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ACORD <br />CERTIFICATE OF <br />LIABILITY INSURANCE <br />DATE <br />Ol/29/2003 <br />PRODUCER <br />All -Cal Insurance Agency 916 784-9070 <br />9 Y i ) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />420 Folsom Road, Suite #C <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />Roseville <br />CA 95678- <br />INSURED <br />INSURER Nonprofits IDS Alliance Of CA <br />INSURER B: <br />ORANGE COAST <br />INTERFAITH SHELTER <br />INSURER C: <br />1963 WALLACE <br />AVENUE <br />NSUR R D. <br />INSURER E: <br />COSTA MESA CA 92627- <br />CGVFRAGFS <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POUCYEFFECTNE <br />DATE D <br />POLICY EXPIRATION <br />DATE MM D <br />LIMITS <br />X <br />GENENALLIABWTY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ❑X OCCUR <br />X PROFESSIONAL LIAB. <br />2003-02187 <br />01/17/2003 <br />/ / <br />/ / <br />01/17/2004 <br />/ / <br />/ / <br />EACH OCCURRENCE <br />$ 1,000,000 <br />RITE DAMAGE (Any one tiro <br />$ S0,000 <br />MEDEXP one ersan) <br />S 5,000 <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />X <br />IMPROPER SEXUAL CORD <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE <br />X POLICY <br />LIMIT APPLES PER: <br />JECT F1 LOC <br />PRODUCTS-COMP/OP AGG <br />$ 2,000,000 <br />IMPROPER SEXUAL COND <br />1,000,000 <br />IL <br />TOMOBLE LIABILITY <br />ANYAUTO <br />ALLOWNEDAUTOS <br />SCHEDULEDAUrOS <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />2003-02197 <br />/ / <br />01/17/2003 <br />/ / <br />/ / <br />01/17/2004 <br />/ / <br />COMBINED acccioerd)SINGLE LIMIT <br />$ 1,000,000 <br />_AI <br />X <br />BODILYINJURY <br />(Per person) <br />$ <br />X <br />BODILYINJURY <br />(Per accidera) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per aocided) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />/ / <br />/ / <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION 8 <br />APPROVED AS -1-0 F <br />/ / <br />R>V1 <br />/ / <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />EMPLOYERS IMpBypN AND <br />/ <br />/ / <br />TORV 11T3 R <br />E.L. EACH ACCIDENT <br />$ <br />Pura Sheedy <br />E.L. DISEASE -EA EMPLOYEE$ <br />E.L.DISEASE. POUCYLIMIT Is <br />OTHER <br />... <br />DESCRIPTION OF OPERATION"OCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />THE CITY OF SANTA ANA, ITS OFFICIALS, OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS A <br />FUNDING SOURCE REGARDING THE ACTIVITIES OF THE INSURED PER THE ATTACHED ENDORSEMENT. <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PL./ M-25 <br />P.O. BOX 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPEDITION DATE THEREOF, THE ISSUING INSURER WILL XKMNK XX)M( MAL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE "OLDER NAMED TO THE LEFT, 1W <br />XdAYXAQt>E E <br />RD 25-S (7/97) /J- - - V T <br />INS025S(8810).01 ELECTRONIC LASER FORMS, I (SOD)M7.054S <br />Pa$e 1 d 2 <br />