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x J ACORD CERTIFICATE OF LIABILITY INSURANCE PRODUCER MAGUIRE INSURANCE AGENCY Serial# 100257 ONLYCANDiFCONFE CONFERS I LIC1/03778d5 HOLDER. THIS CERTIFICATE 27101 PUERTA REAL, STE 200 ALTER THE COVERAGE AFF( -a-78-a►5 DATE (MIWDO/YY) 08/31/2005 NOT POLICIES BELOW. mwalvn vItJV, GA 92691 INSURED INSURERS AFFORDING COVERAGE NAIC# INSLRERA: PHILADELPHIA INDEMNITY INSURANCE FEEDBACK FOUNDATION, INC 1200 N KNOLLW OOD CIRCLE INSURER B: INSURER C: ANAHEIM, CA 92801 INSURER 0: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANy CONTRA W CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY ISSUED IN MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS IS SUED OR POLICIES, AGGREGATE LIMITS SHOWN AND CONOIBE MAY HAVE BEEN REDUCED BY PAID CLASAS.OF T"IIOFINSURANCE POLICY NUMBER D TYEFFEO POS TpN ME> GENERAL LUIBILRY UMRS A X CDMMERCVJ.GENERALLUIBILRY EACHOWaIRENCE f 1.000,000 PHPK125853 07/0W005 07/01/2006 °AMpGE TO RENTED m $ 100,000 CUIMS MADE ❑X OCCUR X PROFESSIONAL LIAB MED EXP «N s 5,000 2000000AGG PERSONALSADVIWURY S 1,000,000 GENLAGGREGATE UMITAPPUES PER GENERAL AGGREGATE $ 2,000,000 POLICY P LOC PRODUCTS-COMPIOPAGG $ 2,000,000 AUTOMOMLELWBIL/TY PHPKI25853 A X 07/01/2005 07/01/2006 ANYAUTO COMBINED SINGLE LIMITtr y 1,000,000 ALL OWNED AUTOS SCHEDULFDAUTOS BODILY INJURY $ X HIRED AUTOS P) X NON NED AUTOS BODILY INJURY $ (Feraccitlem) c�,Bemnl)DAMIgGE $ GARAGE LIABILITY AW AUTO AUTOONLY-EAACCIDENT S OTHER THAN EAACC $ AUTOONLY' E%CES$JUMBRELIA LIABILITY AGG S A X OCCURDLAIM$MODE PHUB047033 07/01/2005 07/01/2006 EACH OCCURRENCE s 1,000,000 AGGREGATE S S DEDUCTIBLE $ RETENTION S WORKERSCOMPERSATIONAND $ EMPLOYERS' LIABILITY WC TATffLIM TH- ANY PROPRIEMIUPARTNEWEXECUTNE OFFICERMEMBSR EYCLUDEDt EL EACH ACCIDENT g Ilya LPRCVISO EL DISEASE EA EMPLOYEE $ SPECIAL PROSpNS Eebx A OTHER ELDISEASE.POUCYUMIT S PHPK125853 07/01/2005 07/01/2006 BUILDING: $1,297,100 PROPERTY CRIME EMPLOYEE DISHONESTY: $100,000 DESCPoPTION OF OI+ERATprygAOOgTIpNgryEMCLE&E%p,USgNS ADDED BY EN00RSEMENRSPECIAL PROVISIONS THEFT IN/OUT: $1,000!$2,000 ADDITIONAL INSURED W ITH RESPECT TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, SUCH INSURANCE AS IS AFFORDED BY THIS POLICY IS PRIMARY AND IS NOT ADDITIONAL TO OR CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL INSUREDS, WITH THE EXCEPTION OF SOLE NEGLIGENCE OR WILLFUL MISCONDUCT BY THE CITY OF SANTA ANA CANCELLATION EXCEPTION: 10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL -EO BEFORE THE EXPIRATION CITY OF SANTA ANA DATE THEREOF THE ISSUING INSURER WILLjtob6LqoTWIA1L 3Q DAYS WRITTEN COMMUNITY DEVELOPMENT AGENCY M-25 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL ATTN: CARLA THOMPKINS IMPOSE NO OSLKL4TION OR LIABILITY OF ANY KIND UPON THE INStJRER ITS AGENTS OR PO BOX 1988 REPRESENTATIVES. SANTA ANA, CA 92702 R P I APPROVED R )VED AS TO D REPRESENTA /�.�� %CORD 25 (2001/08) 1 � �� 0 AUUHI7 CORPORATION 1988 As�slart City tor.Leq