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Client#: 12718 <br />MOULEPOLY <br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE <br />" <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />o2;,,2I6 <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 />POOLICY EXPIRATION <br />LIMITS <br />626 844.1070 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Elizabeth Moule & Stefanos Polyzoides <br />180 E. California Blvd. <br />INSURERA: Hudson Insurance Company <br />INSURER B: <br />GENERAL LIABILITY <br />Pasadena, CA 91105 <br />INSURER C <br />INSURERD: <br />NSURER E <br />COMMERCIAL GENERAL LIABILITY <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 />LTR <br />kDV <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE IMWDDFM <br />POOLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGETORENTED $ <br />CLAIMS MADE I—] OCCUR <br />MED EXP(My one Peron) $ <br />PERSONAL &ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GENLAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $ <br />POLICY PRO LOC <br />jF <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Ea aoaaent) $ <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />SCHEDULED AUTOS <br />(Per Person) <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br />W <br />NON -OWNED AUTOS <br />(Per..dent) <br />PROPERTY DAMAGE $ <br />(Per e.dent) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHERTHAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGO $ <br />E%CESSIIIMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR CLAIMS MADE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WCSTATU- I OTH- <br />I <br />EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT $ <br />ANYCERIMEETORIPARTNDED? DOTIVE <br />E.L. DISEASE -EA EMPLOYEE $ <br />OFFICERIMEMBER EXCLUDED? <br />Ie es, aescriee under <br />E.L. DISEASE - POLICY LIMIT IS <br />SPECIAL PROVISIONS eelow <br />A <br />OTHER Professional <br />AEE7142800 <br />O6/16I05 <br />06I16I06 <br />$2,000,000 per claim <br />Liability <br />$2,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <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 />OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL An DAYS MITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF My KING UPON THE INSURER, ITS AGENTS OR <br />NI�VRV Li11CVY IIVO/'I Or I SS7D73'L//M73267D TLV U• MLUKU{ UKrUKAl1UN IB65 <br />