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0-7 -Z <br />��V� MIA "i 1_1 <br />ACORD. CERTIFICA � E OF LIABILITY INSURAtdCE OATEI614/211 03""' <br />0 <br />ODUCER (805) 965-0071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />own & Brown Insurance / MFC&V Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />D. Box 1469 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Inta Barbara, CA 93102-1469 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Legal Aid Society of Orange County INSURER A: Travelers Property & Casualty <br />902 North Main Street INSURER B: <br />Santa Ana, CA 92701-0000 <br />INSURER C: <br />INSURER D: <br />(-OVFRA(41-S <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 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 />1INSURANCE <br />POLICY NUMBER <br />POLICYEFFECTIVE <br />POLICY EXPIRATION <br />MMfDDrCn <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,00 <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />660409X708A03 <br />5/312003 <br />5/3/2004 <br />UAVAUPREMISE IUK NI EUnce <br />$ 100,00 <br />MED EXP (Any one person) <br />$ 5,00 <br />PERSONAL &ADV INJURY <br />$ EXCLUDED <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ 2,000,00 <br />POLICYPRO- X LOC <br />JECT <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />810776Y433A03 <br />5/3/2003 <br />51312004 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,00 <br />BODILY INJURY <br />(Per parson) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />BODILY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHEHAN EA ACC <br />$ <br />ANY AUTO <br />8 <br />AUTO ON <br />AUTO ONLY: AGG <br />A <br />EXCESSPJMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />CUP2651-1884C <br />5/3/2003 <br />5/3/2004 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />AGGREGATE <br />$ 1,000,00 <br />8 <br />8 <br />DEDUCTIBLE <br />X RETENTION $ 10,000 <br />$ <br />WORI ERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />CSTA OTH- <br />TWRY .MI R <br />I <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE - EA EMPLOYEEI <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />Des, describe <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />OTHER <br />Aj PRO'TEI <br />AS TO FORM <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />See attached page. <br />I I <br />!?eP!ty :.;{ty fit�Ilrncy. <br />City of Santa Ana - CDBG M-25 <br />Community Development Agency <br />PO Box 1988 M-15 <br />Santa Ana, CA 92702- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WR;TTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ii!)ffiXlli(AQt(1tltlxlX\LL <br />i <br />© AC <br />