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, i._ R CERTIFICATE OF LIABILITY INSURANCE GWTE ;0M7=13 <br />�... -�� 08107!2013 <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 Phone: 310.373 -6441 <br />NAMEACT Tish Leon <br />ISU1The Olson Duncan Agong, <br />25550 Hawthorne Blvd., Ste 203 Fax: 310 - 378 -5336 <br />PHONE <br />_ c�NaEan.714-541 -1010 <br />Torrance, CA 90505 <br />ADDRESS' Tleon�publiclawcenter.org <br />GENERALUABJTY <br />GBeTOMER ID e.PU BLI -1 <br />INSURELSt AFFORDINOCOVERAGE <br />_. <br />INSURED Public Law Center <br />INSURERA_.__--,_- .______._— ______,_______. <br />", "_ "_ <br />(A Non - Profit Corp.) <br />INSURER B: <br />---- - - - --- <br />Tish Leon <br />— -- - --- - -- <br />601 Civic Center Drive West <br />wsuREac, <br />___ -____ <br />$ <br />Santa Ana, CA 92701 <br />INSURER D: <br />INSURER E_ Hartford Ins CO Of Midwest <br />37478 <br />_ <br />INSURER F: <br />COVERAGE$ 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 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />MTR <br />TYPE OF INSURANCE <br />- -__._ ____ - -- <br />POLICY NUMBER <br />VOTYEF <br />MMID <br />"VOLIW <br />MMID <br />. UMITS <br />GENERALUABJTY <br />URRENCE <br />$ <br />COMMERCIAL GENERrAL LIABILITY <br />EaoRcure�_ <br />ny one Person) — <br />$ <br />CLAIMS�MADE E OCCUR <br />BAOV INJURY <br />GGREGATE __ <br />SGEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />- COMPIOP AGG <br />- _—. <br />f -- — <br />POLICY PRO. LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Es accident) <br />$ <br />_— <br />BODILY INJURY (Par person) <br />$ <br />MY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY (Per a ideM <br />$ <br />PROPERTY DAMAGE <br />(Pere_tlenl) <br />$ <br />SCHEDULEDAUTOS" <br />HIRED AUTOS <br />_ <br />NON- OWNEDAUTOS <br />$ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS UAB <br />CWMS�MADE <br />DEDUCTIBLE <br />$ <br />S <br />RETENTION $ <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED? <br />(MSndafory in NH) <br />NIA <br />72WECVV4460 <br />04/01/2013 <br />04/0112014 <br />X WC STATU- OTH- <br />_ YL1MlI8. <br />-_._. <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />E.L. DISEASE - EA EMPLOYEE <br />- -- —" <br />$ 1,000,00 <br />E.L. DISEASE - POLICY LIMIT <br />S 1,000,00 <br />If 9, describe under <br />DESCRIPTION OF OPERATIONS NI" <br />DESCRIPTION OF OPERATIONS / LOCATIONS IVEHICLES(ANwh ACORO 101, AddlUonsl Re, % Schedule, If mom spaos Is requlmd) <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 26 (2009/09) <br />®1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />20 Civic Cater Piz <br />AUTHORIZED REPRESENTATIVE <br />AUTHORIZED — <br />Santa Ana, CA 92701.4058 <br />ACORD 26 (2009/09) <br />®1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />