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<br /> <br />J 'ACORD .CERTfFICATI: OF LIABILITY INSURAJ<'CE " DATE MMlDOIYYYY) <br /> -- ., . 10/23/2003 <br /> PRODU.ER (714)245-2777 FAX (. ~4)245-1788 THIS CERTIFICATE Iv .":SUED AS A.~TTER OF INFORMATION <br /> Assistance Insurance Agency, Inc. ~~tb:~~~I~~::iìF~2A'r;~Ò~~~<Ö~ :.~g~~J::~~~OR <br /> 400 N. Tustin Avenue Ste 470 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Santa Ana, CA 92705 INSURERS AFFORDING COVERAGE <br /> COIIIIIercial Lines NArc # <br /> INSURED C J Avery Buildlng General Malntalnance INSURER A' Colony Insurance Company <br /> P.O. Box lI05 INSURER B' American Employers Group <br /> Placentia, CA 92870 INSURER c, <br /> <br />INSURER 0-. <br />INSURERE: <br /> <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMEO ABOVE FOR THE POLICY PERIOD INDICATEO. NOfWlTHSTANOIN <br />ANY REQUIREMENT. TERM OR CONDITION OF AN'( CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDmONS OF SUCH <br />POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAID CLAIMS. <br /> <br />LTIt NSR TYPE OF INSIlRANCE <br />GENERAL UAIIII.ITY <br />X COMMERCIAL GENERAL LIABILITY <br />ClAIMS MADE ill OCCUR <br /> <br />POLICY NUIIBER <br /> <br /> <br />OATE Llms <br />ffl(+W2004 EACH OCCURRENCE $ <br />"""'" """" $ <br />MEOEXP(Any"""peoson) $ <br />PERSONAL S AOV INJURY $ <br />GENERAL AGGREGATE $ <br />PROÐUCTS.COMPiOPAGG $ <br /> <br /> <br />A <br /> <br /> <br />COMBINED SINGLE LIMIT <br />(Eo acdd",') <br /> <br />BODILY INJURY <br />(f'e< peoson) <br /> <br />BOOILYINJURY <br />(P...-dent) <br /> <br />OCT 2 9 2003 <br /> <br />ANY AUTO <br /> <br />OTHER THAN <br />AUTO ONLY, <br /> <br />EACH OCCURRalCE <br />AGGREGATE <br /> <br />PROPERTY DAMAGE <br />(""acddenll <br />AUTO ONLY - EAACCIOEHT $ <br />EAACC $ <br />AGG $ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br /> <br />EXCE.SSIUMBRELlA LIABILITY <br />OCCUR 0 ClAIMS MADE <br /> <br />DEOUCTIBI.£ <br />RETENTIOH <br />WORKERS COMPENSATION AHO <br />EMPLOYERS' LIABIUTY <br />B ~~~..w~N,16~'6?ŒCUTIVE <br /> <br />~~~S-- <br />OTHER <br /> <br />236680 01/22/2003 <br /> <br />01/22/2004 <br /> <br /> <br />10000 <br />10000 <br />100000 <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I PROVISIONS <br />'er Jobs Contracted on the. Property Rehabilitation Loan Program. See additional insured endorsement <br /> <br />.ttached. <br /> <br />0 day notice of cancellation clause for non-payment of premium. <br /> <br />CERTIFICATE HOLDER <br /> <br />Crai <br /> <br /> <br />The Community Redevelopment Agency Of The <br />City Of Santa Ana" The City Of Santa Ana <br />Its Officers, Agents, " Employees <br />Atten: Arabela Saldivar <br />P.O. Box 1988-M-26 <br />Santa Ana, CA 92702 <br /> <br />~CORD 25 (2001/08) <br /> <br />.fÞ1ÞT <br />