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M <br />JIIemR' 4Z4AII <br />a.,1 <br />ACORD,e CERTIFICATE OF LIABILITY INSURANCE <br />°""�' <br />IINSR <br />DATE( „2 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Tegner - Miller Insurance <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 />03/24112 <br />03/24/13 <br />Santa Monica, CA 90403 <br />INSURERS AFFORDING COVERAGE <br />NAIC If <br />INSURED <br />INSURER A: Philadelphia Indemnity <br />Blueray Management, LLC <br />INSURER e: <br />DAMAGE TO RENTED <br />SEE E. E.� G <br />P.O. Box 12529 <br />NSURER C: <br />$ <br />Newport Beach, CA 92658 <br />wN URER D: <br />INSURER E: <br />C; I) <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 />IINSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />MMIDD CM <br />POLICY EXPIRATION <br />DATE MM / OD <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />PHPK687767 <br />03/24112 <br />03/24/13 <br />EACH OCCURRENCE <br />$1.000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 51 OCCUR <br />DAMAGE TO RENTED <br />SEE E. E.� G <br />$100 QOQ <br />MEO EXP (Anyone person) <br />$ <br />PERSONAL &ADV INJURY <br />$1.000,000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGO <br />$3000000 <br />POLICY PRO LOC <br />JEST <br />A <br />X <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />PHPK687767 <br />03/24/12 <br />03124/13 <br />COMBINED SINGLE LIMIT <br />(Es accident) <br />$1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJ <br />(Per r accident) t) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EAACCIDENT <br />$ <br />ANY AUTO <br />f <br />'1 �6J N <br />OTHER THAN EA ACC <br />AUTO ONLY: AGO <br />$ <br />$ <br />EXCESS /UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />IS <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />- . <br />DEDUCTIBLE <br />+ <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WC STATU- <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />SPECIAL PROVISIONS below <br />I <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*EXCEPT 10 DAYS NOTICE OF CANCELLATION FOR NONPAYMENT OF PREMIUM <br />ADDITIONAL INSURED: <br />CITY OF SANTA ANA <br />(See Attached Descriptions) <br />C E Rii F ICAIE HULULK rAMr=I r A'nnu <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Evidence of Insurance <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br />v�--- <br />ACORD 25 (2001108) 1 of 3 #44974 CLF © ACORD CORPORATION 1988 <br />