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ACORDw CERTIFICATE OF LIABILITY INSURANCE 01/30/2009 <br />PRODUCER (626) 599-8830 FAX (626) 599-8831 <br />Paci fi C General Insurance Servi ce5 <br />405 E. Santa Clara Street 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 />Suite 100 <br />Arcadia, CA 91006 <br />INSURERS AFFORDING COVERAGE <br />NAIL # <br />WSURED Mexican American Opportunity Foundation INSURERA Philadelphia Indemnity Insurance Company <br />401 N. Garfield Avenue INSURER 6: <br />Montebello, CA 90640 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 INDECATED. 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 LIMffS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY PHPK383790 01/30/2009 01/30/2010 EACH OCCURRENCE S 1 ~ 000 ~ 00 <br /> ~( COMMERCIAL GENERAL LIABILTfY DAMAGE TO RENTED <br />MIRFR (F~ nm,rnn $ 100 00 <br />s <br /> CLAIMS MADE a OCCUR MED EXP (Any Ona perwn) $ 5 ~~ <br />A X PERSONA(. d ADV INJURY $ 1 ~ QQQ ~ 00 <br /> GENERAL AGGREGATE $ 3 ~ QQQ ~ 00 <br /> GENL AGGREGATE LIMB APPLIES PER: PRODUCTS -COMPlOP AGG 3 3 ~ QQQ ~ QQ <br /> X POLICY JECa7 LOC <br /> AUTOMOBILE LU161UTY PHPK383790 01/30/2009 O1/3U/2UlU COMBINED SINGLE LIMIT <br /> <br />)( ANY AUTO <br />(Ea aocldent) $ <br />1, 000 ~ 00 <br /> ALL OWNED AUT03 <br />BODILY INJURY <br /> <br />P $ <br />A X SCHEDULED AUTOS erparacnt <br />( <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY • EA ACCIDENT S <br /> ANY AUTO ~ ~EAACC <br />OTHER THAN _ S <br /> } AUTO ONLY: AGG S <br /> EXCESSRJMBRELLA LIABILITY _ <br />~ `-~ ~ EACH OCCURRENCE 5 <br /> X OCCUR ~ CLAIMS MADE tt~~ <br />~ <br />v ~ V <br />~ AGGREGATE S S , OOO OO <br />A x AppR ~~. s,ooa,ooo <br /> DEDUCTIBLE <br />u ~ ,- <br />J $ <br /> X 10 <br />00 i~ <br />R a~~v" <br /> RETENTION S <br />, 1,~ <br />tl~y $ <br /> WORKERS COMPENSATION AND " ~,1U <br />~ t Y t WC STATU- OTH- <br /> EMPLOYERS LIABILITY ~gC2.n <br /> <br />ANY PROPRIETOR/PARTNER/D(ECUTtVE SS <br />~f. E.L. EACH ACCIDENT $ <br /> OFFICERMtEMBER EXCLUDED? <br />li <br />tl <br />ib <br />d E.L. DISEASE - EA EMPLOYE $ <br /> yes, <br />eacr <br />a In <br />et <br />SPECIAL PROVISIONS below _ <br />E.L. DISEASE - POLICY LIMB <br />S <br /> OTF}ER PHPK383790 01/30/2009 01/30/2010 See Below <br />A rime <br />rof. Liab. PHPK383790 O1 30 2009 <br />/ / O1 30/2010 <br />/ $1,000 000 Occ $3 000 000 A <br />/ gg <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECUIL PROVISION9 <br />mployee Dishonesty: $1,000,000 Forgery or Alteration: $100,000 Burglary & Robbery: $100,000 <br />heft Disappearance & Destruction: $100,000 <br />rogram ;#32 <br />TEN DAY NOTICE OF CANCELLATION SHALL APPLY FOR NON-PAYMENT OF PREMIUM. <br />Santa Ana Work Center <br />1000 E. Santa Ana, Suite 200 <br />Santa Ana, CA 92701 <br />ACORD 25 (2001108) <br />~) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL i~11f~X,d6 MAIL <br />3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />lEBU(D~d~iXt~O(rKMdlM~ld~b14a51fXi~t,1f~(XX <br />©ACORD CORPORATION 1988 <br /> <br />