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CORD. CERTIFICATE OF LIABILITY INSURANCE OP ID P DATE (MM DD YYYY) HUMAOPl 09 24 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Advanced Insurance Marketing HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 4459 - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orange CA 92863-4459 Phone: 714-997-8100 INSURERS AFFORDING COVERAGE NAIC 0 INSURED O?ao3-&7 - �i/, INSURER A: Pbila 1pLia Inda,miw Ins Co. INSURER & Human ,Options Attn: Mary Alderson P.O. Box 53745 Irvine CA 92619-3745 INSURERC: INSVRER D: 1 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POUCYIEFFECTIVE DATE M POLICY EXPIRATION DATE MM LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR PHPK060405 09/23/03 09/23/04 EACH OCCURRENCE $1,000 000 PREMISES Ea o¢uranca $ 100,000 MED EXP (My one person) $ 5 000 PERSONAL B ADV INJURY $1,000 000 GENERAL AGGREGATE $1,000 000 GEWL AGGREGATE LIMIT APPLIES PER: X I POLICY El JEFC)T LOC PRODUCTS -COMPIOPAGG $1,000 000 Emp Ben. 1,000 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS PHPK060405 09/23/03 09/23/04 COMBINED SINGLE LIMIT (Esa ident) s1000000 BODILY INJURY (Per person) $ X BODILY INJURY (Pm acadent) $ X PROPERTY DAMAGE (Per actl ) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT f OTHER THAN EA ACC AUTO ONLY: qGG $ $ A EXCESSNMBRELLA LIABILITY X7 OCCUR CUIMSMADE DEDUCTIBLE X RETENTION $10 , 000 PHUB022837 APPROVED 09/23/03 AS TO F 09/23/04 RM EACH OCCURRENCE $ 4000000 AGGREGATE s 4000000 $ f $ WORKERS COMPENSATION AND ANY PRERSTORIP LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE OFFICERMEMBER EXCLUDED? Ayes deaadbe under SPECIAL PROVISIONS below aura SSteedy Deputy City AL TORY LIMIAl TS ER Orney E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT f A ISpecial OTHER Property - RC Form I PHPK060405 I 09/23/03 09/23/04 Contents $340,000 Ded $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 10 day notice of cancellation for non-payment of premium. Certificate Holder, its officers, employees, agents, volunteers and representatives and Minnie Street Family Resource Center are named Primary Additional Insured per form attached. Sexual Misconduct Limit $1,000,000. ------------------ CITYOF3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATH DATE THEREOF, THE ISSUING INSURER WILL � MAR 30 DAYS WRTREN The City of Santa Ana Comm. Development Agency M-25 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Carla Thompkins - 20 Civic Center Plaza Santa Ana CA 92702 AUTH �rE AMT ACORD 25 (2001108) M&)_