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�� DATE (MM /DD /1 - r+�a+�� CERTIFICATE OF LIABILITY INSURANCE °6/2x/2 °12 Maguire Insurance Agency, Inc. 27101 Puerta Real Suite 200 Missbn Viejo, CA 92691 - (s22)a3a -2as9 INSURED Raymundo Suarez 630 S Townsend SC Santa Ana, CA 92203- COVERAGES THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURER THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN$R gDD'L THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAY$ WRITTEN NOTICE TO THE 2201 W. McFadden Ave POLICY EFFECTIVE POLICY EXPIRATION LIABILITY OF ANY KIND UPON THE INSURER, ITS 4GENT5 OR REPRESENTATIVES. LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD /YYYYI DATE (MM /DO /YYYY LIMIT$ A X GENERAL LIABILITY pHPKJ51184 -001 OJ/23/2012 OJ/23/2013 EACH OCCURENCE $1,000,000 PREMISES Ea occurrence 5100,000 % COMMERCIAL GENERAL LIABILITY CLAIMS MADE �X OCCUR MEO EXP (Any one person) 52,500 pER50NAL8AOV INJURY $1,000,000 X PROFESSIONAL LIABILITY GENERAL AGGREGATE $3,000,000 PRODUCTS— COMP /OP AGG $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' % POLICY PROIEQ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (EA accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTO$ (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY — EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY OCCUR � CLAIMS MADE EACH OCCURENCE AGGREGATE DEDUCTIBLE RETENTION EMPLOYERS' LIABILITY Y N ANY PROPRIETOR PARTNER E %ECUTIVE TORY LIMITS ER EL EACH ACCIDENT OFFICER /MEMBER %CLUDED (Mandatory In NH) If yes, describe under E.L. DISEASE — EA AMPLOYEE E.L. DISEASE — POLICY LIMIT SPECIAL PftOV ISIONS below OTHER DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES / E %CLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS It is understood antl agreed that the fallowing entity is adtled as an additional insured but only wlffi respects) to the operations of [he named insured except [hat liability resulting from [he additional insured's sole neglfge nce. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OEFORE THE EXPIRATION DATE Southwest Senior Center THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAY$ WRITTEN NOTICE TO THE 2201 W. McFadden Ave CERTFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION Oft Santa Ana, CA 9220x- LIABILITY OF ANY KIND UPON THE INSURER, ITS 4GENT5 OR REPRESENTATIVES. AUTHORI2E0 REPRESENTATIVE ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD