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Ai V CERTIFICATE OF LIABILITY INSURANCE <br />i�,.r <br />o0Te(+IJ,ErY) <br />as1as12012o12 <br />THIS CERTIPICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If tfle eortillcate Halder is an ADDITIONAL INSURED, the polloy(ios) must bo endorsed, If SUBROGATION IS WAIVED, subject t0 <br />010 terms and conditions of 1110 policy, certain policies may roguIro an endorsomont, A statement on this cortiffeate does not confer rights to the <br />""locate holder In Ilett of such endorsen>ont(s). <br />PRODUCER <br />A & J Insurance Agency [tic,PSIONE <br />1381 E. Las Tunas Dr. # 7 <br />San Gabrlel , GA 91776 <br />License #: OD10281 <br />CalAe;°r Regina Diaz <br />Ii ---A"20286.3410 _ aro No ;626286.6502 <br />n'o ess: adel@a In3.CD1T1 <br />I:LSUMTJ )AFFORDING COVERAGE ++A+clr <br />_ <br />INSURERA: Philadelpbla Insurance <br />INSURED <br />INSURER D i <br />INSURER c: <br />Youth Business Network <br />ltls_U_R-M1), _. <br />660 S GRAND AVE. STE 106 <br />SANTA ANA, CA 92705 <br />INSURER E: <br />INSURERF: <br />f1n%J9Z0A/_'rc AAA9 AM(l REVISION NUMBEH, i <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE 114SIJRED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE PRAY BE ISSUED OR MAY PERTAIN, THE; INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />€LTR <br />TYPE OF INSURANCE _ <br />A0 L <br />5U6R <br />POLICY NUMBER <br />pMOD EFF <br />FO DDfr P <br />Mills <br />A <br />GERERALOABILITY <br />X CO4MERC€ALGENERAL UARIDTY <br />CLAfh1S-MAOE � OCCUR <br />N <br />N <br />PHPK884646 <br />06122/2012 <br />06!2212013 <br />EACHOCCURREN-E 5 11000,000 <br />� EZi TOit�� <br />EF IBES Eae rceace $ <br />MED EXP Axeyom sw $ 6.000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERALAGGREGATE s 2,000 000 <br />PRORUCTS- COM PIOPAGG S 2,000,000 <br />GENLAGGREGATELVATAPPLIESPER. <br />S <br />K POLICY PRO LOC <br />AUTOMOBILE UABILITY <br />Ea onlED ) LE LUdiT S, <br />eOCILY INJURY (P"$v$W) S <br />ANY AUTO <br />BWLYINJURY (Peraoaden€) $ <br />ALLO'ASLEo SCHEDULED <br />AUTOS AUTOS <br />HIREOAUTOS AUTOS <br />YD .WAG <br />PROP,rgE $ <br />Pet ac enl <br />S <br />UMBRfLU1LU1T3RWIAS-MADE <br />CCUR <br />EACHOCCURRENC£ 5 <br />_ <br />AGGREGATE S <br />EXCESS UAe <br />DED RETEN110N <br />$ <br />WORKERSCONPENSATION <br />TAC SIATU• DTH. <br />ER <br />AND €41PLOYERVVAeIUTY YIN <br />ANYPROPR€ETOR/PARTNMNECUT€VE <br />OFFICEPOAPJLeER PXCLVOEO? <br />(M4andalorytnNH) <br />NIA <br />E.L. EACH ACCIDENT S <br />E.L. DISEASE -EA EMPLOYE 5 <br />EL DISEASE -POUCYLIMIT $ <br />Udosew4er <br />�rbRIPTIONOFOAERATIONSW.am <br />V001 <br />DESCRIP110NOPOPERATIONSILOCATIO`NSIVEHICLP_S(A(taahACORDTOT,AddRIonalRermrksSchadvlelFmerespacelsregeirod) � <br />It's Offleers, Employees, Agents and Volunteers Q" <br />ASS�S�ant �l�y � <br />('FRTEFI(;ATF 1401 r)FR CANCELLATION <br />©1980-2010 ACORD CORPORATION, All rights reserved, <br />ACORD 25 (2010105) The ACORD namo and logo are registered marks of ACORD <br />Printed by HRD on August 13, 2012 at 04:37PM <br />SHOULD ANY OF THE A13OV6 OF -SCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Alla <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WTH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIM)REPRESENTATIVL <br />Santa Ana, CA 92702 <br />HRD <br />©1980-2010 ACORD CORPORATION, All rights reserved, <br />ACORD 25 (2010105) The ACORD namo and logo are registered marks of ACORD <br />Printed by HRD on August 13, 2012 at 04:37PM <br />