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• From: Darcy Day At: Brown & Brown FaxlO 805-963-6898 Brown a To: Carla Thompkins <br />Date: 5/252004 01:4` Pf 1 <br />ACORD,� CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER License # OB02587 (805) 965-0071 THIS CERTIFICATE IS ISSUED AS A MATTER OF <br />Brown & Brown Insurance I MFC&V Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CEI <br />P.O. Box 1469 HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />Santa Barbara, CA 93102-1469 ALTER THE COVERAGE AFFORDED BY THE POL <br />'AID-Ot DACA <br />DATE I lrlerP Y, <br />TION <br />CR <br />INSURERS AFFORDING COVERAGE NAIL At <br />INSURED Legal Aid Society of Orange County IN RERA St Paul Fire & Marine Insurance Company; <br />902 North Main Street —mama--many_- <br />Santa Ana, CA 92701-0000 INSURER B <br />INSURER C. _--- _----- <br />INSURER O. <br />INSURER E: I <br />COVERAGES ----- <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTaNDIW <br />ANY REQUIREM TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THH 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 />WSR DT. <br />LTR <br />POLICY NUMBER <br />BKO1821748 <br />10 Days Notice for Non -Pay <br />POLICVEPFECTNE <br />513/2004 <br />ent of Premiu <br />POLICYE%PIRATIDN <br />5/312005 <br />BR <br />S <br />A <br />X <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LiABIUTY <br />cLaIMS MADE �occut <br />EACH OCCURRENCE'L <br />-_ __ _ <br />000,00 <br />- <br />100,00 <br />S.o6 <br />z_ EXCLUDE <br />PREMEES'Ea x ur-r - -_}3 <br />MED EcP,.�rw �--r.�,=. <br />PERSONAL �r` Iu� E <br />GErEr>L w.�-FE;ATE <br />[ 2.000,00 <br />2,000,00 <br />_ _ <br />I <br />GENt AGGREGATE L IMIT APPLIES PER <br />_ <br />POLIrY PR6 X LOC <br />PRODUCTS-6�MGM-�F+v- <br />_-- <br />AUTOMOBILE <br />LLABILIt1' <br />_..._... ___.� <br />A <br />ANY AUTO <br />BKOt 821748 <br />5/3l2004 <br />5/3Y2005 <br />COMeI�eD �IneIFl,a;r <br />{Ea aoanaml <br />, <br />ALL ovmED Auras <br />-. <br />X <br />SCHEDWEDAUTQB <br />HIREDALTOS <br />BODILY IN-u F'- <br />(Pu person; <br />-----'"--"'- <br />1 T <br />X <br />NON-OWNEDAUr05 <br />BODIIY IRIUF` <br />BO xndmu <br />I <br />X <br />INCLUDED-- <br />DFI'- <br />=� <br />GARAGE LMBLRV <br />-= e�_ITEH- <br />'- <br />r <br />MY AUTO <br />d . E—.f—EXCCESSIWdBRELLALIABLT'FFFfJ6 <br />I— <br />i OCCUR cwlMsMADE <br />BKO1821746 <br />Sf3n004 <br />5/3/2005F <br />V <br />�.00Q DDA <br />-- <br />1 000,00 <br />IIc <br />DEDUCTIBLE <br />RETENTION 1 <br />WORKERS CqA BR-17V IfN! AND <br />EMPLOYERS'LV,BILTIY <br />) <br />,'c ST4T 0T,' <br />TORl LIMI d -F _ <br />PNl'PROPRIETOR/PARTNER,E%ECIfBVE <br />1 FFICERMEMBER EXCLUDED? <br />/// <br />EL E H4 Ir,ENT <br />- <br />Ifyyea.descnEevdar <br />$OPECI PROVISIONS bebw <br />THER <br />- <br />/ ( <br />EL DISEASE Ea FiS Ef '(- f <br />E.L DISEASE -F! UC-, Uatt I d <br />DESCRIPT" OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENOORSFAENT I SPECIAL PROVISIONS i <br />Certificate Holder & Its Officers, Agents, Employees & Volunteers are named as Aditional Insureds under wording provided in the <br />Policy wording.. It is further agreed that the insurance provided by this endorsement is primary. Other insurance afforded to the <br />Additional Insured shall apply as excess of and does not contribute. <br />City of Santa Ana - CDBG M-25 <br />Community Development Agency <br />P.O. Box 1988 M-15 <br />Santa Ana, CA 92702- <br />25 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ErPIRATION ,' <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD Sb SHaL L <br />IMPOSE NO OBLIGATION OR LIABLnY OF ANY KIND UPON THE INSURER. RS AGE^: T'� OP <br />REPRESENTATIVES <br />ZiHORID:D REPRESENTATIVE /, f�l <br />L>t/1_ <br />CORP/ORATION 1988 <br />