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Client#: 1259431 305CORDOCOR ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ns/zolz THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Nc#NEAC Christy Mata BB&T Insurance Services PHON 714578.7370 AIC, No Eal: A1C, N.Y. of Orange County E-MAIL ADDRESS: CMata@bbandt.com 680 Langsdorf Drive Suite 100 — -- Fullerton,CA 92831INSURER(S) AFFORDING COVERAGE NAICe INSURER Lloyds of London IFOREGN ''. INSURED INSURER B: Cordoba Corporation 1401 N. Broadway INSURER C: INSURER D: Los Angeles, CA 90012 INSURER E: - INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS. IN50. LTR TYPECFINSURANCE ADOLSUBR POLICY NUMBER POLICYEFF AVDO POLICYE%1P MMMD LINKS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ,, RWAS NTEDcurmno&I S �CLAIMS-MADE ,_ 11 OCCUR'MED E%P(A-yore Person) ''. PERSONAL 6 ADV INJURY S GENERAL AGGREGATE E CEN'L AGGREGATE LIMIT APPLIES PER: ., PRODUCTS-GDMPIOP AGG E POLIOV PRP LOC E AUTOMOBILE LIABILITY ,�j,'"r'L.�� cb li �s:�: COMBM�DISINGLE LIMIT -- E ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per Person) j E AUTOS AUTOS `- BODIIV INJURY (Per awdenQ E —' NON-OWNED'y`/(� HIRED AUTOS --- PROPERTYDAMACE S AUTOS'_LPeracg —� deml �— UMBRELLA LIAR : OCCUR— EACH OCCURRENCE : E EXCESS LIAR CLAIMS-MADEi IAGGREGATE S DED1 I RETENTIONS s WORKERS COMPENSATION WC STAID-OTH- AND EMPLOYERS' LIABILITY YIN TORYU ITS ANY PROPRIETOMPARTNER,EXECUTIVE r� E.L. EACH ACCIDENT S OFMCERIMEMBER EXCLUDED' iI j NIA I Mandatory in NH) I El. DISEASE - EA EMPLOYEE' S U... desbbbq Mer DESCRIPTION OF OPERATIONS below I E.L. DISEASE- POLICY LIMIT E A Professional Liab B0621PCOR03212 .9/27/2012'.09@71201 $1,000,000 Per Claim/Ag !,"Claims Made" Ded: $25,000 Per Claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Adaltbnal Remmlo Schwule, I more apace h mquirmi) Verification of Insurance City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702-1988 ACORD 25 (2010105) 1 Of 1 #S9271302/M9267635 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN