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A� a® CERTIFICATE OF LIABILITY INSURANCE <br />MMIDDIYYYY <br />oAT5/25/2018 ) <br />THIS CERTIFICATE 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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Lovitt &Touche -Tempe <br />1050 W Washington Street, Suite 233 <br />Tempe AZ 85281 <br />CONTACT <br />NAME: Tonle SelfridgePHONE <br />FAX <br />. 602-956-2250 A/c No:602-956-2258 <br />ADMDREss: tselfridge@lovitt-touche.com <br />INSURERS AFFORDING COVERAGE NAIC 0 <br />INSURER A: Philadelphia Indemnity Insurance Cc 18058 <br />PHPK1736184 <br />INSURED NATIHOU-01 <br />Nati'a House <br />INSURER B: <br />EACH OCCURRENCE $1,000,000 <br />Neutral Ground <br />INSURER C: <br />INSURER D : <br />1733 Valencia St <br />Santa Ana CA 92706 <br />INSURER E: <br />INSURER F : <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence) $1,000,000 <br />COVERAGES CERTIFICATE NUMBER: 1294472462 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />R <br />TYPE OF INSURANCE <br />AOOL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY <br />YfYYYPY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />PHPK1736184 <br />1/812018 <br />1/6/2019 <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE 1XI OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence) $1,000,000 <br />MED EXP (Any one person) $ 20,000 <br />- <br />PERSONAL B ADV INJURY $1,000,000 <br />GEML AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000 <br />X PRO. <br />POLICY JECTPRO ❑ LOC <br />PRODUCTS - COMP/OP AGS $2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />PHPK1738184 <br />1/6/2018 <br />1/6/2019 <br />COMBINED SINGLE LIMIT $1,000,000 <br />Ea accldent <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED F7 ASCHEDULED <br />AUTOS ONLY UTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />X <br />HIREDX NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO I I RETENTION <br />$ <br />WORKERS COMPENSATIONPER <br />AND EMPLOYERS' LIABILITY YIN <br />OTH <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />OFFCER/MEMB REXCLUDED?ECUTIVE F-1 <br />N/A <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS bal. <br />E.L. DISEASE -POLICY LIMIT $ <br />A <br />Professional Llablllty <br />PHPK1738184 <br />1/62018 <br />1/6/2019 <br />Aggregate 2.000,000 <br />Sexual/Physical Abuse <br />TI <br />I <br />Aggregate 300,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (AC ORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Certificate holder is named Additional Insured to General Liability coverage if required by written contract, subject to all policy terms, conditions, definitions and <br />exclusions. Primary/Non-Contributory applies. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />V <br />ACORD 25 (2016/03) <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />its officers, employees, agents and volunteers <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />t <br />ACORD 25 (2016/03) <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />