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q� p01 <br />CERTIFICATE OF LIABILITY INSURANCE <br />HI E 1M8H20t YYYY, <br />a/aa/zais <br />PRODUCER <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Maguire Sees me Aged, l"` <br />v101 Pretty Fred Ed, mR <br />Mission Vlelo, CA 92691 <br />8)] 938.)459 <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 />INSURERS AFFORDING COVERAGE <br />NAICIf <br />INSURED <br />INSURER A. Philadelphia lndmenlly Ing, ranw Company <br />1R02H <br />Blery Archedle <br />1 Dover <br />Trebure ConyOry CA 92679 <br />INSURER B: <br />INSURER C. <br />INSURER U: <br />INSURER E: <br />COVERAGES <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 />'NIB <br />LTR <br />ADD'L <br />INSRO <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />GATE IMM/DD{YYW) <br />POLICY EXPIRATION <br />DATE(MMJDD/YYYY) <br />LIMITS <br />A <br />% <br />GENEIALLIAOILITY <br />MMEaCIAI GENERALLIABIIIfY <br />CWIMSMADE FAOCCUR <br />FESSIONAL LIABI LITY <br />TC <br />AGGREGATE LIMITAPPLIES PER: <br />POLICY PROJECT TOO <br />PHPKI362709 <br />000 <br />09/06/2VE <br />07/06/2016 <br />FACHOCCUPENC6 <br />$2,000,000 <br />PREMISES E11 <br />a arourreneef <br />$100,000 <br />MED EXP Any one person) <br />$2,500 <br />GEN'L <br />%. <br />PERSONAL&ADVINIURY <br />$2,000,000 <br />GENERAL AGGREGATE <br />$4,000,000 <br />PRODUCTS-COMP/OPAGG <br />$4,000,000 <br />AUTOM0814E <br />UABIUTY <br />ANYAUTO <br />ALL OWNEDAUTO5 <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NO&OWNED AIIIDS <br />COMPUTER SINGLC LIMIT <br />(EAso ident) <br />BODILY INJURY <br />(Pet wre,r) <br />BODILY INJURY <br />(Pera[[dent) <br />PROPPRTYOAMAGE <br />(Per gmdent) <br />GARAGE LIABILITY <br />ANYAUTO <br />51� <br />VV <br />�� <br />AUTO ONLY - EA ACCIDENT <br />OTHERTHAN - CA ACC <br />AUTO ONLY: AGG' <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR1:1 CLAIMS MADE <br />OfOULTIOIE <br />HECOMPENS TIO <br />k, <br />fj/ I <br />/y <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYERS' LIABILITY Y/N <br />OFFICER/MEMBER EXTENDED?E%ENi1Vf )'""', <br />L_7 <br />MYandtles nin NHI <br />be antler <br />SPECIAL PROV151ONS below <br />p <br />S"` \\ <br />�Yj'+ <br />.gNy[o- j�l <br />d \ <br />I y,aY <br />T)� iJ9 <br />y� <br />&y B+ <br />9a.. <br />TORY LIMITS FR <br />f.l.fACH ACCIDENT <br />E,L. DISEASE -CA AMPLOYEE <br />E.L. DISEASE -POLICY UMIi <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />It is understood and agreed [bat the delowing entity Is added as sn additbnal made d but only with m,mct(s) to the opeudl"ns of the "timed Insured except that IIeblllty nalea ing from the additional Inure 'sole <br />The Dry of Serb And <br />20 CiVICCenter Ph, <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEILED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 36 DAY$ WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION, All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />