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A4C CERTIFICATE QF LIABILITY INSURANCE DATE )MM/2015 <br />12/12,2012 <br />PRODUCER <br />Maguire Insurance Agency, Inc, <br />27101. Puerta Real Suite 200 <br />Mission Viejo, CA 92691- <br />(877).43-8.7459 <br />INSURED <br />Choc V Le <br />4 Fabriano <br />Irvine, CA 92620-2576 <br />COVERAGES <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 />INSURER B: <br />INSURER D: <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 />INSR <br />ADDT <br /># M-25 <br />LIABILITY OF ANY KIND UPON THE INSURER, ITSAGENTS OR REPRESENTATIVE$, <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />Lift <br />INSRD <br />TYPE OF INSURANCE <br />POLICYNUMBER <br />DATE(MM/DD/YYYYj <br />DATE <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />PHP1<661902-002 <br />12/17/2012 <br />12/17/2013 <br />EACH OCCURENCE $1,001 <br />DAMAGE TO RENTED — <br />PREMISES Ea occurrence $100,000 <br />X COMMCIAL GENERAL LIABILITY <br />CLAIMS MADE P OCCUR <br />MED EXP (Any one person) $2,500 <br />PERSONAL & ADV INJURY $1,OOQ000 <br />X PROERFESSIONAL LIABILITY <br />GENERAL AGGREGATE $3,000,000 <br />PRODUCTS—COMP/OP AGG - $3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY Ll PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(EA accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person} <br />HIRED AUTOS <br />BODILY INJURY <br />NON -OWNED AUTOS <br />(Per accident( <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY— EA ACCIDENT <br />C <br />OTHER THAN EA ACC <br />ANY AUTO <br />- <br />AUTO ONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURENCE <br />OCCUR F] CLAIMS MADE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />EMPLOYERS' LIABILITY YN <br />EXECUTIVE <br />TORYLIMITS ER <br />E.L. EACH ACGOENT <br />OFFICER/MEMBERREXCLUDED <br />E.L. DISEASE— EA AMPLOYFE <br />(Mandatory In NH) <br />"describe describe under <br />SPECIAL PROVISIONS below <br />E -L. DISEASE —POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />It is understood and agreed that the following entity is added as an additional insured but only with raspect(s) to the operations or the named insured except that liability resulting from the additional Insured 's sole <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />loR <br />1 -`SP �, SY ptioC%'e�1 <br />ACORD 25 (2009/01) CO 1988-2009 ACORD CORPORATI rights�".r�s P' <br />The ACORD name and logo are registered marks of ACORD NO <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />City of Santa Ana, its officers, agents and employees <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />20 Civic Center Piz <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br /># M-25 <br />LIABILITY OF ANY KIND UPON THE INSURER, ITSAGENTS OR REPRESENTATIVE$, <br />Santa Ana, CA 927014058 <br />AUTHORIZED REPRESENTATIVE <br />ST0FIC <br />RD��p A <br />loR <br />1 -`SP �, SY ptioC%'e�1 <br />ACORD 25 (2009/01) CO 1988-2009 ACORD CORPORATI rights�".r�s P' <br />The ACORD name and logo are registered marks of ACORD NO <br />