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. 03/10(2003 04:44 <br />.41CORD <br />714842253'' ^, <! <br />L <br />.... _ <br />A-aoo3 - 052 <br />~-.- ("'~ PAGE 02/03 <br />CERTIFICATE QF LIABILITY INSURANCC I ~~AT ~tMMroDiYn <br />+.r4. cn~ia lL: i1V.y UltEi1V(.F: THIS CEI <br />AGENCY ONLY ql <br />18672 FLOR2DA ST. ST&_ 302-D AD ERER. <br />HUNTINGTON BEACH CA 92648 <br />IsuED AS A MATTER OF INFORMATION <br />NO RIGHTS UPON THE CERTIFICATE <br />:ATE DOES NOT AMEND, E7tTEND OR <br />APPOHOCO DT THE POLICIES 9EfLOW <br />INSURERS AFFORDING COVERAGE <br />Anaheim Interfaith Shelter <br />P.O.Box 528 <br />Anaheim,Ca 92815 <br />INSURER A(~Yfi~1- n^`''~-1CJ3p-~~ <br />sur-aneE~ ,coup <br />INSURER B: <br />INSURER D' <br />COVEFAGES <br />THE POLICES OF INSURANCE LISTED 9ELOW HAVE BEEN ISSUED Tp THE INSURED NAMED ADOVE POR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY FiE0U1REMENT, TERM OR CONORION OF Ahry CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI-0S CERTIFICATE MAY 9E ISSUED OR <br />MAY i'ERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONC qNp CONDITIONS O~ SUCH <br />POLICIES. AGGREGATE LI(dITS SHOWN MAV HAVE BEEN REDUCED 8V PAID CWMS. <br />~ TYPE OF INSURANCE <br />-~`. <br />POLCY NUMBER FOUCY EFFECTIVE POLILYEYPIRATION OMITS <br />~ERAL U481UTY <br />` <br />H <br />, <br />y <br />y.^, <br />AA COMMERCIAL GENERAL UAeIIfT" EACH OCCURRENCE $ <br />"~~~-- <br /> <br />~CLAIM9 MPDE ®OCCUR <br />PA I Fl~ RE CAMAGE (Any one fim) 3 O.O~A-O"O_ . <br /> C 5374338 3/9/03 3/9/04 IMED E%P (Arry onn Perann7 E ~"O.OA <br /> <br />A ._.... <br /> PER9CINALAgDVINJURY __ 81,000,000 <br />._" GENE(UL AGGREGATE rVOO~~O~---- <br />-rv <br />GEMLAGGREGATELMRAPPUEGOeR <br />F'RO• PRODIIGTS-COMPIaP AOG a-OQO.+-OA.O___ . <br /> POLICY <br />LOG <br /> J <br /> AN'OMOBILE UAEIILITY <br /> <br />avv AVro COMB~NED SINGLE UMR <br />tEw:. b~ml <br />5300, 000 <br /> gLLDwNED Auras <br />BODICrINJVRY <br /> <br />bC:F{EDULEO AUTOS <br />(Per pt non? $ <br /> HIRED AUTCIS BODIL°INJURV $ <br /> <br />A NON-0WNEO AVTOS <br />PAC 5374338 <br />3{9/03 <br />3/9/04 IPBr NGC.1anR <br />-'- <br />PROPEiRTY DAMAGE <br />"-""-' <br /> $ <br /> (Fer aedtlenp <br /> GAiIAOE LIABILITY AUTO VNLY"Ea ACCIDENT $ ~ <br />_--- <br /> ANY AUTO OTHEE THAN EA ACG $ <br />.. <br /> AIfTO ONLY ACG ,._, <br />$ <br /> E%C ESb UABIUTY EACH JCOVRRENGF. E ~j <br /> OCCUR ~ CLAIMS MAD, 0.GORI:""GATE <br />.~ E _ <br />91 <br /> -- ,t~i'y cis .a.3 ~ <br />• i0 FORM "_ <br />- <br />~ __". <br />' <br />~ <br /> DEDUCTIPLE ... _ 5 <br /> <br /> <br />WOi1CERSCOMPENBATIONAND <br />~ '~CL,L1 _ VIC STATU- OTH- <br />=t IMrtb EP <br />~_ <br />- <br />_---- <br /> EMPLOYERS' LIABILITY ,!l~~~i I <br />E.L ETCH ACCIDENT - - <br />L_ _ ". <br /> I (~jt~ '~fIOTt)CV E.L DCiEP`+F__EA CMPLOYEE " <br />E _ I <br />' E.L DISEASE-F000Y UTAR I <br />E l <br />I DTFIER 'I I <br />1 <br />A Abuse/5ublimit PAC 5374338 3/9/03 3/9/04 525,000 Per Occurrence I <br /> $ FQS1(i AOOreaat^n ~ <br />DE9CRIP-'ION OF OPERATIONS/LOCATIONSryenICLES/E%e4uslOrvs gppEU eT enwnsemm ~ISrc~wL .na.rmwn= <br />City of Santa Ana,Community Development <br />Agency M-25 <br />P.O.Box 1988 <br />Santa Ana,Ca 92701-1988 <br />9HOUL0 ANYOF THE gBOVE DESCRIBED POLICIES BE LANCELLEPBEFORE THE E%PIRPTIOH <br />DATE TNEREOf,TNE139U1NG INSURER WILpOMAIL ~_OAVS WRITTEN <br />uoncE Te THE CERTIFIGTE MDLQELNAMF.D TO THE LEFT <br />(797) ` A AdORD CORPORATION 1988 <br />