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4 — o2OO -V— 122 <br />A - A,Dv'% - /o? ;� -0 3 <br />X _ 200#-/ Z-20 - <br />ACORD DATE ' <br />CERTIFICATE OF LIABILITY INSURANCE 1 0115120 8 <br />TM. <br />PRODUCER Phone: (800) 395.8075 Faa: (853; 519,0822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />FITNESS AND WELLNESS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />330 STEVENS AVENUE, SUITE 206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />SOLANA BEACH CA 92075 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NA1C it <br />- Actrcy.lic»_037ie45: <br />INSURED ;_INSURER A: Philadelphia Indemnity Insurance Company j <br />CHOC V. LE INSURER B: <br />RVINE IANO <br />CA 92620-2576 INSURER C: <br />'INSURER D:- <br />i INSURER E: ' <br />nnvco Ar_ee <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 AFFORCED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />!NSF AOG'L PODGY EFFECTIVE <br />LTR INSR,� TYPE OF INSURANCE POLICY NUMBER DwTE'NNroD <br />I POLICY EXPIRATION <br />DATE (NIMInOtM! LIMITS <br />j GENERAL LIABILITY PHPK215316 12/17/07 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />12/17/08 LEAqHCCCURRENCE _. _.. <br />Ga.+acE TO RENTED <br />.REMISES EE ocarence) <br />MED. EXP ;Any one ptrsen) <br />f <br />g <br />1,000,000 <br />100 000 <br />2,500 <br />A <br />I <br />'PERSONAL S ADV INJURY <br />rrf <br />! f <br />1,000,000 <br />�5 <br />3,000,000 <br />LI 'GENERAL AGGREGATE <br />- <br />I GEN-L AGGREGATE LIMIT APPLIES PER:: <br />- ; PRODUCTS-COMP/OP AGG. <br />I: <br />3,000,000 <br />-I PRO - <br />I X i POLICY 1 I JECT IF-1 Loc <br />i I AUTOMOBILE LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />S <br />ALLOWNEDAUTOS <br />BODILY INJURY <br />1 SCHEDULED AUTOS <br />(Per ptrsan)$--'- <br />{ <br />I <br />S <br />HIRED AUTOS ( <br />NON-O'JVNED AUTOS{Pwaccidont) <br />j BODILY INJURY <br />f <br />PROPERTY DAMAGE <br />j (P.accident` <br />GARAGE LIABILITY :. <br />ANYAUTOTHER <br />THAN EA ACC <br />AAUTO <br />f <br />ONLY: AGG <br />EXCESS 1 UMBRELLA LIABILITY i I <br />' EACH OCCURRENCE <br />S <br />OCCUR—, CLAIMS MADE <br />AGGREGATE (5 <br />�i <br />$ <br />_ <br />i DEDUCTIBLE j 'f <br />RETENTION f <br />':f <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORJPARTNER(E%EClIME <br />OFFICEWMEMBER E%cwoEDY <br />I <br />I wC STATL i OTHER <br />emuI %RY LIMITS <br />1 E.L EACH ACCIDENT f <br />`E.L. DISEASE -FA EMPLOYEE ! 3 <br />�IfY—.d .db.—der <br />aPPtiAl PftovNUONs "I..'', -� <br />/1 <br />-r-E. <br />E.L. DISEASE -POLICY UMIT 3 <br />OTHER: <br />I <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION <br />Community Redevelopment Agency <br />of the City of Santa Ana <br />20 Civic Center Plaza (M-25) <br />Santa Ana CA 92701 <br />Attention: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br />TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, <br />ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Jeffrey E. Frick, CEO <br />4CORD 25 (2001108) Certificate # 67706 © ACORD CORPORATION 1988 <br />