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2020/05/19 Julie Werhnyak Certificate of Liability Insurance (4)
ACORD 25 (2009/01)© 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/14/2020 THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Maguire Insurance Agency, Inc. FWI 1 Bala Plz Ste 100 Bala Cynwyd, PA 19004-1401 610.617.7900 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURER B: INSURER C: INSURER D: INSURED Julie Werhnyak 1717 E Morten Ave Phoenix, AZ 85020-4624 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED ORMAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCHPOLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY)LIMITS GENERAL LIABILITY EACH OCCURENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence)$100,000 CLAIMS MADE X OCCUR MED EXP (Any one person)$2,500 X PROFESSIONAL LIABILITY PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS – COMP/OP AGG $3,000,000 A X X POLICY PROJECT LOC PHPK1338775-005 05/19/2020 05/19/2021 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT(EA accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) PROPERTY DAMAGE(Per accident) GARAGE LIABILITY AUTO ONLY – EA ACCIDENT ANY AUTO EA ACC OTHER THANAUTO ONLY:AGG EXCESS / UMBRELLA LIABILITY EACH OCCURENCE OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y/N WC STATU-TORY LIMITS OTH-ERANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?E.L. EACH ACCIDENT (Mandatory in NH)E.L. DISEASE – EA AMPLOYEE If yes, describe underSPECIAL PROVISIONS below E.L. DISEASE – POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS It is understood and agreed that the following entity is added as an additional insured but only with respect(s) to the operations of the named insured except that liability resulting from the additional insured's sole negligence. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Menifee Police Department: Advanced Defensive Tactics Training Program 29844 Haun Rd Menifee, CA 92586- AUTHORIZED REPRESENTATIVE DocuSign Envelope ID: 0A86203F-D52B-4D5F-B02C-D5004A5149F5