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ACORDR CERTIFICATt_ OF LIABILITY INSURAN(.c o9ioMj2~ <br />PRODUCER (949) 709-8800 FAX (949) 709-1668 <br />Cwlprehensive Insurance Services <br />22342 Avenida Em resa <br />P 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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 200 <br />RSM, CA 92688 <br />INSURERS AFFORDING COVERAGE <br />NAIL # <br />RISURED Assistance League of Santa Ana INSURER A: AIG/GRANITE STATE INS <br />1037 W. First Street INSURER B: <br />Santa Ana, CA 92703 INSURER C: <br /> INSURER D: <br /> INSURER E: <br />O <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWRHSTANDINt <br />ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />IN.9R TYPE OF SL4URANCE POLICY NUMBER POLR:Y EFFECINE POIN:Y EXPIRATMKI IMITS <br /> GENERALLWILITY EACH OCCURRENCE f <br /> COMMERCVLL GENERAL LIABILITY DAMAGE TO RENTED <br />m § <br /> CLAIMS MADE ^ OCCUR MED EXP (Arty one person) f <br /> PERSONALAADV INJURY § <br /> GENERAL AGGREGATE f <br /> GENL AGGREGATE LIMB APPLIES PER: PRODUCTS-COMP/OP AGG f <br /> POLICY JECT LOC <br /> AU TOYOBRE DABNJTY COMBINED SINGLE LIMB <br /> ANY AUTO (Ee ecdtlenl) <br />-_~- f <br /> ALL OWNED AUTOS <br /> BODILV INJURY f <br /> SCHEDULED AUTOS (Par person) <br /> HIRED AUTOS <br /> BODILY INJURY <br />f <br /> NON-0WNED AUTOS (Per acUtleM) <br /> PROPERTY DAMAGE <br /> f <br /> (Per eccMenl) <br /> GARAGE LUV3NJfY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO EA ACC <br />OTHER THAN f <br /> AUTO ONLY: AGG f <br /> EXCES8AN/BRELLA LIABILRY EACH OCCURRENCE f <br /> OCCUR ~CWMS MADE AGGREGATE f <br /> f <br /> DEDUCTIBLE <br />f <br /> RETENTION f § <br /> WORKERS COIIPENSATpN AND <br />' WC7241315 06/01/2003 06/O1/2DD4 X we srATLL oTH- <br /> <br />A EMPLOYERS <br />LMBIIJiY <br />ANY PROPRIETOR/PARTNER/EXECUnVE <br />E.LEACHACCIDENT <br />f I OOO, <br /> OFFICERIMEMBER EXCLUDED? <br />B <br />es <br />desrilEe uMx E.L DISEASE-EA EMPLOYE f 1,000, <br /> y <br />, <br />SPECIAL PROVISIONS Eriew E.L. DISEASE- POLICY LIMIT $ 1 000 <br /> OTHER <br />Ap <br />OVED A <br />TO FORM <br />DE8CItlPfION OF OPERAnON3 / LOCAnON4 / VEHICLES / E%OLUSNNiB ADDED BY ENDORSEMENT/SPECIAL PROMS 1 <br />Lour Sheedy <br />Deputy City Attorney <br />10 DAY CANCELLATION NOTICE FOR NON PAYMENT OF PREMIUM <br />FRTIFIT`ATF M(TI <br /> SHOULD ANY dF nYE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE <br />QTY OF SANTA ANA EXPRIATN)N DATE THEREOF, THE 18SUWG RISURER WILL EltlEAVOR N MAIL <br />COMMUNITY DEVELOPEMENT AGENCY Y`3O DAYS wRIREN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />M-2 S BUT FAILURE TO MAIL SUCH NOTICE SHALL BAPOSE NO OBDGATION OR LIABILRY <br />P.O. BOX 1988 aF ANY NPO UPON THE MSURER, RS AGENT§ OR RFPRESENTATVES. <br />SANTA ANA, CA 92702 AVnWRIgD aEPRESEIRAnvE <br />~ <br /> Richard E non CIC KRISTY -D <br />Z <br />ACORD 25 (2001!08) HAX: (714)647-6580 ®ACORD CORPORATION 1988 <br />