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acaraJO° <br />PRODUCER <br />Maguire Insurance Agency, Inc. <br />27301 Puerta Real State 200 <br />Mission Vlejo, CA 92691 - <br />(822)a3gaas9 <br />Raymundo Suarez <br />610 5. Townsentl st. <br />Santa Ana, CA 92J03- <br />COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />SURERS AFFORDING COVERAGE NAIC # <br />:URER A: Pbiladelobia Indemnity Insurance comna ny tRnca <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE.TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN$R <br />LTR <br />g00'L <br />IN$RD <br />TYPE OF INSURANCE <br />POUCV NUMBER <br />POLICY fff ECTVE <br />DATE (MM /DD /YVVY) <br />POUCY E %PIRATON <br />GATE MM /DD /YYVY) <br />UMIT$ <br />A <br />% <br />GENERAL LIABILITY <br />% COM MERCIAL GENERAL LIABILITY <br />CLAIMS MADE �% OCCUR <br />X PROFESSIONAL LIABILITY <br />GEN'L AGGREGATE LIMIT APPLIES PER' <br />% POLICY PROJER LOC <br />PHPKJ5118a -001 <br />OJ/23/2012 <br />OJ/23/2013 _ <br />EACH OCCURENCE <br />$1,000,000 <br />PREMISES Ea occurrence <br />$300,000 <br />MED E %P (Any one person) <br />$2,500 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />PRODUCTS — COMP /OP AGG <br />$3,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(EA accident) <br />BODILY INJURY <br />(Per person) <br />BODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accldent) <br />GARAGE LIABILITY <br />ANV AUTO <br />�' <br />` q ` J [.E t Y �� <br />V V 1�L <br />r�V �y!`5�1VA <br />/y lJL 1�'� <br />AUTO ONLY —EA ACCIDENT <br />OTHER THAN EA ACC <br />AUTO ONLY: <br />AGG <br />E %CES$ /UMBRELLA LIABILITY <br />OCCUR � CLAIMS MADE <br />Dfouc-rIBLE <br />RETENTION <br />-' <br />_ t• <br />��3 Lt if3 � - � <br />C tiA 1ti L °2ri1' � � <br />' � -- — <br />51.�:.:� y <br />p.tl0 r1T<%Y <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYERS' LIABILITY Y N <br />ANV PROPRIETOR /PARTNER /E %ECUTIVE <br />OFFICER /MEMBER / %CLUDED/ � <br />(Mandatory in NH) <br />If yes describe under <br />SPECIAL PROVISIONS below <br />TORY LIMITS ER <br />E.L. EACH ACODENT <br />E.L. DISEASE — EA AMPLOYEE <br />E.L. DISEASE — POLICY LIMIT <br />OTHER <br />OE$CRIpTON OF OPERATION$ /LOCATIONS/ VEHICLES / E %CLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />I[ Is understood and agreetl [bat the following entity is adtled as an atld Hional insured but only witb respect(z) to the operations of the named Insured except that liability resu lung from the additional insured's sole <br />neglfgence- <br />rlvw�r� L.NIV LC LLA 1 1 V IY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E %PIRATON DATE <br />Gty of Santa Ana, Its officers, agents, and employees THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br />1B2$ W Civic Center Dr CERTFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO BO SHALL IMPOSE NO OBLIGATION OR <br />Santa Ana, CA 9ZJ03 -2821 LIABWTY OF ANY KIND UPON THE INSURER, IT$ AGENTS OR REPRESENTATVES_ <br />A�UTJH� /O /J�RpIZ��E��D�`REPRESENTATI VE <br />ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />