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ACORD,M CERTIFICATE OF LIABILITY INSURANCE Uo22 o3-2aAT2olo <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> PAYCHEX INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2107 0 5 P : - F : (8 8 8) 443 - 6112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> PO BOX 33015 <br /> SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE <br /> INSURED INSURERA:MUltl le Com anies <br /> INSURER B: <br /> PERFORMANCE EXCELLENCE PARTNERS INC INSURER C: <br /> 2 0 911 CABRI LLO LN . INSURER D: <br /> HUNTINGTON BEACH CA 92646 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 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 /> <br /> /NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECT/VE POLICY EXP/RAT/ON L/M?S <br /> LTR DATE MM D ATE MM D Y <br /> GENERAL L/AB/1/TY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) S <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) 5 <br /> PERSONAL & ADV INJURY S <br /> GENERAL AGGREGATE S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG S <br /> POUCY PE OT LOC <br /> AUTOMOBILE LlAB/L/TY <br /> COMBINED SINGLE LIMIT S <br /> ANY AUTO IEa accident) <br /> ALL OWNED AUTOS i~(~1 ~O <br /> 'JS V" BODILY INJURY S <br /> SCHEDULED AUTOS nwr~RQ (Per person) <br /> HIRED AUTOS i~^' ( ~d ~ BODILY INJURY S <br /> NON-OWNED AUTOS ~ L O~~K (Per accident) <br /> 1.~--' ~t C~ Attorn~Y PROPERTY DAMAGE S <br /> IPer accident) <br /> GARAGE L/AB/L?Y AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO ~ EA ACC S <br /> OTHER THAN <br /> AUTO ONLY: AGG 5 <br /> EXCESS UAB/L/TY EACH OCCURRENCE S <br /> OCCUR ~ CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE S <br /> RETENTION S S <br /> WORKERS COMPENSATION AND X WC STATU- OTH- <br /> A EMPLOYERS'UABlL/TY 76 WEG NZ1547 05/03/09 05/03/10 E. L. EACH ACCIDENT S1 000 Ooo <br /> E.L. DISEASE - EA EMPLOYEE S1 , O O O , O O O <br /> E.L. DISEASE -POLICY LIMIT 51 , ~ ~ 0 0 0 <br /> OTHER <br /> DESCR/PT/ON OF OPERATIONS/LOCAT/ONS/VEHICLES/EXCLUS/ONS ADDED BY ENDORSEMENT/SPEC/AL PROVISIONS <br /> Those usual to the Insured's Operations. <br /> CERTIFICATE HOLDER ADD/T/ONAL INSURED; INSURER LETTER: CANCELLATION <br /> Clt Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> y EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> EC0110m1C Development D1V1 S lOn 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE <br /> Attn : Chris Dal ton HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> 2 0 CIVIC CENTER PLZ # M2 5 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> SANTA ANA, CA 92701 <br /> AUTHORIZE EPRESENTATIVE <br /> G~--C~ <br /> ACORD 25-S (7/97) ®ACORD CORPORATION 1988 <br /> <br />