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CERTIFI^4TE OF INSURANCE ISSUE DATE 10/15/2002 HOLBERT INSURANCE AGENCY P.O. BOX 1208 SAN CLEMENTE, CA 92674-1208 (949)492-6138 FAX (949) 361-4079 of WOMEN HELPING WOMEN 711 W. 17TH STREET, #A-10 COSTA MESA, CA 92627 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. V COMPANIES AFFORDING COVERAGE _ COMPANY A TRAVELERS INDEMNITY CO OF IL COMPANY B COMPANY C COMPANY COVERAGES ' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .0 .TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIODNY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY LAMS MADE m OCCUR. X OWNER'S&CONTRACTOR'S PROT. 680-466P105-A OCT 28 02 OCT 28 03 GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMP/OP AGG. S 2.000 QQQ PERSONAL & ADV INJURY S 1,000,000 EACH OCCURRENCE S 1,000,000 FIRE DAMAGE(Any One Fire) S 300.000 MED. EXPENSE(Any One Person S 5,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OW NED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 680-466PI05-A OCT 28 02 OCT 28 03 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per Person) S X BODILY INJURY (Per ActleenO $ _T PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE S AGGREGATE S WORKER'S COMPENSATION AND EMPLOYERS'LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL PROVE r� AS TO F STATUTORY LIMITS EACH ACCIDENT $ ASE-POLICY LIMIT $ SE-EACHEMPLOYEE S OTHER -n lIIVIC.I/.lrCIINL 11 GMJ OPERATIONS OF THE NAMED INSURED Deputy City Attorney CERTIFICATE HOLDER AS ADDITIONAL INSURED CANCELLATION CITY OF SANTA ANA, M-25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS COMMUNITY DEVELOPMENT AGENCY WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. PO BOX 2988 M-25 SANTAANA,CA 92702 1110-DAYNOTICBOBCANCELLATIONAPPLIESFORNOW-PAYMENT OFPRSMIUM