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.......(626)S9 - ~) - ONLYANDCONFE~RIGHTSUPONTHECERTIFICATE <br />FaC1T~ C benera/ ~nsurance ~ervl cee HOLDER. THIS CERTIFICATE DOES NOT AMEND, E~END OR <br /> <br />405 E. Santa Clara Street <br />Suite 100 <br />Arcadia, CA 91006 <br /> <br />Mexican American Opportunity Foundation <br />401 N. Garfield Avenue <br />Montebello, CA90640 <br /> <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> INSURERS AFFORDING COVERAGE <br />IHSURERA; Philade]phia Insurance Company <br /> <br />INSURER B: <br /> <br />INSURER C: <br /> <br />INSURER D: <br /> <br />~NSURER ~: Amended 02/07/03 <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POMCY 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 /> <br />.TR TYPE OF INSURANCE POUCY NUMBER DATE (MMfDD~ DATE IMM/DD/YY) LIMITS <br /> OENERAL U^S,UTY ~HPK041578 01/30/2003 01/30/2004 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCLAL GENERAL LtABiLJTY FIRE DAMAGE (A~¥ one f~e)$ 100,000 <br /> I CLAIMSMADE IXl OCCUR MEG EXP{~yonepers~) $ 5,000 <br />A PERSONAL & AGV INJURY $ 1,000,000 <br /> GENERN. AGGREGATE $ 2~000,000 <br /> GEN'L AGO REGATE LIMIT APPLIES PEP~ PRODUCTEoCOMPiOPAGG $ 2,000,000 <br /> y PR(~ <br /> AUTOMOBILE UABILITY 3HPK041575 01/30/2003 01/30/2004 COMEINED SINGLE LIMIT $ <br /> X ~r.,' ^UTO (Ea ac. dde~Q 1,000,000 <br />A <br /> D ~'~ 1'O FO~/ <br /> · r~ ^?? O¥ EACH OCC~'~RCE $ <br /> <br />RETENTION S ]L~ut't Shcedy <br />WOR~<ERSCOMFENS^~O"AND ~!,~:, C~.¥ ,~m'~"~? iT3~G%~l i~~. $ <br />~s Additional Insured <br />:ity of Santa Ana, its Officers, Agents, Representatives, Employees & Volunteers are <br />~amed as Additional Insured with respects to a $2,000 grant that was awarded from the <br />~ommunity Development Agency. <br />tent day-Notice of Cancellation shall be given ~in the event of non-payment of premium. <br /> <br />CERTIFICATE HOLDER t X I ADDITIONAL INSURED; ~NSURER LEIS~'R.: ~ CANCELLATION <br /> <br />City of Santa Ana <br />Community Development Agency <br />M-25 <br />P.O. Box 198 <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POMCIES BE CANCELLED BEFORE THE <br /> <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WI L~ Jli~[~l~ MAJL <br /> ~ 0 DAYS WRITTEN NOT!CE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, <br /> <br /> <br />