ?-?? <br />---?i <br /> <br />?_ <br />'F? <br />8