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ACORDH, CERTIFICATE OF LIABILITY INSURANCE <br />DAM07/02/2004 <br />PP'DUCER (949)709-8800 FAX (949) 709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Empresa <br />Suite 200 <br />RSM, CA 92688 <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 Orange County Fair Housing Council <br />A California Public Benefit Corporation <br />201 S. Broadway, Suite 201 <br />Santa Ana, CA 92701 <br />INSURERA NONPROFITS' INSURANCE ALLIANCE F CA <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: - <br />r_me <br />v 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />ADM <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLK:YEFFECTNE <br />POUCYEXPIRATION <br />LWITS <br />SANTA ANA, CA 92702 <br />GENERAL LIABILITY <br />2004 -03733 -NPO <br />07/01/2004 <br />07/01/2005 <br />EACH OCCURRENCE $ 1,000,00 <br />DAMAGETORENTED $ 100,00 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE O OCCUR <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />A <br />GENERALAGGREGATE $ 2,000,00 <br />GENT AGGREGATE LIMIT APPLIES PER <br />PRODUCTS-COMPIOPAGG $ 2,000,00 <br />POUCYF_j JECT X LOC <br />AUTOMOBILE <br />LIABILITY <br />2004 -03733 -NPO <br />07/01/2004 <br />07/01/2005 <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Ea ecddent) 5 <br />1,000,000 <br />BODILY INJURY $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per parson) <br />A <br />BODILY INJURY $ <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />(Paraoddent) <br />PROPERTY DAMAGE $ <br />(Per actldeni) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHERTHAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGO $ <br />EXCESSUMSRELLA LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR FICLAIMS MADE <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WC$ <br />ORYI IMU- OTH- <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETORIPARTNEREXECUTIVE <br />/ <br />E.L. DISEASE - EA EMPLOYE S <br />OFFICERIMEMBER EXCLUDED? <br />IT yes, describe under <br />SPECIAL PROVISIONS below <br />E.L DISEASE -POLICY LIMIT 1 $ <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />CERTIFICATE HOLDERS ARE NAMED AS ADDITIONAL INSUREDS PER ATTACHED CITY ENDORSEMENT <br />EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2001108) <br />OACORD CORPORATION 1988 <br />rr 1r— <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL &WOWN MAIL <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS <br />'30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />VOLUNTEERS & EMPLOYEES <br />d4NrXXYIYXrXIX�XKX1(MNTX1EiEKlE�YnYXKA4X3UWb>�KX1fdN�LH4Xu�l[Y�iiXX: <br />P.O. BOX 1988, M-25 <br />VMXXXXXXXX. <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA, CA 92702 <br />Richard Eynon, CIC/JEREMY-`- <br />ACORD 25 (2001108) <br />OACORD CORPORATION 1988 <br />rr 1r— <br />