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AV70-2003 THU 04:09 Ph <br />Ply-5>z *A-z002 <br />FAX N0, <br />GATEI <br />ACORD CERTIFICATE OF LIABILITY INSURANCE ?RN <br />—ID 3 <br />410'L0417/17 03 <br />PGODUCER <br />THIS CERTIFCATE I[ MQUNEO AS A MATTCn Ot INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ISU ins Sry - Fullerton Agency <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENO OR <br />1150 E Orangethorpe Avo, 8101 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />.Placentia. CA 92870 <br />1 <br />Phone:714-577-5800 Fax:714-577-5866 <br />INSURERS AFFORDING COVERAGE �, NAICE <br />"JsuRED <br />jc:SurcP a. P?:iladolphia Insuran Ce Comnin <br />Women's Transitional Living <br />---�-7 <br />P.O. Sox 6103-'----- - ' <br />Orange CA 92863 From <br />COVERAGES CDJDnpI. Co_- <br />TN3 PUJeiES Of INSUNNCE US-,rDBCIOW I AVE BECNISSUCO TO THE INSDW'DNAMCC phonok PDune F./ <br />ANY REOWREMENT.TERV ORGONNIION Or AJIYCONTWKT OR OTHER DOCUM.'.NT WTH <br />VAY PERTtau, Du91W^.VGANGF,Ar(ONDED OY THE POI ICILS DESCA1;FOHCRFINIS SUPJEI FJXk Fa,w <br />_ <br />rOUC'IES A:GRCGAI E LIMIT S SHDWV MAY HAVE BEEN RF DUCEO BY PAID C W MSIN <br />LTA YNSRO TYPE Of INSURANCE POLICY NVNBER <br />DENErtAt LIADILITY I EACH OCCURRENCE 1 000,000 <br />' <br />1 TIT.PLevGLCTGRE4TC,.Nul <br />A JXCOMMErf.IAI GENERAL I,IANILRY pHPK022342 04/04/03 04/04/04 ar.EMISE.S,(F�ccctirc�c-_at 3100_000 <br />it5_000 <br />�C!NMS MADE Lj OCGIM MEO F%P lNy onP pn_:m1 <br />_ __ <br />PrRSONAL e, ADV INJUaY 3110003 QO0 <br />X fYr01^ Lla �- <br />�_ _ <br />CENCRAL AGGREGATE 2, 000,000 <br />OENL AGORCOATELIMIT APPLIES PEP. rRODVCTS •COtAR/pi`AGG I S IQOO,ODO <br />_ <br />rOUCY jEa ' LOC <br />14UTOMODILO <br />LIABILITY <br />GOMBIN6D SINGLE LIMIT <br />S 11000,000 <br />A I <br />X <br />ANY AUTO <br />PHPK022342 <br />04/04/03 <br />04/04/04 <br />(Ea r__dna) <br />ALLOWMEGAUI05 <br />DODILYINJUHY <br />s <br />SCIIEDULFr)AUTOS <br />(por Daranl <br />ITS <br />HIHED AUIUS <br />t ( <br />-fo F0 <br />+�'- <br />DDDILY INIVHY <br />(FM aCtden-11 <br />y—•—_ <br />.X <br />NON OWNED AUTOS L1�E7� <br />OVER AS <br />_�— <br />•-- <br />r(!OPFRIYDAMAGC <br />3 <br />(rw LvxMunO <br />GARAGCU&eLITY <br />^-^' <br />&YOONLY-EAACCIOCNI <br />i <br />ANY AUTO :Irl$7- <br />. PIIh( <br />AllOrIlev <br />AUTOONIY'. AGO <br />EXCeSSIUMSRELLA LIABIL <br />EACI I OCCURRENCE'. <br />3 <br />1}( Of:CUR CWM1;9 A!AOE <br />AOCHECATE <br />DrnucTIRLE <br />3 <br />WORKERS COMPENSATION ANO <br />M- PLOYERS' UAaIUTY <br />I ANY PROPRICTOKWARTNEMIL'TIVL- <br />I - <br />TORT LLM�R <br />ACCIOG:IOrfICENrtACM11ERCXCLUOFO9 <br />•EA ER!f LOYC <br />�ElEACH <br />i..�I. <br />0ey !plateunOurD:SETSC <br />IAIPROVSION5 t.low <br />MSCASE. POLICY IWIT�i <br />OTIIFR <br />t <br />�A IProperty <br />IPHPK022342 <br />04/04/03� <br />04/04/04� <br />Building 1,4000,000 <br />; Roolacement Cost <br />Contents 150 L0001 <br />. r .^-RIo9ON OF OPLMrONS I LOCATIONS I VEHICLES F EXCLUSIONS ADDED DY ENDORSEMENT! SPEGAL PROVISIONS <br />ity of Santa Ana, its officers, agents employees and volunteers are named <br />�as additional insured as respocts to their interest in connection with the <br />I named insured. Addit'l insured as respects to goneral liability per form <br />attached to Pol. This pol is primary 6 is not additional to or contributing <br />w/ any other insurance *except for gross negligence and willful misconduct. <br />— <br />L.trc urlcglt HOLutH CANCELLATION <br />C ISANBB SHOULD ANY OF THE ASOVE DESCRIEED POLICIES eC CANCELLEODCYORGTHE EXPIRAno <br />DATE THEREOF, THE ISSUING LNSuaeR vnLL ET'[R,,,TOMAIL 30a DAYSLMTTIEN <br />City of Santa Ana-CD$G M-25 NOTICE TO THE CERTIFICATE I!OIAER NAMED TO THE IEFT� aW� ftii� tKi5 <br />-Community Development hgancy I .CNISAR <br />Carla Thompkins <br />P.O. Box 1988 M-25 Santa An& CA 92702 aurHoalzED REracsENrATIVE—�=����� n <br />25 <br />