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CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/20/Y <br />ACORO® a/13/zD1Y <br />PRODUCER <br />Maguire Insurance Agenry, Inc. <br />27101 Puerta Real Suite 200 <br />Mission Viejo, CA 92691- <br />877.438.7459 <br />INSURED <br />Cho" V Le <br />0 Rabrlano <br />Irvine, CA 92620-2576 <br />COVERAGES <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 />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 <br />ADD-L <br />POLICY EFFECTIVE <br />POUCY EXPIRATION <br />LTR <br />INSRD <br />TYPEOFINSURANCE <br />POUCY NUMBER <br />DATE(MM/DD/YYYY) <br />DATE(MM/DD/YYYY) <br />LIMITS <br />A <br />X <br />GENERALLIABILRY <br />PHPK661902-007 <br />12/17/2017 <br />12/171.1. <br />EACH OCCURENCE <br />$1,000p00 <br />MMERCIAL GENERAL UABILITY <br />CLAIM$MADE �% OCCUR <br />PREMIORE SEST Ea occurrence <br />—OWT�PROFESSIONAL <br />$100,000 <br />MED E%P(Any one person) <br />$2,500 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />LIABILITY <br />GENERAL AGGREGATE <br />$3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS—COMP/OPAGG <br />$3,000,000 <br />% POLICY PROJECT LOC <br />AUTOMOBILE <br />UABILRY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(EA accident) <br />ALLOWNED AUTOS <br />BODILY INJURY <br />SCHEDULEDAUTOS <br />(perperson) <br />HIREDAUTOS <br />BODILYINJURY <br />NON-OWNEDAUT05 <br />(Peraccident) <br />PROPERTY DAMAGE <br />(Peraccident) <br />GARAGEUABIUTY <br />AUTO ONLY —EA ACCIDENT <br />ANYAUTO <br />OTHER THAN EAACC <br />ALITOO <br />AUTOONLY: pGGGG <br />EXCESS/ UMBRELLA UABILITY <br />OCCUR11 CIAIMSMADE <br />• <br />EACH OCCURENCE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTIONa- <br />n"v-v1 ed�� <br />V " <br />r�L <br />V <br />EMPLOYERS, LIABILITY // Y/N <br />ANY <br />ICER/MEMBERREXC O�EOPIXECUTIVE � <br />u <br />/ <br />L <br />0;0G <br />/� J <br />W <br />TORY LIMITS FOP - <br />E.L. EACH ACCIDENT <br />(Mandatory in NH) <br />Ry scribe <br />SPECIAL PflOVI510N5 below <br />p <br />/+�V <br />,�.l <br />(J •\V'L, <br />` , <br />E.L. DISEASE —EA AMPLOYEE <br />E.L. DISEASE — POLICY LIMIT <br />OTHER <br />I <br />� <br />Lp <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSION5 ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />It is understood and agreed that the following entity is added as an additional insured but only with respe"t(s) W the operations of the named insured except that (lability resulting from the additional Insured's sole <br />negligence. <br />Cityof Santa Ana, its officers, employees, agents, representatives & volunteers <br />20 Civic Center Plaza M-25 <br />Santa 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 SO SHALL IMPOSE NO OBUGATION OR <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />