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/1 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATEIMM/DD/YYYYI <br />D/pa/2D1B <br />PRODUCER <br />Maguire Insurance <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Real to 200 Ina <br />22201 Puerta Real Ste 200 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Mission Viejo, CA 92691-7309 <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EMEND OR <br />8>2.#38.2#59 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />GENERALUABILITY <br />INSURERS <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Chac V LL <br />A: Philadelhia Indemnity Insurance COmpan 18050 <br />INSURER B: <br /># Fabdano <br />INSURER C: <br />Irvine, CA 92620.2526 <br />INSURER D- <br />:INSURERE <br />-n... <br />COV <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 />LIR <br />ADD'L <br />INSRO <br />TYPEOFINSURANCE <br />POUCYNUMBER <br />POUCYFFFECTIVE <br />DATE MM/DO/YYYY <br />RD CYEXPIMTON <br />GATE MM DO/YYYY) <br />UNITS <br />A <br />X <br />GENERALUABILITY <br />PHPK661902008 <br />12/12/2018 <br />12/17/2019 <br />EACH OCCURENCE SI.M'000 <br />MERCIAL GENERAL LIABILITY <br />PREMISES Ea aruoence $300,000 <br />CIAIMSMAOE x] OCCUR <br />T.PRO'FESSIONAL <br />MED EXP (My one Perron) $2,500 <br />ABILITY <br />PERSONAL&ADV INJURY $1,000,000 <br />GENERALAGGREGATE 53,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OPAGG $3,000,000 <br />X POLICY 7 PROJECT LOC <br />AUTOMOBILE <br />UABILIFY <br />COMBINED SINGLE OMIT <br />ANYAUTO <br />(EA.ccidenry <br />ALLOWNEOAUTOS <br />BODILY INJURY <br />SCHEDULEDAUTOS <br />(Per Person) <br />HIREDAUTOS <br />BODILY INJURY <br />NON -OWNED AUTOS <br />(Peracddent) <br />PROPERTY DAMAGE <br />(Per aaidenq <br />GARAGE UABIIFTY <br />AUTOONLY-FAACCIDENT <br />ANYAWO <br />OTHERTHAN MACC <br />AUTO ONLY: <br />AEG <br />EXCESS/ UMBRELLA UABIUTY <br />OCCUR F-1 CIAIMSMADE <br />EACH OCCURENCE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />EMPLOYEM'UMIM Y N <br />ANY PROPflIETOR PARTNER EXECUTVE <br />OFFICER/MEMBER &CLUDED. <br />TORYLIMITS E0. <br />E.1- EACH ACCIDENT <br />(Mandatary in NMI <br />SPECIAL PROVISIONS below <br />E.L DISFASE-EAAMPLOYEE <br />E. L. DISEASE -POLICY UMR <br />OTTER <br />> <br />DESCRIPTION OF OPERATIONS/ IOGTONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROMLONS <br />It is understsud and agreed that the following entity is added as an additional insured but onlywAh res,I(,) m the overstress ofthe named insured evcgp[j�Vgl 0ru Hing Trym�haaEi sole <br />negligence. {Q`t'iYb V11 <br />City of Santa Ana, ds Officers, agents and employees <br />20CMc Center Ph <br />#M-25 <br />Santa Ana, CA 9270141058 <br />SHOULD ANY OF THE ABOVE DESCRIBED POUClItA)LTRNC UEO BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR M MAIL 10 DAYS LNIIITTRd NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE IFF], BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br />o-4--�cqd� <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />