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A-Ccw? or <br />PRODUCER <br />M,,iguite In"mince Agency, Inc <br />27TOI N-0 K-1 Suite 7fjo <br />Missio,, Vwjo, CA 92691. <br />877.438.7459 <br />INSURED <br />Ch., V 1. <br />4 F atic iancl <br />Inline, CA 92C20 2576 <br />COVERAGES <br />11/18/2015 <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO, RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />L'NIURIR A 1110,1(101phla Indemnity Iwwranre Company 18058 <br />INSURER 8 <br />INSURFR( <br />INSURER F: <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 CERIFICATION 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRD TYPE or INSURANCE POLICY NO MBER DATE (MrVI/DUjYYYY) DATE (MM/DV/YYYY) LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />PHPK661902-005 <br />1211712015 <br />12/1712016, <br />FACHOCCURENCE <br />$1,0D0,000 <br />X COMMkRCIAL GE NERAL LIABILITY <br />Em I's mint <br />CLAIMS HE El -1111K <br />$2,500 <br />M. I'R[7EFSSICiNAl. API I I TY <br />PFFSONAL8 ADVINJURY <br />S 1,000,000 <br />--- — — --------- <br />.,!,�ENERAI AGGREGAWF <br />53 Q 0 0 0 1 0 <br />GEN`L AGGREGAI E LINIII APPLIFS PER <br />I'PODUCTS- COMP IOPAGG <br />53,000,000 <br />X I POLICY F] PROIFCT [0C <br />Ll <br />AUTOMOBILE <br />LIABILITY <br />COMBINED 9NN f, LIMI I <br />ANYAM0 <br />(EA acddlpit) <br />-J— <br />ALI. OWNED AUTOS <br />1300h Y INI URY <br />SCHEDULED AUTOS <br />HIRED AU POS <br />W )I)IIY INWRY <br />NON-OWNEDAUTOS <br />H�t�ROPLR <br />I Y DAMAW, <br />lei accjdenk) <br />GARAGE LIABILITY <br />_AUPOONLY EA ACCIDENT <br />ANYAUTO <br />07 HER THAN EA ACC <br />AUTO ONLY <br />AGG <br />EXCESS I UMBRELLA LIABILITY <br />EACH OCCURFNCE <br />OCCUR El CIAIM5NIADE <br />AGGREGATE <br />DEDUCI IBLF <br />RETENTION <br />WORKERS CONIPERTAUTIMN NAND <br />WC SI At U- O <br />EMPLOYERSLIABILITY <br />TORY LIMIIVS ER <br />_Y/N <br />ANY PROPRIEToRIPARTNIFR/Fx[() r��g,lVt, <br />crFICER/MrMHER EXCC UI7EL7d <br />F L LMN ACOUENT <br />EI-015EASk- FAAMP10YEE <br />(Mandatory in NHj <br />If yes, ,le, <br />E 1'r tJISFASE --POLICY LIMIT <br />SPECIAL PROVISIONS Let— <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONSI VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVIVONS <br />It is understood and aglel,-d that t1u, following entity is added as an additional ie"—d but only wnh 'epect(s) to the ope'likion's of the ."rued Insured except that IlabilLy lesoWng froR, the adds Irma, jnsk—d g 9.10 <br />p"Flige'— <br />CERTIFICATE HOLDER CANCELLATION <br />Conimnity Red-elopownf Agency Of the CrLv Of S—I. Arc. <br />20 CLvic Center Plaza ( M 25) <br />Sarah Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. .1 <br />AUTHORIZED REPRESENTATIVE <br />tv-) � <br />J, r. X`( <br />ACORD 25 (2009/01) OC 1988-2009 ACORD CORPORATION, All <br />The ACORD name and logo are registered marks of ACORD "I <br />