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MAR-12-03 11:01 FROH:C & P ISLIRANCE SERVICES ID:562SRS4259 PAGE 1/1 <br />Policy NUrnIx PS 34632555 <br />ACORD,� CERTIFICATE OF LIABILITY INSURANCE <br />I 3/12/2003 <br />PRODUCER <br />3580 pacific Coast Highway Suite 3 <br />Long Beach, CA 90804-1980 <br />(562) 986-4251 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURED AFFORDING COVERAGE <br />INSURED Orange County Bar Foundation <br />313 N. Birch Street 2nd Floor <br />Santa Ara, CA 92701-5263 <br />INSVRERA: Nary Y Company <br />INSURER United States Liability Inaaraace CO. <br />INSURER G <br />NRAERa <br />INSURER C <br />f Ax=OMCa <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASWE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 />IJIL NSR <br />TYPEOFINSURANCE <br />POLICY NUMBER <br />POUC/EFRECTNE <br />POUCYEfPIRATRIN <br />UNITS <br />OENERAL LIABILITYEACH <br />OCCURRENCE <br />S1,00 , O <br />A <br />COMMERCIAL GENERAL LAeLRY <br />toAMSMADE ®OCCUR <br />PPS 34632555 <br />3/15/2003 <br />3/15/2004 <br />nREDAMAGE(AM*m** <br />fl, 0 ,000 <br />MEDEM(A.Ya p*=n) <br />S 10,000 <br />Broad Form Prop <br />PERSONAL 4 ADV INJURY <br />f1,000,000 <br />Contractual Lis <br />GENERALAGM83ATE <br />f 2;D00,000 <br />GENL AGGREGATE <br />UMRAPPUES PER: <br />PRODUCTS-COMPDPAGG <br />$2,000,000 <br />POLICY <br />PRO• rx LOC <br />A <br />AUTOMOBILE <br />LIMMUTY <br />ANYAUTO <br />PPS 34632555 <br />3/15/2003 <br />3/15/2004 <br />COMBNED SINGLE LIMIT <br />(FA ucWMO <br />$1,000,000 <br />SOOILY INJURY <br />Owpaw^) <br />S <br />ALL OWNED AUTOS <br />SCHEDULED ALTOS <br />SOOKYINJURY -0 <br />(PwweMet) <br />$ <br />HIREDAUTOB <br />ED <br />N0140NNAUTOS <br />PROPERTYDAMAGE <br />(Pwacdd0 ) <br />$ <br />DAMAGE LMaBTTY <br />APPROVED AS <br />TO FORA <br />ALMOONLY.EAACOIDENT <br />f <br />OTHER THAN EAACC <br />AUTO ONLY. AGO <br />5 <br />ANYAUTD <br />S <br />EXCESSLNBLRY <br />OCCUR C CLAMLSMADE <br />L2 r eedy <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />Deputy City Attor <br />Cy <br />S <br />f <br />DEDUCTIBLE <br />S <br />RETENMN! S <br />WORKERS COMPENSATION AMID <br />WCSTA OTII <br />EMPLOYER& LWSITY <br />EL. EACH ACGDENT <br />f <br />EL. DISEASE - EA EMPLOYEE <br />S <br />EL. DISEASE• PCUCYLMAT <br />$ <br />B <br />OTHER Directors G <br />MD01021016A <br />5 1 <br />5 1 3 <br />per Occur*nce 1,000,000 <br />Officers Liability <br />Including Znploysant <br />Aggregate S 1,000,000 <br />Insurance <br />Practices Liability <br />Deductible $ 1,000 <br />DESCRIPTIONOFOPERATN)WILOCATpNSIVEHCLESIERWMI CONSADDED BYENDORSEMEKn CAIPROWR)W <br />The City of Santa =a, its officers, agents, employees and volunteers are named as addition <br />insureds per attached Additional Insured endorsement. <br />*10 day notice of cancellation in the avant of nonpayment of premium. <br />Sent via fascimile: (714) 647-6515 <br />City of Santa Ana-CDEG M-25 <br />CO=MUL3.ty Development Agency <br />P.O. Box 1988 M-25 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES IR CANCELLED BEFORE THE E%HRATR)N <br />DATE THEREOF, THE ISSUING INSURER WILL MAL*30 DAYS WRRTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, �l <br />Santa Ana, CA 92702 Attn: Laura Sheady <br />Charles West <br />P <br />