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ACD -RD,, CERTIFICATE OF LIABILITY <br />INSURANCE <br />ii%iejz00 ' <br />PRODUCER (949) 553-9700 FAX (949) 553-9797 <br />Westland Insurance Brokers <br />2192 Martin Street, Suite 130 <br />Irvine, CA 92612 <br />INSURED Delhi Commnumty Center _ ��p: _V $'7—II--( <br />505 South Central Ave. )�` <br />Santa Ana, CA 92707-3504 A—aW`E <br />l <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 />INSURER A: TRAVELERS PROPERTY CAS INS CO 36361 <br />INSURERS Carolina Casualty Insurance Co <br />INSURER c: <br />INSURER D-. <br />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 />OD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POUCY EFFECTIVE <br />POLICY EXPIRATION DAM fMMfDDJYY1 <br />LIMITS <br />GENERAL LIABILITY <br />660818X4872-04 <br />)2/14/2004 <br />12/14/2005 <br />EACH OCCURRENCE S 1,000,006 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED $ 100, 00 <br />CLAIMS MADE I OCCUR <br />MED EXP (Any one person) $ 5,000 <br />A <br />PERSONAL& ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE $ 2,005,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGG $ 2,000,00 <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />8103123W685-04 <br />12/14/2004 <br />12/14/2005 <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />` <br />(Ea accident) $ <br />1,000,00 <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) $ <br />A <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN EAACC $ <br />AUTO ONLY: AGG $ <br />EXCESSIUMBRELLA LIABILITY <br />CUP 3289W520-04 <br />12/14/2004 <br />12/14/2005 <br />EACH OCCURRENCE $ 1,000,000 <br />OCCUR CLAIMS MADE <br />AGGREGATE $ 1,000,00 <br />A <br />Retained Limit $ 10,000 <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION $ <br />Aj <br />A <br />WORKERS COMPENSATION AND <br />P� <br />WC STATUS OTH- <br />- LIMITS I FR <br />EMPLOYERS' LIABILITY <br />— <br />E.L. EACH ACCIDENT $ <br />MY PROPRIETOMPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />E. L. DISEASE - EA EMPLOYE $ <br />I/ yea, describe under <br />- <br />E. L. DISEASE -POLICY LIMIT $ <br />SPECIAL PROVISIONS beloW <br />OTHER <br />Trectors & Officers <br />3336857-2 <br />01/14/2004 <br />01/14/2005 <br />$1,000,000 Per Claim/Aggregate <br />B <br />$1,000 Dedutible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Fidelity Bond: The Hartford #728DDAM2830 - 7/7/2004-2005 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 />City of Santa Ana <br />Community Redevelopment Agency <br />20 Civic Center Plaza M-21 <br />P 0 Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL X*XM MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />KIXXI{KKi�fd00WY76(OExxd(ifdf�IbXdO(KaOkYxKl6xd(d(AIdO{D057(XJ6KxXxx <br />ACORD 25 (2001/08) ©ACORD CORPORATION 1988 <br />