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,,AOORD CERTIFICA' <br />PROOUCkR (626)S99-8830 FAX (6, <br />Pacific General Insurance Services <br />40S E. Santa Clara Street <br />Suite 100 <br />Arcadia, CA 91006 <br />401 N. Garfield Avenue <br />Montebello, CA 90640 <br />A- 0q003-0.14-A? <br />DATE(MMIDD/Y1') <br />0l/31/2003 <br />599-8831 -� <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 />INSURERS AFFORDING COVERAGE <br />INSURER A: <br />Philadelphia <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />Amended 0210 <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (M D/YY) <br />DATE(MMMMJYY) <br />LIMITS <br />GENERAL LIABILITY <br />HPK041S78 <br />01/30/2003 <br />01/30/2004 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIALGENERALLIABILITY <br />FIRE DAMAGE (My cnefire) <br />$ 100,000 <br />CLAIMS MADE a OCCUR <br />MED EXP (Any one person) <br />$ 5,000 <br />A <br />PERSONAL SADVIWIJRY <br />S 1,000,000 <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />S 2,000,000 <br />PDUCYF_j PRI LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />PHPK041579 <br />01/30/2003 <br />01/30/2004 <br />COMBINED SINGLE LIMIT <br />(Ea acadmt) <br />$ <br />1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />S <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />X <br />X <br />BODILY INJURY <br />(Per actldmt) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />S <br />ANY AUTO <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS LIABILITY <br />APP OV - <br />EACH OCCURRENCE <br />$ <br />OCCUR ❑ CLAIMS MADE <br />^ <br />AGGREGATE <br />$ <br />% I <br />$ <br />DEDUCTIBLE <br />RETENTION S <br />LRUrII Sheedy <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILTY <br />- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />S <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSP,EHICLF.W CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />s Additional Insured <br />ity of Santa Ana, its Officers, Agents, Representatives, Employees & Volunteers are <br />amed as Additional Insured with respects to a $2,000 grant that was awarded from the <br />onvunity Development Agency. <br />tent day Notice of Cancellation shall be given an the event of non-payment of premium. <br />City of Santa Ana <br />Community Development Agency <br />M-2S <br />P.O. Box 198 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL x7 MAIL <br />30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />XMXXX)@@(KX*K=KX9000 (MMX9(OM)QXMO(KNXX'oa"XXXXX <br />