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APG-DNOF LIABILITY <br />DATE(MMIDDY) <br />INSUWCE 06/27/2003 <br />PRODVCER (949) 709-8800 FAX (94W709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Empresa <br />Suite 200 <br />RSM, CA 92688 <br />THIS CERTIFICATE 15 13111111IFED 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 Orange County Community Development Council, II <br />DBA: Community Action Partnership of <br />Orange CountyNSURER <br />12640 Knott Street - a ©v3 -15 g <br />Garden Grove, CA 92641 <br />INSURERA: NONPROFITS' INSURANCE ALLIANCE OF CA <br />INSURER B: NATIONAL UNION FIRE INS CO <br />C: <br />INSURER D: <br />1 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 />TR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />GATE MM/DDIYY <br />POLICY EXPIRATION <br />DATE MMIDD/YY <br />LIMITS <br />GENERAL LIABILITY <br />003 -00441 -NPO <br />07/01/2003 <br />07/01/2004 <br />EACH OCCURRENCE $ 1,600,00 <br />X COMMERCIAL GENERAL LIABILITY <br />FIRE DAMAGE (Any one fire) $ 100,000 <br />CLAIMS MADE � OCCUR <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL B ADV INJURY $ 1,000,00 <br />A <br />X Owner & Contr. Pro <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGO $ 2,000,00 <br />X POLICY PRO LOC <br />JECT <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />2003-00441—NPO <br />07/01/2003 <br />07/01/2004 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ 1,000,06 <br />BODILY INJURY $ <br />(Per person) <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGO $ <br />EXCESS LIABILITY <br />003-00441-UMB-NPO <br />07/01/2003 <br />07/01/2004 <br />EACH OCCURRENCE $ 4,000,00 <br />X OCCUR ❑ CLAIMS MADE <br />AGGREGATE $ 4,600,000 <br />A <br />$ <br />XIDEDUCTIBLE$ <br />X RETENTION $ 10, 00C <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />TORYST LIMITS ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />B <br />TYR - EMPLOYEE <br />ISHONESTY <br />05118772 <br />07/01/2003 <br />07/01/2004 <br />LIMIT $700,000 <br />DEDUCTIBLE $5,000 <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER ATTACHED CITY ENDORSEMENT <br />`EXCEPT 10 DAYS FOR NON-PAYMENT <br />�`•�•••.--.- I II La I IUNML INSUNCUi 1NSUMEN LC 11 CK: V•/11YVrCLLN11Vry <br />CITY OF SANTA ANA <br />COMMUNITY REDEVELOPMENT AGENCY <br />RESIDENT OMBUDSMAN <br />M-21 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL *)%X%XM MAIL <br />`3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Kpd06KML�fdNflfllXiYIYLXKdIi10�7k104XXraH(�IECi(d(MdfYdWfd6l061EYIXi4lSi6KXX <br />AUTHORIZED REPRESENTATIVE <br />Richard Fvnon. CIC/TFRFMY .J� <br />