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,AG_gAD_ CERTIFI TE OF LIABILITY IN*RANCIRISE$I1 <br />°"o(MIAM 3 <br />RODUCERF <br />Advanced Insurance Marketing <br />P.O. Box 4459 <br />Orange CA 92863-4459 <br />Phone: 714-997-8100 <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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />Wiseplace, a Ca Corp <br />1411 N. Broadway <br />Santa Ana CA 92706 <br />INSURER A: Philadelphia Indemnity Ins Co. <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />COVERAGES <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />-POLICY <br />ATE MMIDDm <br />RATION <br />PDATEYMMNIDDfYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />FIRE DAMAGE (Any one fir.) <br />$100,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />PHPK039141 <br />01/01/03 <br />01/01/04 <br />CLAIMS MADE D OCCUR <br />MED EXP (Any one Person) <br />$ 10 , 000 <br />PERSONAL S ADV INJURY <br />_ <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGG <br />$2,000,000 <br />POLICY JECT LOG <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />PHPK039141 <br />01/01/03 <br />01/01/04 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGO <br />$ <br />ANYAUTO <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />X OCCUR F-1CLAIMSMADE <br />PHUB015081 <br />01/01/03 <br />01/01/04 <br />AGGREGATE <br />$1,000,000 <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 1O O00 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />! :. . �'`�` ,. .. <br />. '..h I ',j t, <br />iRN <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EAEMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />I $ <br />OTHER <br />Li7DTu1 StIL-4 <br />DCputy city Atnlrncy <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Ten Day Notice of Cancellation for non-payment/non-reporting/ The City of <br />Santa Ana, it's officers. agents, employees, and volunteers are named as <br />additional insured per attached Additional Insured Endorsement. <br />CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />CITY OF SANTA ANA COMMUNITY <br />DEVELOPMENT AGENCY M-25 <br />MICHAEL GARCIA <br />P.O. BOX 1988 <br />SANTA ANA CA 92702-1988 <br />SANTAM I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI( <br />DATE THEREOF, THE ISSUING INSURER 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />