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<br />Al",uRD CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMJDDfYYYY) <br />'" 12/16/2004 <br />PROOUCER (949)553-9700 FAX (949)553-9797 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Westland Insurance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERT1FICA TE <br />2192 Martin Street, Suite 130 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENP OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine, CA 92612 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSUREO Delhi COlll11nunlty Center ,4~ ;),00+-08'7-1'1 INSURER A TRAVELERS PROPERTY CAS INS CO 36361 <br />505 South Central Ave. </_ 1(P1 INSURER B: Carolina Casualty Insurance Co <br />Santa Ana, CA 92707-3504 A-d(;o INSURER c: <br /> INSURER 0: <br />, INSURER E: <br /> <br />COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING <br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWlTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAlO CLAIMS. <br />INSR 00' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL lIABILITY 660818X4872-04 12/14/2004 12/14/2005 EACH OCCURRENCE . 1,000,OOC <br /> I-:,- '. , <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED . 100,OOC <br /> I CLAIMS MADE [!] OCCUR MEO EXP (Anyone person) . 5,OOC <br />A PERSONAL & ADV INJURY . I,OOO,OOC <br /> - 2,OOO,OOC <br /> GENERAL AGGREGATE . <br /> - <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPtQP AGG . 2,000,OOC <br /> I .nPRO. n <br /> POLICY JEer Loe <br /> ~TOMOBILE LIABILITY 8103123W685-04 12/14/2004 12/14/2005 COMBINED SINGLE LIMIT <br /> , (Eaaccident) . I,OOO,OOC <br /> ANY AUTO <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - . <br /> SCHEDULED AUTOS (Per person) <br />A - <br /> HIRED AUTOS BODILY INJURY <br /> - . <br /> NON-OWNED AUTOS (Pareccident) <br /> - <br /> - PROPERTY DAMAGE . <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT . <br /> ==i ANY AUTO OTHER THAN EA ACC . <br /> AUTO ONLY AGG . <br /> EXCESs/UMBRELLA LIABILITY CUP 3289W520-04 12/14/2004 12/14/2005 EACH OCCURRENCE . 1,000,000 <br /> ~ OCCUR 0 CLAIMS MADE AGGREGATE . I,OOO,OOC <br />A Retained Limit . 10 , OOC <br /> .' <br /> ==i ~EOUCTIBlE . <br /> RETENTION . II/IJ . I. . <br /> WORKERS COMPENSATION AND '1f-V ~V,71 1---:> I.WC STATU- 10.J~' <br /> EMPLOYERS' LIABILITY <br /> ANY PROPR1ETORlPARTNERlEXECUTIVE t E_L EACH ACCIDENT . <br /> OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE . <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEAse - POLICy LIMIT . <br /> O]HER 3336857-2 01/14/2004 01/14/2005 $1,000,000 Per Claim/Aggregate <br />B lrectors & Officers $1,000 Dedutible <br />DESCRIPTION OF OPERATIONS' LOCATIONS I VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />idelity Bond: The Hartford #72BDDAM2830 - 7/7/2004-2005 limit: $600,000 Deductible: $2,500 <br />he Santa Ana Empowerment Corporation and the City of Santa Ana are named as Additional Insured's <br />5 per attached GN0188 (0196) and CG0037 (0199) <br />'Except non-payment of premium which is a 10 day notice of cancellation <br /> <br />,u^'n~n CANcel I ATI,.UI <br /> SHOULD ANY OF THE ABOVE DeSCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLIl1UX~ MAIL <br />Community Redevelopment Agency * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza M-21 ~KJ(<<I0OOWIJ(lOOIiIlllilll6IGl~XX <br />POBox 1988 II<<JII0IIlOOOtIlK~lIlllOONtlllKJIliWItllllilOOl\lW(XXXXXXXX <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ~--<>~~ <br /> Alfonso Galvez/PAT <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION1988 <br />