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CERTIFIC,' TE OF LIABILITY INSI''' <br />ANCE <br />ACORD <br />. <br />~ os~is/zoos <br />P ODUCER (626)599-8830 FAX (626)599-8831 <br />aci fiC General Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />OS E. Santa Clara Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />uite 100 <br />:adla, CA 91006 INSURERS AFFORDING COVERAGE <br />I aJRED The Cambodian Family INSURER A: Philadelphia Indemnity Ins. Co <br />1111 E. Wakeham Avenue INSURER B: <br />Suite E INSURERQ <br />Santa Ana, CA 92705 INSURER D: <br /> INSURER E: <br />C VERAGES <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 CERTIFICATE MAV 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 MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />L R TYPE OF INSURANCE POLICY NUMBER GATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS <br />GENERAL LIABILITY HPK043151 03/09/2003 03/09/2004 EACH OCCURRENCE E 1, OOO, DDD <br />X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any pne Ore) E 100, DD <br /> CLAIMS MADE ~ OCCUR MED EXP (Any ona pesos) S 5 ,DDD <br /> PERSONALSADV INJURY $ 1, DDD, DDD <br /> GENERAL AGGREGATE E 3,000,00 <br />GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMP/OP AGG E 1,000,000 <br />POLICY PRO- LOC <br />JECT <br />AUT OMOBILE LIABILITY HPK0431S1 03/09/2003 03/09/2004 COMBINED SINGLE LIMIT <br /> <br />ANV AUTO <br />(Ea acdtlenq $ <br />1, DDD, DDD <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />S <br />X SCHEDULED AUTOS (Per person) <br />X HIRED AUTOS <br />BODILY INJURY <br />$ <br />X NON-OWNED AUTOS (Per acciOenU <br /> PROPERTY DAMAGE S <br /> (Per acdtlent) <br />GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTOONLY: AGG S <br />EXCESS LIABILITY <br />D ~~ t o <br />~ ~~~~~~~~~~~ EACH OCCURRENCE S <br />OCCUR ~ CLAIMS MADE A~S~IGOV E AGGREGATE $ <br /> $ <br /> DEDUCTIBLE ~ S <br /> RETENTION E t~~•~( S <br />WORHERS COMPENSATION AND <br />' T)¢llll C`((V-~(l OTt1CY <br />I y TORY LIMIT$ ER <br />LIABILITY <br />EMPLOYERS E.L. EACH ACCIDENT $ <br /> E.L. DISEASE-EA EMPLOYE S <br /> E.L. DISEASE -POLICY LIMIT $ <br />OTHER HPK0431S1 03/09/2003 03/09/2004 $S00 Ded Comp/$1,000 Ded Coll. <br />uto Physical Damage <br />A us Personal Property HPK043151 03/09/2003 03/09/2004 $121,000 Limits/$S00 Ded <br />Prof Liab HPK043151 03/09/2003 03/09/2004 $1,000,000 Limits <br />OE CRIPTION OF OPERATIONSILOCATiONSNEHICLES/EXCLUSIONS ADDSD BY ENDORSEMENT/SPECIAL PROVISIONS <br />c edule of vehicles & drivers: On file <br />e tificate Holder is named as Additional Insured <br />en day Notice of Cancellation shall be given in the event of non-payment of premium <br />C ]RTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br />City of Santa Ana <br />Community Development Agency <br />CDGB M-25 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL x~~ MAIL <br />~_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />EC9mEkX)l~>!iD(X4(D~iCIX9aX719~04XA1tJQ1(9lSC9Q%X+%%94k9BXxXXX <br />