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ACOROnw CERTIFICATE OF <br />OLV CK <br />LIABILITY INSURANCE DATE (MM /OD/YYYY) <br />PRODUCER <br />05/04/12 <br />Tegner- Miller InsurancB <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0466134 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2001 Wilshire Blvd., #101 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Monica, CA 90403 <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE � OCCUR <br />PHPK687767 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Blueray Management, LLC <br />EACH OCCURRENCE <br />INSURER A: PhiladBiphia Indemnity <br />DAMAGE TO RENTED <br />INSURER B: <br />P.O. Box 12529 <br />S <br />INSURER C: <br />PERSONAL6ADV INJURY <br />Newport Beach, CA 92658 <br />WSURER D: <br />GENERAL AGGREGATE <br />53 OOO OOO <br />GEN'L AGGREGATE LIMIT APPLIES PER- <br />POLICY PRO LOC <br />INSURER E: <br />E3 OOO OOO <br />cnvcnnr_cc <br />X <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY gUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -0WNED AUTOS <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 CERTIFICATE 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 />LTR <br />NBR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POL C EFFECTIVE <br />POLICY EXPIRATION <br />MM/ <br />LMITS <br />A <br />X <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE � OCCUR <br />PHPK687767 <br />03/24/12 <br />03/24!13 <br />EACH OCCURRENCE <br />51 OOO OOO <br />DAMAGE TO RENTED <br />S1 OO OOO <br />MED EXP (Any one perm) <br />S <br />PERSONAL6ADV INJURY <br />E1 OOO OOO <br />GENERAL AGGREGATE <br />53 OOO OOO <br />GEN'L AGGREGATE LIMIT APPLIES PER- <br />POLICY PRO LOC <br />PRODUCTS - COMP /OP AGG <br />E3 OOO OOO <br />A <br />X <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY gUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -0WNED AUTOS <br />PHPK687767 <br />03/24/12 <br />03/24/13 <br />COMBINED SINGLE LIMIT <br />(Ee BClitleM) <br />s1 ,000,000 <br />BODILY INJURY <br />(Per parson) <br />S <br />X <br />BODILY INJURY <br />(Par ecoitlent) <br />s <br />X <br />PROPERTY DAMAGE <br />(Per ecritlent) <br />S <br />GARAGE LIABILITY <br />ANY AUTO <br />-'• ?J � i "- ���� <br />,- i i. �. j <br />I - <br />- <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />S <br />S <br />EXCESS <br />/UMBRELLA LIABILITY <br />OCCUR � CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION S <br />_ _ <br />- - <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />S <br />WORKERS COMPENSATON AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLVDED? <br />If y93. desvibe untlar <br />SPECIAL PROVISIONS below <br />OTHER <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE - EA EMPLOYEE <br />f <br />E.L. DISEASE - POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECU\L PROVISKNS <br />'EXCEPT 1 O DAYS NOTICE OF CANCELLATION FOR NONPAYMENT OF PREMIUM <br />ADDITIONAL INSURED: <br />CITY OF SANTA ANA <br />(Sea Attached Descriptions) <br />c clvTlclr wrc ur•.r n <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Evidence Of Insurance PATE TN EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �0— PAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATON OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br />REPRESENTATNE3. <br />' AUTHORIZED REPRESENTATIVE � <br />ACORD 25 (2001/08) 1 Of 3 #44974 CLF o AGORD CORPORATION 198E <br />