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—� CINDY -2 OP ID: SN <br />,�►�oRo' CERTIFICATE OF LIABILITY INSURANCE �T061061112 <br />THIS CERTIFICATE 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 the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER 310-221-0917 <br />CONTACT <br />NAME: Sunshine Justinian0 <br />NHC Insurance Services Inc <br />796 W. 9th Street 310-221-0966 <br />, EML 310-221-0917 FAX �7. 310.221-0966 <br />San Pedro, CA 90731 <br />AE-DDMAaRESS: Sunshine@nhcinsurance.com <br />Jessica Ortega <br />f 388.00 <br />CLAIMS -MADE X!I OCCUR <br />INSURER(S) AFFORDING COVERAGE NAIL e <br />$ 10,0 <br />NSURER A: HARTFORD CASUALTY INSURANCE CO 11000 <br />INSURED- CINDY KREBS CONSULTING, INC. <br />-- _ <br />INSURER B: <br />Lucinda "Cindy" Krebs <br />GENERAL AGGREGATE <br />26 Calais <br />INSURER C <br />Newport Coast, CA 92657 <br />INSURER D: <br />INSURER E <br />AUTOMOBILE LIABILITY,.. <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY 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 />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />IN;S TYPE OFINSURANCE DDC <br />POLICY NUMBER MMID f PA ICY P <br />-- --. --_--_ <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />f 1,000,00 <br />A CO_MMERCIALGENERALUABILITY X 72SBAIA6077 06/05/12 06/05/13 <br />PREWSESEaRD=avr�ien" <br />f 388.00 <br />CLAIMS -MADE X!I OCCUR <br />_ <br />'',. MED EXP (Any one Person) <br />$ 10,0 <br />X Business Owners <br />! PERSONALBADVINJURY <br />f 1,000,00 <br />S 2,000,00 <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />S 2,000,00 <br />POLICY PRO- LOC <br />S <br />AUTOMOBILE LIABILITY,.. <br />COMBINED SINGLE LIMI <br />Et <br />f <br />ANY AUTO <br />BODILY INJURY (Per person) <br />E <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />! <br />BODILY INJURY EW accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMA E <br />Per accident <br />S <br />$ ._.--. <br />A 13 CUR <br />� <br />EACH OCCURRENCE <br />$ <br />f. <br />JOE] <br />IAB CLAIMS -MADE <br />` <br />AGGREGATE <br />RETENTIONS' <br />'--' <br />- - - <br />S <br />WORKERS COMPENSATION <br />... <br />WC STATU- !OTH- <br />AND EMPLOYERS' UABIUTY YIN <br />T RY L .ITS_. __. __� ER_ <br />ANY PROPRIETORIPARTNER/EXECUTIVEr <br />OFFICERMEMBER EXCLUDEDP NIA <br />_ EL. EACH ACCIDENT <br />5 <br />(Mandatory In NH) L� <br />E. L.DISEASE - EA EMPLOYE4 <br />f <br />Ify desmbe older <br />DESCRIPTION OF OPERATIONS Debut <br />E.L. DISEASE - POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anach ACORD 101, AddNbnal Remarks Schetluk, N mora spa" Is required) <br />Certificate bolder is named as Additional Insured in respects to General <br />Liability per the attached endorsement. <br />CERTIFICATE HOLDER r0dr-E I erinN <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (201D/05) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />c/o Dave Biondolillo <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />k—A U '`r <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (201D/05) The ACORD name and logo are registered marks of ACORD <br />