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EI<C + CERTIFICATE OF LIABILITY INSURANCE DATE <br />PRODUCER <br />Mad uPe Insurance Agency, Inc <br />27101 Puerta Real Suite 200 <br />Mission Vlefp, CA 92691- <br />(877).43-8.7459 <br />Marc Psyagdba, <br />West CoastCOmmunIlY.Develpme nA LLC <br />59 Long Mae <br />Wine, CA 92620 <br />COVERAGES <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />18058 <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 CERIFICATION 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 />INSR <br />ADD'L <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LTR <br />MIRE <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE(MM/DD/YYYY) <br />DATE IMM/OD/YYYY) <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />PHPK1D24916 <br />05/23/2013 <br />05/23/2014 <br />EACH OCCURENCE $1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE F—X I OCCUR <br />000 <br />DAMAGE <br />PPEMISES Ea occurrence $100,000 <br />MED EXP (Any one person) $2,500 <br />PERSONAL &ADV INJURY $I,00D,DoO <br />X P RO FESSIONAL LIABILITY <br />GENERAL AGGREGATE $3,00cil <br />PRODUCTS CC MP/OP AGG $3,000,000 <br />GEN 1- AGE REGATE LI MIT APPLI ES PER, <br />% POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(EA accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY <br />NON OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />(Peraccldent) <br />GARAGE LIABILITY <br />AUTO ONLY— EA ACCIDENT <br />OTHER THAN ACC <br />ANY AUTO <br />_EA <br />AUTO ONLY: <br />AGG <br />EXCESS/ UMBRELLA LIABILITY <br />EACH OCCURENCE <br />AGGREGATE <br />OCCUR F_] CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />EMPLOYERS' LIABILITY V N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />TORY LIMITS Girl - <br />ELEACHACCIDENT <br />OFFICER/M EMBER EXCLUDEDT <br />(Mandatory In NH) <br />6T61AL PR VISI NundS below <br />E.L. DISEASE — EA AMPLOYEE <br />E.L. DISEASE—POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />I[ Is understo0tl anti agreed Maf the following entity Is added as en additional Insured but only wlth respect(s) t0 the operations of the named insured except that liability resulting from the additional insured's sole <br />negligence. <br />APPROVED AS TO FORM <br />CERTIFICATE HOLDER CANCELLATION LISA g, S [ O L <br />City of San" Am, its officer; agents and employees <br />20 Mile Center Plz <br />Santa Ana, CA 92701- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLI SRES BNd L DI VO -ITAUffikATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO OO SO SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2009/01) © 1988-2009 Al CORPORATION. All rights reserved. <br />The Al name and logo are registered marks of Al <br />