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Aco,RD CERTIFICATE <br />dvanced Insurance Marketing <br />.O. Box 4459 <br />range CA 92863-4459 <br />'hone:714-997-8100 <br />Human ppoptions <br />Attn: Dfa Alderson <br />P.O. Box 53745 <br />Irvine CA 92619-3745 <br />OP ID P DATE(MMIDD/YYYY) <br />LIABILITY INSURANC[ HUMAOPI 09/24/03 <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: Philadelphia Tndv,udh' 1^e Co. <br />INSURER B. <br />INSURER C: <br />INSURER D: _ <br />THE <br />POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />OR OTHER DOCUMENT WITH <br />ABOVE FOR THE POLICY <br />RESPECT TO WHICH THIS <br />PERIUU INUI . mu. <br />CERTIFICATE MAY <br />,................._.__ <br />BE ISSUED OR <br />ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />POLICIES DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS <br />OF SUCH <br />MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE <br />SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICIES. <br />AGGREGATE LIMB <br />I I <br />LIMITS <br />.TIT <br />NSR TYPE OF INSURANCE POLICY NUMBER <br />GENERAL LIABILITY <br />PHPK060405 <br />DATE MMID <br />09/23/03 <br />DATE MOD <br />09/23/04 <br />EACH OCCURRENCE <br />PREMISES Ea oce <br />4 1 , OOO , OOO <br />$ 10O 000 <br />A <br />X X COMMERCIAL GENERAL LIABILITY <br />Pers <br />PER one Person) <br />$ 5,000 <br />CLAIMS MADE 1K OCCUR <br />PERSONALS ADV INUURY <br />ONEXP L& <br />$1,000,000 <br />GENERALAGGREGATE <br />$ 1 , 000 , 000 <br />PRODUCTS - COMP/OP AGO <br />$ 1 , 0 00 , 000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />Ben <br />1,000,000 <br />X POLICY JEO CT LOG <br />COMBINED SINGLE LIMIT <br />$ 100QQQQ <br />AUTOMOBILE LIABILITY <br />PHPK060405 <br />09/23/03 <br />09/23/04 <br />(Ea accident) <br />A <br />ANY AUTO <br />BODILY <br />$ <br />ALL OWNED AUTOS <br />Person) <br />(Per person) <br />SCHEDULED AUTOS <br />BODILY INJURY <br />$ <br />X HIRED AUTOS <br />(Per accident) <br />X NON-0WNED AUTOS <br />PROPERTY DAMAGE <br />Y <br />(Perer acodacritlent) <br />AUTO ONLY - EA ACCIDENT <br />$ <br />GARAGE LIABILITY <br />OTHER THAN FA ACCTHAN <br />Y <br />ANY AUTO <br />AUTO ONLY: AGG <br />EACH OCCURRENCE <br />s4000000 <br />EXCESSAIMBRELLA LIABILITY <br />PHUB022837 <br />09/23/03 <br />09/23/04 <br />AGGREGATE <br />s4000000 <br />A X OCCUR CLAIMSMADE <br />APPROVED <br />AS TO F <br />RM <br />$ <br />DEDUCTIDLE <br />X RETENTION $10,000 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY aura Shc,'dy <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? Dep-Ly a[y A <br />El. EACH ACCIDENT $ <br />E.L. DISEASE-EAEMPLOYE $ <br />E L. DISEASE. POLICY LIMIT $ <br />A IProperty - RC IPHPK060405 I 09/23/03I 09/23/04I Contents <br />Ded <br />S cial Form <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />10 day notice of cancellation for non-payment of premium- Certificate <br />Holder, its officers, employees, agents, volunteers and representatives and <br />Minnie Street Family Resource Center are named Primary Additional Insured <br />per form attached. Sexual Misconduct Limit $1,000,000. <br />The City Of Santa Ana <br />Comm. Development Agency M-25 <br />Attn: Carla Thompkins <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />$340,000 <br />S1.000 <br />CITYOF3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI( <br />DATE THEREOF, THE ISSUING INSURER WILL 141111ilM MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />ACORD 25 (2001108) <br />fl4Ar <br />