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COR CERTIFICATE OF LIABILITY INSURANCE <br />DATE ' "' " 1 28112015 2016' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(B), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policyges) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such Gndomoment s , <br />PRODUCER <br />MPX Insurance Services, Inc. <br />26800 Aliso Viejo Pkwy # 130 <br />Allso Viejo, CA 92656 <br />License #: OH49306 <br />COMM TACT Juliana Pe e <br />Pulo E _ gag 3343330 PA (949)281-2677 <br />-MAa ullena m com <br />INSURER MI) AFFQRDINOC VEM E <br />NAIC M <br />A UPRENCE <br />INSORE A, <br />S <br />INSURED Frank Mirlahangir <br />_ <br />INSURER B: <br />$ <br />h8unint C; <br />DBA7AMIRAN CONSTRUCTION <br />INSURER D <br />GEN'LAOOREOATEUMITAPPIIFSPF.R: <br />POLICY <br />15145 Woodlawn Ave <br />PR00 TS- COMPIOPAGG <br />$ <br />Ste 2DO <br />U <br />A <br />Tustin, CA 92780-6460 <br />COVERAGES CERTIFICATE NUMBER: 9999252422405 REVISION NUMBER: 9 <br />THIS IS TO CERTIFY THAT THE POLICIES OP INSURANCC LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN R <br />TrypE OR INSURANCE <br />UD <br />9 aK <br />L DE <br />POLI CFy <br />LICY EkP <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />JAP <br />A UPRENCE <br />OA GET e <br />MED EXP An ono arson <br />S <br />S �- <br />PERSONALAAOVINJURY <br />$ <br />GENERALAGOREGATB <br />GEN'LAOOREOATEUMITAPPIIFSPF.R: <br />POLICY <br />P LOC <br />PR00 TS- COMPIOPAGG <br />$ <br />3 <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED (qSCCUTHTEOULED <br />AUTOS L X HNEUAIJTOS NON 8WNBO <br />AUTOS <br />BA040000006351 <br />05/03/2014 <br />0510312015 <br />MBI EOSSNOLELIMIT <br />P 1.B <br />ROPILY IHJURY(Per persm) <br />$ <br />BOD�DAN-0� INJURY (Per (deRD <br />S <br />PRU <br />UMBRELLALIAS <br />EXCESSLAS <br />OC CUR <br />CLAIMS -MADE <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />OEO 1 1 RETENTIONS <br />$ <br />WORI(ERSCOMPENSATION <br />AND DMPLOYERS' LIABILITY <br />ANY PROPRIETOPUPARTNERIEXECUTIVE YIN <br />OrnCEF)MCMDER fXCLUWD9 O <br />(rvlse .'ln Ni l) <br />I(yyeess,, III undBT <br />DEDCRIPTION000PE TIONShel" <br />Nln <br />N1C 31'ATU- 0 tip <br />E.L. EACH ACCIDEIF <br />£ <br />E.L. DISEASE- EAEMPLOYCE <br />S <br />E.L DISCASE - POLICY LIMIT <br />S <br />DESCRIPTION OF OFFrIONS I LOCATIONS f VEHICLES (Attach ACORD 100, Addlllonai Ramarb Schedule, It more apace Is taquimcd <br />CertiCcate Holder is listed as additonal inureds on this policy <br />AMIRAN CONSTRUCTION AGR# TBD REVIEWED BYy EUNICE HEREDIA (PG. 1 of 2) <br />CERTIFICATE HOLDER CANCELLATION <br />Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center Plaza <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. Box 1988 <br />AU 100.1 ED REPR- hNTAi'IVF. <br />Santa Ana, CA 92701 <br />JAP <br />61988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Printed by JAP On January 25, 2015 at 10:52AM <br />