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DATE <br />A �® CERTIFICATE OF LIABILITY INSURANCE <br />Maguire Insurance Agency, Inc. <br />27101 Puerta Real Suite 200 <br />Mission Viejo, CA 92691 <br />(S I.43- 8,]459 <br />INSURED <br />Chihlro Salvo <br />106 Yorktown Ln <br />Costa Mesa, CA 92626- <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 />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 15 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 />LTR <br />ADD'L <br />INERO <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE IMM/DD/YYYY) <br />POLICY EXPIRATION <br />DATE MM/DD/YYYYI <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />% COMMERCIAL GENERAL LIABILITY <br />CIAIMS MADE ] OCCUR <br />% PgOFE5SIONAL LIABILITY <br />GEN'L AGGREGATE LI MIT APPLIES PER, <br />X POLICY PROJECT LOC <br />PHPK803569 002 <br />12/08/2013 <br />12/08/2014 <br />EACH OCCURENCE <br />$1,000,000 <br />PREMISES Ea occurrence <br />$100,000 <br />MED ESP IAny one person) <br />$2,500 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />PRODUCTS — COMP /OP AGG <br />$3,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(EA accident) <br />BODILY INJURY <br />(Per persop) <br />BODILY INJURY <br />Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />GARAGE <br />LIABILITY <br />ANY AUTO <br />AUTO ONLY— EA ACCIDENT <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGO <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR F—� CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYERS' LIABILITY Y N <br />ANY PROPRIETOR //PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatary in NH) <br />If Yes, describe under <br />SPECIAL PROVISIONS below <br />TORY LIMITS ER <br />E . EACH ACCIDENT <br />E . DISEASE— EA AMPLOYEE <br />EL DISEASE— POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />It Is understood and agreed that the following entity Is added as an addltlooal insured but only with respect(c) in the operatens of the named Insured except that liability resulting from the additional insured's sole <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />City Of Santa Ana <br />Attn: Silva Cuevas <br />26 CIVIC Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMEDTO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NOOBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />