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ACC <br />PRODUCER <br />Ma,alre Insurance Ageney, Inc. <br />27101 Paella Real Wile 200 <br />MlssimNlejR, CA 92691 <br />872.438.7459 <br />Illa, Polhill. <br />1 Davar <br />TmOum CanYoo, CA 92679 <br />COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <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 />Al-040� /Fo _ O 20 `Q0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />IS.AIPN <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 IS 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 />ADD-L <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LYN <br />INSRD <br />TYPE OF INSURANCE <br />P011CYNUMBER <br />DATE(MM/00 YYY) <br />DATE(MM/DD/YYYY) <br />LIMITS <br />A <br />% <br />GENERAL LIABILITY <br />PIIPK13G2709- <br />07/06/2016 <br />07/06/2017 <br />EACHOCCi1RENCE <br />52,000,000 <br />% COMMERCIAL GENERAL LIABILITY <br />CIALFSMAOE ❑% OCCUR <br />OD3 <br />RUTTal <br />PRESfEaRncv <br />$100,000 <br />MED EXP(MY one Parson) <br />$2,500_ <br />PERSONAL& ADVIN1 RY <br />$7,000,000 <br />X PROFIESSIONAL LIABILITY <br />GENERAL AGGREGATE <br />MLMD,000 <br />PRODUCTS—COMP/OP AGG <br />$4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />.7 POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(EAaceld0nq <br />80DILYINJURY <br />ALLOWNEOAUTOS <br />_ <br />_ <br />SCHEUMCDAUTOS <br />(Per anon) <br />BODILY INIURY <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />(PeraccWenlJ <br />PROPEOTYDAMAGE <br />Hereccfdo.,) <br />GARAGE LIABILITY <br />ONLY —EA ACCIDENT <br />—AUTO <br />'THE. THAN EAACC <br />AL I00NLY: AGG <br />ANYAUTO <br />/y <br />C/�`00".10 <br />EXCESS/UMBRELLALIABILITY <br />g✓" <br />EACHOCCURENCE_ <br />OCCUR n CIAIMS MADE <br />/' <br />�fA <br />�✓Y <br />AGGflFGAH <br />_� <br />DEDUCTIBLE <br />�V <br />— <br />RETENTION <br />�.1 <br />fl fl F <br />E PLOYER 'LIAOILYTY '([_N <br />ANY PROPMETORFARTNER/EXECUTIVE <br />OFFICERIMEMBEREKOLUOEDi LL <br />iURV LIMITS ER <br />EL EACH ACCIDENT <br />E.L. DISEASE — EA AMPWYEE� <br />_ <br />IMandatoryIn NH) <br />If yca desafhe on the <br />SPECIAL PROVISIONS holow <br />E.L. DISEASE —POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />ItD onderA.d and agreed that the following emit, )Wadded as an additional In sured but only with reapectlsl to the npetaHons of the Lome]insured eewp, that liability 1ea00el Umn the additional).,road's to <br />BA9119enne. This Insurance Is Plfnmry, wRh any insurance or self -Insurance Prtgaam In aintened bV the rare. of, ... on or nm.an"etfarr Ilried beir, non conlOboUng excepting loss reiulftig from the ante negligence. 01 <br />the name of person or organhortle. Load. <br />CERTIFICATE HOLDER CANCELLATION <br />The CRY of Santa Ana <br />20 civic Center Pis <br />Santa Ana, CA 92701-4058 <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO $HALL IMPOSE NO OBLIGATION OR <br />eo_ka�_ 9 <br />ACORD 25 (2009/01) C 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />