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ACORD CERTIFICATE OF LIABILITY INSURANCE cyp DH DATE(mwDDm) <br />RCY-1 06/04/03 <br />PRC^rrER THIS CERTIFICATL SSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Huntington Pacific Ins. Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />18672 Florida St. Ste. 302D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Huntington Beach CA 92648 <br />Phone: 714-841-6283 INSURERS AFFORDING COVERAGE <br />INSURER A: Great American Insurance Co. <br />INSURER 8: <br />Mercy House Transitional INSURER C: -y�� <br />LivinCj Center ETAL •/ +Ki"-/ <br />P.O. BOX 1905 INSURER D: <br />Santa Ana CA 92702 <br />.-vvr_KAGES <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 />LTR <br />TYPEOFINSURANCE <br />POLICY NUMBER <br />DATE MWDDNY <br />DATE MM/DD/Y1' <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIALGENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />PAC6536218 <br />05/02/03 <br />05/02/04 <br />EACH OCCURRENCE <br />$1,000,000 <br />FIRE DAMAGE (My wefire) <br />s200,000 <br />MED EXP(Any we Person) <br />$10,000 <br />PERSONAL 3 ADV INJURY <br />$1,000,000 <br />._,i <br />GEML AGGREGATE LIMIT APPLIES PER; <br />X POLICY PRO- JECT keLOC <br />GENERALAGGREGAi. <br />S2,LLL,GLO <br />PRODUCTS -COMP/OP AGG <br />E1,000,000' <br />_ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />PAC6536218 <br />05/02/03 <br />05/02/04 <br />COMBINED <br />(Ea accident'INGLE'LIMIT <br />E1,000,000 <br />BODILY INJURY <br />(Per person) <br />E <br />X <br />BODILY INJURY <br />(Per accident) <br />S <br />X <br />PROPERTY DAMAGE <br />(Par accident) <br />E <br />GARAGE LIABILITY <br />ANY AUTO <br />APPROVED <br />AS TU v <br />u- <br />AUTO ONLY -EA ACCIDENT <br />S <br />EA ACC <br />AUTO ONLYN AGG <br />5 <br />E <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION 5 <br />Lau i Shady <br />Ptputy City At <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />l7TDCy <br />E <br />$ <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />L.L. DISEASE - E.. <br />E.L DISEASE - POLICY LIMIT <br />. <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />With respects to the additional insureds, this insurance shall not be <br />cancelled or materially reduced in coverage or limits except after (30) days <br />written notice has been given to the City of Santa Ana. <br />CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />City of Santa Ana, Community <br />Development Agency M-25 <br />Att: John Maloney <br />P.O. Box 1988 <br />Santa Ana CA 92702-1988 <br />SANTANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOS <br />DATE THEREOF, THE ISSUING INSURER WILL 9$Qj(�MAIL _30 DAYS WRITTEN <br />NOTICE � T���'O��THE <br />'�CERTIFICATE HOLDER NAMED TO THE LEFT, �..(.]�,�A,, �a,� <br />p4BJ15:ry••..,r NA*NXI T 'AjrQ�S f._1 iIEsP'f <br />