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tcoirc. 06/24/2013CERTIFICATE OF LIABILITY INSURANCE <br />PRooutER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Ma OIBLInsmanre Ago, 11t. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />21101 Puma Real Spimmo HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />MtaslonVleim CA 92691- ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. <br />(871).488.7459 .........�.... ..�..,...,.,..�..venn ne nlnrr-e <br />610 S Tawnsend St. <br />Santa Ana, CA92103- <br />nee <br />Yv 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 BYTHE 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 />INS' <br />LTR <br />ADWL <br />INSRO <br />TYPE OF INSURANCE <br />POUCYNUMBER <br />pDLIC/EFFECTMEPOIICYE%PIRATION <br />DATE MM/DD/YYYY) <br />DAT9IMM/DD <br />UMITS <br />A <br />% <br />OENERALUABILITY <br />PHP0511"OU <br />07/2312013 <br />07123/2014 <br />EACH OCCURENCE $1'0°,°00 <br />DAMAGE 10 PIN t W <br />PREMISE Ea ocmrren $100,070 <br />X COMMEROALGENERALLIABRITY <br />CLAIMSMADE OCCUR <br />MEDEXP(Myonepersm) $2,500 <br />PERSONALSADVINRIRY $1,000,°00 <br />% PRO FESSIONALUA9NTY <br />GENERAL AGGREGATE $3,0°0007 <br />PRODUCTS-COMP/OPAGG $3,DOO,000 <br />GEN% AGGREGATE UMIT APPLIES PER: <br />% POuq PROJECT LOC <br />AUTOMOBILELIASIUM <br />COMBINEDSINGLEOMIT <br />(EAac4dent) <br />ANY AUTO <br />BODILYINIURY <br />IPerpasonl <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />_ <br />9ODILYINJUNV <br />HIRED AUTOS <br />IPer accidenU <br />NON-owx6oALrt05 <br />PROPERMAMAGE <br />(Per Zedent) <br />GASAGEUAEILITY <br />AUTO ONLY-MACCIOENf <br />OTHERTHAN CAACC <br />AUTO ONLY: AGG <br />ANYAUTO <br />EXCESS/UMBREIN LIABILITY <br />EACH OCCURENCE <br />AGGREGATE <br />OCCUR ❑ CWMSMADE <br />DEDUCTIBLE <br />RDIENTION <br />-WWI �AUATIONI AND <br />UABIUW <br />FEEBRREdDEDELUTIVE <br />UMADYERS' <br />f.L. EACH ACCIDENTOFICRMME%U} <br />E.L. DISEASE -EA AMPLOYEE <br />(MxAdatoMIANH) <br />E.401GFASF.-POLa UHvT <br />IfYeb describe under <br />SPI PAOVISIONd Uelmy <br />OTHER <br />DESCRIPTION OFOPERATIONS/ LOCAUONS/VENIGiS/ ENCIV$IONS ADDED RYENOORSEMENY)EPECML PflOVIEIONs <br />It Is understood and agreed tM1aFthe Eollowingentiry is added as an addifionai insured but only with respects) to tM1e operations of the mumed insuretl e�ceP[ that Ilabllify eewlting irpm the additional inswed's sole <br />negligenm. <br />rc'.A tc unl nco CANCELLATION <br />DWPfSant, Ana, Its Iffloerl, agent, and eMPI*Wtc <br />1825 W CMt Center Dr <br />Santa Ma, CA92T03.2821 <br />SHOULD ANY OF THE ABOVE DESCRIBED ML10M BE CANCELLED BEFORE THE EIIPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRNTEN NOTICE TO THE <br />CERTIFFCATE HOLDER NAMED TOTHE LEFT, BUJ' FAILURE TO DO 90 SHALL IMPOSE NO OBLIGATION OR <br />LIABIUMBOFANY NINDUPON THEINSURER, ITSAGENTSOR REPRESENTATIVES. <br />AUTHORIZED REPRESFNYATNE <br />eo <br />ACORD 25 (2009/01) O 1988-2009 ACORO CORPORATLOO,,:-1-ioiV-S- $erha.. TO FO" <br />The ACORD name and logo are registered marks of ACORD .kHk. <br />LISA E. STORCK <br />Assistant City <br />