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OP ID LR wTEoz Izs MAUDS,YYYI <br />ACORD CERTIFICATE OF LIABILITY INSURANCE MARIP-z os <br />11U.LILER <br />Everest Iasur ancEE Services Inc <br />P- O- Box 10788 <br />1651 E Fourth St— Suite 150 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana CA 92701 <br />Phone: 714-569-0800 Fax: 714-569-0807 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />— <br />NaIRERA Philadelphia Indemnity <br />Ix5uRE0 <br />09- v;;� <br />INSURER V <br />I'IarlpoSa Women's CenterlT/ <br />812 Town and Country Road <br />Orange CA 92668 <br />wSURERC <br />INSURER D. <br />INSINiER E <br />E.VVCRHVCJ <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 CERTIFICATE MAY BE ISSUED OR <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN. THE INSURANCE AFFORDED <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICYEFF C VE POLICY E%PIMTION VMfiE <br />LTR NSpO TYPE OF INSVRPNCE POLICY NUMBER DATE MMNDNY MTE MMIOOttY <br />F}CN OCCURRENCE <br />5 1000000 <br />GENERAL I]PBILITV <br />CSSBr <br />PREMISESIE1DUN1e1CO <br />S 100000 _ <br />yFTOWENTED­ <br />A X X sAI ,�-IEI:�,:L-PUILn- PHPK041864 I <br />02/01/05 <br />02/01/06 <br />MED EXP IAfry mre PelNUII <br />- <br />�N AN �me �X oaoN <br />s 5000 — <br />_ <br />X (Professional Liab <br />._ <br />PERBIrui&A ,PUJRY <br />$ 1000000 <br />cENERxw'GREDATE <br />s 2000000 <br />PRODUCTS COMPPOP XCG <br />f 2000DOO <br />GEN'Lh'�'f�RE6ATE LIMITAYPLIFS PEP <br />- <br />IIILIGr - JELI LOC <br />AUTOMOBILE LWBIIJYY <br />COMBINED MINGLE LIMIT <br />g1, 0QD,DQO <br />A ANYALI. <br />f PHPK041864 <br />02/01/05 <br />02/01/06 <br />(EX nODEFO <br />u 11 NEC L r .S <br />SODILv INONDY <br />M <br />1 <br />fPer Person) <br />I nE0 LF � <br />- <br />-- <br />F[ i <br />1 <br />BOALI IIIIJIF11F.) <br />4 <br />ePp <br />X <br />PROPERN DAM4GE <br />q <br />�-ve <br />! <br />v-EAA ;IGENi <br />gPtcc LL Bllrt� <br />I (� <br />___ILL <br />F <br />c a4. <br />FWIYd <br />�S TO <br />�.DIGTO ONLY EAAcc <br />G <br />4—,— <br />APPROVED <br />----- -- <br />- <br />IGE <br />S <br />ESs <br />l <br />� I <br />..:xDla Stl <br />Attorney <br />s <br />DEUMBOCCURRF <br />f DI -INLL <br />(S,SJISL'd Dl 7 <br />�t Jn 4 <br />s <br />— <br />WC $TgiLL O <br />WORKERS COhIPENCATION PHO <br />LDPY 11MIi5-i ED ERA--___ <br />E <br />1 <br />EL EACNPOCIDENI 13 <br />F F I iP/P NFP/[ E_O'NE <br />C-P E -01 H <br />E L DISEASE EA EMPLOYEE 5 <br />C -19p6 oelm. <br />F L. DISEASE -PO ITT, MIi 5 <br />j OTNEN <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VENICLE5l EXCLUSIONS ADDED BY ENDORSEMENT I SPECNL9ROVISIONS <br />Covering: Operations of the Named Insured. Certificate Holder is named as <br />Additional Insured per C62011. 11/85 on file with insurance carrier. •10 <br />day notice of cancellation may be given for non payment of premium. <br />SANTA04 SHOULD ANY OF THE ABOVE DEECRIBEDIp IC1E5 BE CANCELLED BEFORE THE EXPIRATION <br />C1ty Of Santa Ana Community DATE THEREOF. THE IEANBG NISVRER VTLL (MIL *3D DAYS WETLEH <br />DCVel Opment Agency NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />At tn- Frank Hernandez, Mgmt <br />20 Civic Center Plaza <br />Santa Aia CA 92701 <br />