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ACORP. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYVY) <br />1 12/11/2003 <br />PRODUCER (949) 553-9700 FAX (949) 553-9797 <br />Westland Insurance Brokers <br />2192 Martin Street, Suite 130 <br />Irvine, CA 92612 <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 NAIC # <br />INSURED Delhi Community CenterA <br />505 South Central Ave. <br />Santa Ana, CA 92707-3504 <br />INSURERA: TRAVELERS PROPERTY CAS INS CO 36361 <br />INSURERS. Carolina Casualty Insurance Co <br />INSURER C: <br />INSURER D. <br />INSURERS <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN <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 />NDO'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE( IDD <br />POLICY EXPIRATION <br />DATEIMMIDDIYYI <br />LIMITS <br />GENERAL LIABILITY <br />660818X4872-03 <br />12/14/2003 <br />12/14/2004 <br />EACH OCCURRENCE $ 1,000,00 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED $ 100,00 <br />CLAIMS MADE O OCCUR <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />A <br />GENERAL AGGREGATE $ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $ 2,000,00 <br />POLICY PRO LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />8103123W685-03 <br />12/14/2003 <br />12/14/2004 <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(Ea accident) $ <br />1,000,00 <br />BODILY INJURY $ <br />ALL OWNED AUTOS <br />A <br />SCHEDULED AUTOS <br />(Per person) <br />BODILY INJURY $ <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHERTHAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGO $ <br />EXCESSIUMBRELLA LIABILITY <br />CUP 3289W520-03 <br />12/14/2003 <br />12/14/2004 <br />EACH OCCURRENCE $ 1,000,000 <br />X OCCUR FICLAIMS MADEx, <br />�'i (✓ <br />(' <br />q <br />int,'. <br />AGGREGATE $ 1,000,000 <br />Limit $ 10,00 <br />ARetained <br />-� l:v <br />l.r �i <br />DEDUCTIBLE' <br />$ <br />$ <br />RETENTION $ <br />19,.2 <br />_ _ <br />WORKERS COMPENSATION AND <br />,, <br />. <br />WC STATU- OTH- <br />TOR MIS FR <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTNESSl� <br />1I i� f� l.f' <br />Nv <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />EL DISEASE - EA EMPLOYE $ <br />If yes, describe under <br />E. L. DISEASE -POLICY LIMIT S <br />SPECIAL PROVISIONS below <br />OTHER <br />irectors & Officers <br />3336857 <br />01/14/2003 <br />01/14/2004 <br />$1,000,000 Per Claim/Aggregate <br />B <br />$1,000 Deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Fidelity Bond: The Hartford #72BDDAM2830 - 7/2/2002-2003 Limit: $600,000 Deductible: $2,500 <br />The Santa Ana Empowerment Corporation and the City of Santa Ana are named as Additional Insured's <br />s per attached GN0188 (0196) and CGD037 (0199) <br />"Except non-payment of premium which is a 10 day notice of cancellation <br />Santa Ana Work Center <br />Laura <br />1000 E. Santa Ana Blvd <br />Suite 200 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL i4XMXJ)6 MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />YJI�i300GIf�CiN6Y��SX�KMd(i(dE�W(�'Jfd(SOkYXIi06ffi(dCAkl04�OGXX�KIfi(XX <br />AUTHORIZED <br />OACORD CORPORATION 1988 <br />