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q� CERTIFICATE OF LIABILITY INSURANCE OAiF IMM /DOIYYYY) <br />THIS CERTIFICA -rE 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 pokirges) must be endorsed. It SUBROGATION IS WAIVED, euhjeck 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 ]left of such endoisemont(s). <br />PRoDuceR IOA Insurance Services <br />_ CONTACT NAME. (AILDl -4atty 7tAD _ <br />- <br />'130 Vantis, Suite 250 <br />-- - -_.__ -- <br />Aliso Viejo, CA 82658 <br />ensnE 1NR.Np. Eas:.,8Q5 ¢u9- 92J4_._ ..__1eA>iINC Not; gq;ZPg'��Lurz�_ <br />I <br />C.MAIL ADDRESS! @OtlyJGNU@ 4G5UWN)....._....__.. <br />INSURERIET AFFORDING COVERAGE NAICN <br />~'IoaUSa COm CA License tf0E67750 _ <br />.INSURERA: RLI_IOgylfApfg.ie`91APAny <br />IMJ0Se <br />Josepph C. Truxawand Associates, InQ. <br />265 S. Anita, Suite 1 1I'I <br />- - -- - - - -- <br />Ruaullu:L _. <br />Orange CA 82866 <br />INSURER D. <br />INSURERS: <br />IN URBRP, <br />S <br />E._ <br />COVERAGES CERTIFICATE NUMBER: 16006447 REVISION NUMBER: - - - - - -- <br />THIS 13 TO CERTIFY THAT IHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INOICATEO. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION <br />OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO VMRICII THIS <br />CERnF]CATE MAY HE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE <br />BEEN REDUCED BY PAID CLAIMS. <br />IeOR TYPE OF INSURA14VF in st BR POLICY NUMBS <br />ILTR <br />-_ _.. <br />AmflTy EFY lahO Eyy) _ LIMITS <br />GENERAL LAUILOY <br />I <br />EACH OCCURRENCE <br />9 <br />COMAiERGiAL GCNCMLLIASILITY <br />_ CLAIMS MAD[ .._�000VR <br />' <br />RrtEMISTSSCd ^ccurre ) <br />MI EXP IA,,.upnr 1 <br />S <br />E._ <br />PCI2SONAI eA1N WJUitt <br />$ _.. <br />GENERAL AGGREGATE <br />$ <br />-_ <br />(EiNi. M01TEGAVE <br />LIMIT APPLIES PER <br />PRODUCTS- C.OMPIOP AUG <br />S <br />—� POLICY <br />11 I +IidI LOG <br />-- <br />$ <br />AUTOMOBILE LIABILITY <br />_g- <br />Eo ap9ltlOM IMr <br />S <br />BOCILYINdURY ....... <br />-- ._ -" m <br />BOCILYIFh1UriYedd M t) <br />& - -- -- <br />6 <br />- <br />E <br />ANY AUTO <br />ALL OWNED - SCHEDULED <br />- A41i0S AUTOS <br />NON -OVA ED <br />IiIRESAUT05 _.. AUTOS <br />P PE2TY pADAGE <br />fP o pool+ <br />S <br />UMBRELLA LIAa OCCUR <br />EXCESS 4IA Z CLM4 <br />MMAiE <br />_DSO Nf RNTI04$ <br />EACH OCCURRENCE <br />E — <br />$ <br />_ <br />AGGREGATE <br />5 <br />AND EM1LS COMPENSATION <br />AND E1dPLOYEN3'L1AtlILIrV YIN <br />OFFICEMM @AtRkREXGLUGEIO'i FCN14E C� <br />NIA <br />O STATU DTfb <br />_TOrtYllt tS _ EH <br />E.L CAfIIA(CIO[Ni. <br />9 _ <br />(BM.Yd.I.Q M Nlrl - <br />EL OI CAC CA EMPLOY[[ <br />S <br />Ryes, dZo,6 a rmdAr <br />DEUCRIP NOR OF OPERATIONS below <br />E,L DISEASEFO[ICY LIMn <br />"- - - - - -- <br />$ <br />A <br />Professional Liability <br />ROP0011285 <br />71612013 <br />171612014 <br />$2,040,000 Per Claim <br />Claims -Made <br />$2,000,000 Aggregate <br />DESCRIPTION OP OPERA7101191 LOCATIONS f VCH GLP.S (Altnd , ACORO 101, AddIUMBl Rdmnrkn achndelu, II more npndu I +mnulrer 1 <br />Coverage subject to all policy terms, conditions, limitations and exclusions. 30 Day Notice of Concerto Days (or Non- Payment in accordance with <br />policy provisions. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />JoblPmjeet Reference <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />- For Proposal Purposes - NEW Non- <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />specific terms SUCK as ap ents, volunteers, <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />subsidiaries, representatives, successors and <br />assigns, etc. cannot be Included. Only <br />'specific entity" names will appear. <br />AUTHORIZED REPRESENTATIVE <br />(AVr.I Alicia K. I ram <br />01008.2010 ACORD CORPORATION. All rights roserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />.A"I .e... .rn,. In /1n /zm] 11.%II mA r.,90 1 u( 1 <br />