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BRASS -1 OP ID: I <br />A CERTIFICATE OF LIABILITY INSURANCE DATE <br />A 2104/ 017 <br />12!0412017 <br />THIS CERTIFICATE 15 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject 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 />PRODUCER <br />Paul Muench Company <br />2107 N. Broadway Suite 205 <br />Santa Ana, CA 92706 <br />Robert T Walker <br />INSURED <br />Darren Jones <br />5430 Trabuco Rd., Ste 150 <br />Irvine, CA 92629 <br />IN&IM04.111=E <br />rtr1VFRAr;FA CFRTIFICATF NI IMRFR• RFVIAION NIIMRFR. <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 <br />ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY PAID CLAIMS. <br />INSft _ ADDL SUER' - <br />LTR TY PE OF INSURANCE POLICY NUMBER <br />POLICY EFF POLICY EXP <br />MMIDDIYYYY flaIMMONYWI LIMITS <br />- <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />2,000,00 <br />A X COMMERCIAL GENERAL LIABILITY X PHPK1651604 <br />DAFAAGETDREN'ED ____.__. <br />0910112017 OW0112018 PREMISES Ea oo>avFGpe -. $ <br />_ <br />200,00_ <br />CLAIMS -MADE 4:1 OCCUR <br />MED EXP (My ane person) ? $ <br />5100 <br />T <br />PEftSONALBADV INJURY $ <br />2,090,000 <br />GENERAL AGGREGATE $ <br />4,000,000 <br />GEN'LAGGREGArF LIMITAPPLIESPER <br />PRODUCTS - COMPIOP AGO $ <br />4,000,000 <br />''. PEO <br />_ $ <br />XII POLICY LOC <br />I AUTOMOBILE LIABILITY <br />CEa accideOMBINEDnt $ SINGLE LIMIT <br />1,000,000 <br />A Iii ANYAUIO PHPK1551604 <br />09/0112017:0910112018 BODILY INJURY (Per person) a <br />F ALL OWNED SCHEDULED <br />BODILY INJURY(Peracsident) $ <br />AUTOS <br />ON OWNED <br />X HIR SAUTOS I,� AUTOS <br />AUTOS <br />PROPERTY DAMAGE $ <br />PER ACCIDENT <br />-- <br />UMBRELLA LIAa OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIA9 CLAIMS -MADE' <br />AGGREGATE _ $ <br />DED RETENTION$ <br />WORKERS COMPENSATIONWC <br />STATU- OTH- <br />ANDEMPLOYERS'LIABILITY YIN I <br />TORYLIMITS <br />_ <br />ANY PROPRIETOR/PARTNERIEXECUTIVE I <br />E.L. EACH ACCIDENT ! $ <br />OFFICERIMEMBER EXCLUDED? '', N I A <br />—- <br />(MantlatnrylnNH) <br />E. L. DISEASE - EA EMPLOYEE S <br />F yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT '.$ <br />A PROFESSIONAL LIABI PHPK1651604 <br />09/01/2097 09/01/2018 P/L <br />1,000,000 <br />A SEXUALABUSE PHPK1651604 <br />.09/01/2097 09/01/2018 'S/A <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ABaoh ACORO 101, Addltlonal Remarks Schedule, If more space Is required) V1 ° <br />r]FRTIFICATF HOI nFR CANCFI I. ATION. <br />O 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2010105) 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 />20 CIVIC CENTER PLAZA, M23 <br />SANTA ANA, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />O 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD <br />