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O OREGON MUTUAL INSURANCE COMPANY <br />• BUSINESSOWNERS POLICY CERTIFICATE OF INSURANCE <br /> ISSl/F DATE 06/D9/2D 1 1 <br />INSt1 rtFD AGENT 003731 <br />JOHN G ALEVIZOS DO INC KOSMOS INS. AGENCY, INC. <br />1530 E EDINGER AVENUE #7 1913 E. 17TH ST. #213 <br />SANTA ANA CA 92705 SANTA ANA CA 92705 <br />I <br />This certificate is issued as a matter o1 into rrnation only and confers no rig h[s on [he cartiTlcatahold er. This certrticate does not amend, eMand or alter <br />the coverage afforded by the policies below. <br />- <br />COVERAGES. <br />.. <br />This is to certify that the policies Lsted below have bean issued to the Insu red Hamad above for the policy period In dicatad_ Notwithstanding any <br />requirement, term. or condition o1 any contract or other docurn ant with res peel to which this cernflcato may be Issued or may pertain. [he in suran ca <br />aHo rd ad by the po Gcias described hc--.rein rs su blact to all the terms. exclus ions, and conditions of such policies. The lirn its shown may have been <br />reduced by paid claims. <br />... __. <br />? <br />_ <br />Type of Insurance. Polrcy Nurn bar <br />. EffacG VeDate <br />Exptra[ton Da[a _ _ _ Ltm rte of Insure nca? <br />B usinesaownera <br />Liability BSP70415++ 0$/12/201 1 <br />0$/12/2012 GenaralAggregate 5 4,000,000 <br /> Products/Completed OperaGOns S >a , 000.000 <br />(OCCU ranee Basis) ? Aggreg eta <br /> Business Liability 5 2 , 000.000 <br /> Personal 8 Advertising Inlu ry 5 INCLUDE D <br /> Medical Expanse -Par Parson g Fj ? 000 <br />i <br />Fire Legal Liability -Any 1 Fire S 1 00.000 <br />NOr10Wr1ad AULO BSP7041$4 08/12/2011 08/12/2012 5 INCLUDED <br />Hired Auto Liability <br /> 5 <br />P ostart sownars I, B$P70L 1$4 08/12/2011 <br />P Y 0$/12/2012 Deductible: $ 2,500 <br />I <br />BUS. PERS. PROP. <br />-- --- ,y- <br />635.000 <br /> <br />_ _ _.__.. <br />_ <br />Other ._.____- --_-- __- - <br />__ <br /> / <br />??_? F?'I +C3Vl?i <br />J <br />.:a Ir,? I._lls.l•.:i <br />Oasc nption of Operationsaccabonc!5 pedal Items ? <br />?> <br />? <br />C ?-?-+? ??Z. <br />OFFICE tu-u 1t.:? , _,iv <br />LOCATION[ 003 BUI LDING: 002 ISt??"?I ( :r ,/ " - -. <br />800 N TUSTIN AVE #A & #B SANTA ANA CA 92705 <br />C ER TI FICATEHOLD ER' CANCELLATION <br /> <br />CITY OF SANTA ANA ihoul•_I any of the above descn bed policies be cancelled befo ra the expiration <br /> date thereof, the company wul ENDEAVOR TO MA i L 1 O GAYS <br />5 E E M206 1 B written notice to the cart if icaleh older named [o tho left, but fatlure [o mail such <br />7_O CIVIC CTR PLAZA notice shall impose no oUligation or liability of xny kintl upon iha company, its <br />SANTA ANA CA 92701 agents or representatives. <br /> At1TH0 R17 nEPRF SE NTA F <br />v