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,Fran: CgTgKeherlsive IllsurarK:e 949-709-1068 To: Lucy Flores <br /> <br />Date: 9!232003 Time: 5:08:08 PM <br />Page 2 of 3 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE os/zz/`"~"ioo3 <br />PROWLER (949)709-8800 FAX (949)709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Empresa THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br />ONLY AND CONFER8 NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 200 <br />RSM, CA 92688 <br />INSURERS AFFORDING COVERAGE <br />NAIL NI <br />INSOREO Ass stance League o Santa Ana INSUtERA NONPROFITS' INSURANCE ALLIANCE <br />1037 M. First Street INSURaIB: <br />Santa Ana, CA 92703 INSUREac: <br /> IN.NRER D: <br />/'~~OWQ -bz¢2 INSUiH2 E <br /> <br />r-ccnclcerc unI nco <br /> SHWLO ANY OF THE AEKArE GESCRSNU POLICIES EECANCELLm BEFORE THE <br />CITY DF SANTA ANA ExPNaTaN DATE THEREOF. Tt6 NeswNO NISUR92 vRLLMAII <br />COMMUNITY DEVELOPEIAEN7 AGENCY *30 MYS WRRTBl NOTICE TO TNECERTfICATE tIOI.O9l NAMED TOTNELEFT <br />M-25 <br />P.O. BOX 1988 XX <br />SANTA AMA, U 92702 AUTHORRED REPRESENTATNE <br />~ <br /> Richard E non CIC RISTY B <br />`~z <br />TtE POLICES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED 1b THE INSURED NAMED ABOYE FOR THE POLICY PEPoOD INDICATED. NOTWITHSTANDIN( <br />ANY REQINtiEMENT, TERM OR CONgTION OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT 7O WENCH THIS CERTFICATE MAV SE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCPoBED HERfM IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITONS OF SUCH <br />POLICES. AGGREGATE LIMITS SHOIMJ MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TTPE OF INSURANCE POLICY MRNB9t POLICY EFFmTNE POLICY TqN LRARS <br /> GENERAL LL1BRm 2003-07504-NPO 06/01/2003 06/01/2004 EncH OCCURREIUCE s 1,000, <br /> X COMMERCIALGENE?tAIUABILffY DAMAGE TORENfm S 100 <br /> aAIMSMAOEDocauz AEDE%PCAnyansPRtlup : 10 <br />A PERSONA! BAW INIURV f 1000, <br /> GENERAL AGGREGATE S 3,000, <br /> GENL AGGREGATE UMT APPLRS PER PROOUCTE-COMPrDP AGO S 3000 <br /> X POLICY ~ lAC <br /> AU TOMOmLE LU1mLITY APPR VED CDMEUNm 9NGLE LINT <br /> <br />ANY AUTO <br />(Fa accident s <br /> ALL ONMED AUTOS BOpLY INJURY <br />s <br /> SCHEDIAED AUTOS P°1804) <br /> <br /> L rN edY <br /> HRm,uTros Dapury i[y Attorney ~ IYIRY f <br /> NDN-GVINm AUTOS <br /> PROPERTY DAMAGE <br /> <br />(Per acadap S <br /> GAIUGE LUFMLm ~ AOro ornv- EA AcaoENT s <br /> ANY MRO QTHER THAN EA ACC L <br /> AUTOONLY: AGG S <br /> F.NCEEBAa1BRlZLALNBLLIT' 2003-07504-LIMB-NPO 06/01/2003 06/01/2004 EACNOCCURREncE s 3000 <br /> X OCW0. ~CWMB MADE AGGRHiATE f 3 DOD, <br />A s <br /> DEDUCTIBLE S <br /> RETENTION f f <br /> MbRKERS COMPENSATKIN AND rit 5TATLL OTH- <br /> EMPLOYERb' LIABILITY <br /> <br />ANV PROPRIETORRARTNERIE.`~JIIVE EL EACH ACCIOBR L <br /> OFflCERrRtl3~62 EXCLWm'f <br />N EL DISEASE-EA EMPLO f <br /> daecribs lledef <br />C <br /> SPE <br />IAL PROVISIONS MIVx EL. DISEASE-POLICY LIMN S <br /> i7rectors it Officers 2003-07504-DO 06/01/2003 06/01/2004 51,000,000 LIMIT <br />A <br />PERATIONS r LOCATK)NS/VEXICIESr EIICLUSIONS ADOm BY ENDORSBAENT r SPEGIIL PROVISIONS <br />~ <br />FI~ING <br />10 DAY NOTICE SHOULD THE POLICY CANCEL FOR NON-PAYMENT <br />FIUTE HOLDER IS NAMED AS ADDITIONAL INSURED PER THE ATTACHED CG2026 (11/85) <br />EPLACING ORIGINAL CERTIFIUTE ISSUED ON 09/09/03 <br />ACORO 28 (2001AB) rAr<: (714)647-6580 ®ACORD CORPORATION t988 _.np/ <br />