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1 <br />Client#: 12718 MOULEPOLY <br />ACORU. CERTIFICATE OF LIABILITY INSURANCE <br />Y" <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH. <br />0 712006 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates <br />199 S Los Robles Ave Ste 540 <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 />Pasadena, CA 91101 <br />PDATEIMNIO TION <br />626 8443070 <br />INSURERS AFFORDING COVERAGE NAIC N <br />INSURED <br />INSURER AHudson Insurance Company <br />Elizabeth Moule & Stefanos Polyzoides <br />180 E. California Blvd, <br />Pasadena, CA 91105 <br />INSURER B' <br />INSURER C: <br />INSURER D' <br />INSURER E. <br />COVERAGES <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />NSR <br />LTR <br />NDUL <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />PATEN FDECTIVE <br />PDATEIMNIO TION <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGETOREMEDPREMISES (Ea o�n-encan $ <br />CLAIMS MADE OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL S ADV INJURY $ <br />GENERALAGGREGATE $ <br />GENL AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />POLICY <br />PRP LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT $ <br />(Ea amdent) <br />BODILY INJURY <br />(Perp .) $ <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY $ <br />(Pa actltlentl <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per al'nde ) <br />GARAGE LABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHERTHAN EA ACC $ <br />ANY AUTO <br />- <br />._.-_-_--/�. } <br />•' <br />—'-_ —f— <br />"" "- <br />Y I ( <br />/ <br />AUTO ONLY: AGO $ <br />EXCESSIUMBRELLA <br />UABILITY <br />/ ,_.. <br />,. <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR F-1 CLAIMS MADE <br />8 <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION ANpWC <br />STATU- OTH- <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACOiDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />OFFICER/MEMBER EXCLUDED? <br />If yes, dae nbo ender <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />A <br />OTHER Professional <br />AEE7142800 <br />06116105 <br />06116106 <br />$2,000,000 per claim <br />Liability <br />$2,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSKINS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />RECEIVED <br />FE e 2 a ?006 <br />The City of Santa Ana <br />Attn: Lucy Linnaus <br />Planning and Building Agency - M20 <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ernan is rinnvnRl 4 _s4 AC1 ..101/\IA 19GYc <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL AA DAYSWRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABIUTY OF My KIND UPON THE INSURER, US AGENTS OR <br />