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CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMM/ D/YYYY) <br />3/24/2016 <br />PRooucen <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Mamba lesmnn=o AEanW, LAa' <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />21Wlpe goal Sults 20o <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />IN0ste <br />MF1.43- lelq Ep 9x691- <br />(Aii1.A3�A.i459 <br />ALTER THE COVERAGE AFFORDED BY TH E POLICIES BELOW. <br />TYPE OF INSURANCE <br />INSURERS AFFORDING COVERAGE NAICN <br />INSURED <br />INSURERA: PhIlAnd hie lndem nt Insurance company10030 <br />Mme Payar,dha, <br />INSURER B: <br />West CPAtACommanity.DPvaiRlnellt,LLD <br />INSURER <br />S9 LOJIR Md,, <br />INSURER D: <br />IMM, CA 92520. <br />INSURER r:: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FUME POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUE, 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, AGGREGATC LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />HIM <br />ADWIL <br />POLICY EFFECTIVE <br />POLICY ENPIRATION <br />LTR <br />INS40 <br />TYPE OF INSURANCE <br />POLICYNUMEH <br />OATS MM DO YYVV <br />DATE(MM/DO/YYYY) <br />LIMITS <br />A <br />N <br />GENBRALLIADMITY <br />PHPRI021936' <br />5/24/2010 <br />5/24/2017 <br />EACNOCCURF.NCE $1,700,000 <br />X COMMERCIALGENEMLLIASIUTY <br />CLAIMS MADE Fxl COLOR <br />000 <br />pR M16E5 eenrre eo $100,000 <br />_ <br />MED IBP (Aly ane PIraan) $2,500 <br />PORSONAL&ADV INJURY JI1,000000 <br />X PROFESSIONAL LIABILITY <br />(IENERALAGGREOATE $3,000,000 <br />GEN'LAGGRFBRATELIMITAPPLIESPIt <br />PRODUCTS-COMP/OP AGO $3000,000 <br />X POLICY PROJECT LOC <br />AU <br />BOARDERS LIABILITY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(EAualdent) <br />ALLOWNPDANTOS <br />BODILYINJURY <br />SCHEDULED AUTOS <br />(Par Person) <br />LAREPAOTOS <br />... <br />BODILYINJUIIY <br />NON-OWNEDAUTOS <br />(Per araldant) <br />IY PROFERDAMAGE <br />QaW� <br />(ParnuldenQ <br />GARAGE UABRIW <br />.L� <br />AUTO ONLY - EA ACCIDENT <br />ANYAUTO <br />J <br />OTHER THAN EAAC4 <br />nr <br />G2' <br />AUTO ONLY; AGO <br />EXCLIS I UMBRELLA'' 'L7IABILITY <br />OCCUR L� CLAIMS MADE <br />OEOUCtIOIE <br />+An <br />( . <br />:�\\i� �V <br />CJ.. <br />\` <br />A <br />r� <br />EACH OCCURBNLE <br />AOORCGA Tf <br />RETENTION <br />v�T <br />ryMYPI AVppII�RpS IABIL/ITTpYYpgqiiryryQQpp// y/N <br />OFFICER/MEMBEER PXCLUDEORE%ECUTIVE <br />L� <br />TO YUMI S ER <br />P.L. EACH ACCIDENT <br />(Mandatory <br />yyIn AIR) <br />SPYECNLePWOS18ft1,alow <br />Et, <br />Et, DISFASR- EA AMPLOYEE <br />E. L. DISEASE -POLICY LIMIT <br />OTHER <br />DESCRIPTION DP OPERATIONS/LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT), SPECIAL PROVISIONS <br />an n understood and agreed than he Pa t,Y0ng tBARY 15 added as an addltlonel lamed An only With rrEPaat(s) to His operations it he earned gaved .,,pit hot IlahllltV resalfir, from the,,JMC.anl Iaamd's We <br />neRliemmo. <br />CITY of Santo Are, Its aTAmr; agents and empinVem <br />2D CIvIC Center Pix <br />Santa Ano, CA 92101 <br />'DIEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ID DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 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 />