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From: Nikki r%w At: Advanced Insurance FaXID: Tit <br />of Santa Ana Date: 9/82003 04:04 PM Page: 2 of 3 <br />ACORD_ CERTIFICATE OF LIABILITY INSURANCE CASATEL DP ID DATEI09/03 <br />U91Oy/U3 <br />Advanced Insurance Marketing <br />P.O. Box 4459 <br />Orange CA 92863-4459 <br />Phone: 714-997-8100 <br />INSURED �. _ aaO3- 053 <br />Casa Terepa <br />Attn: Gayle Lewis <br />133 N Maple Ave A9 <br />Orange CA 92866 <br />COVERAGES <br />ONLY AND COI <br />HOLDER. THIS <br />ALTER THE CC <br />DOES NOT AMEND, EXTEND OR <br />)ROED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC ri <br />,_INSURERA: __ Honpretae.• Alliuco <br />INSURER B: <br />INSURER C: <br />INSURER 0: <br />THF P0. ICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />ANV Rr ]UIREMENT. TERM OR CONDI I ION OF ANY CONTRACT OR OTHFR DOCUMENT WhH RCSPCCT TO WHICH THIS CFRTIFICAI E MAYBE ISSUED OR <br />MAY PFH IAIN, i HE INSURANCE AFFORDED BY TNF POIJCIES DESCRIBED HEREIN IS SUOJEC F TO ALL THE TERMS. FACI USIONS AND <br />CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR IIJJP` <br />aTIEWY(NNMM�N <br />NSRL TYPE OF INSURANCE POLICY NUMBER DAT M�IMDCmE! <br />LIMITS <br />GENERAL. LIABILITY <br />FnCH.[cURRGN<C <br />61000000 <br />A' X COMMERGIAI GENERAL LIABILITY 20020140aND0 01/09/03 01/09/04 <br />J <br />- DAMAGE TO RENTED <br />PREMISES Ea oCcurence) <br />e100000 <br />CLAIMS MADE' X OCCUR <br />MED EXP (Any we Person) <br />310000 <br />X M39c.profa39ional <br />PERSONAL& ADV INJURY <br />$1000400 <br />X Sexual Abuse <br />I GENERALAGGRFGATE <br />S1000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />FRODUC IS-C,OMP.'Oe ASM <br />S 1000000 <br />POLICY f-- JECT !X Lac I <br />Emp Ben. <br />1000000 <br />AUTOMOBILE LIABILITY <br />CO MBINFDSINGLEUAll! <br />51,000,000 <br />A X ANYAUTO i 20020140ONPO 01/09/03 01/09/04 <br />IEa acncanV <br />ALL OWNED AUTOS <br />ILY <br />_ <br />scneuuLEU Autos <br />(P., u......URY <br />9 <br />HIREDAUTOS <br />BODILY INJURY <br />$ <br />NON-0WNED AUTOS <br />(Per nciaenl) <br />PROPERTY DANV\RF <br />�. <br />(PCI acrid C11) <br />GARAGE LIABILITY <br />AUTO ONLY - LA ACCIDENT <br />$ <br />ANY AUTO <br />OTHPR IHAN LAACC <br />5 <br />AUTO ONLY. AGG <br />S <br />EXCESSANBRELLA LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />A X ODOUR CLAIMSMADE 20D10140SUMB 01/09/03 01/09/04 <br />AGGREGATE <br />51,000,000 <br />DEDUCTIBLE <br />S <br />X RETENTION $10,000 <br />_ <br />$ <br />WORHMOCOMP[N.TATION AND C <br />IIUrY�LIM115 1,RS' <br />EMPLOYERABILITY I , <br />LI <br />E L LACI ACCIDENT <br />, <br />ANY PROPRIETORIPARTNERiEXEOUTME <br />OFFICEWMEMBER EXCLUDED? <br />L L DISEASE - to LMPLGYtt5 <br />If yesdemnee under <br />SPECIAL PROVISIONS O91q <br />' <br />F ❑ SfASF POLICY LIMIT <br />5 <br />OTHER <br />Luorne� <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENOORSEMPNT I SPECIAL PROVISIONS <br />10 Days Notice of Cancellation for non-payment/non-reporting. City of Santa <br />Ana and it's officers, agents & employees and volunteers are named <br />as <br />Primary/non Contributory additional inaurada par attached CC2026. <br />RBe Crane <br />for Pre -Natal Healthcare & Education program <br />kWyiue.i ei/3/c <br />City of Santa Ana-CDBG M-25 <br />Community Development Agency <br />P.O. Box 1988 M-25 <br />Santa Ana, CA 92702 <br />CITSANT I IHODLOANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THe EXFIRArlon <br />GATE THEREOF, THE ISSUING INSURER WILL 411011W,vL 30 DAYS WRITTEN <br />NOTICE TO THE CERnPICATP HOLDER NAMED TO THE LEFT, - <br />CORPORATION 1988 <br />