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From: Darcy Day At Brown & Brown Fa ID: 805-963-6898 Brown a To: Carla Thompkins <br />Date: 526/2004 01'41 Fr,: - <br />ACORD,M CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER License # OB02587 (805) 965-0071 THIS CERTIFICATE IS ISSUED AS A MATTEF <br />Brown & Brown Insurance I MFC&V Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE <br />�.O. Box 1469 HOLDER. THIS CERTIFICATE DOES NOT AM <br />Tanta Barbara, CA 93102-1469 ALTER THE COVERAGE AFFORDED BY THE <br />INSURERS AFFORDING COVERAGE <br />Legal Aid Society of Orange County INSURER A, St Paul Fire & Marine Insurance <br />902 North Main Street ___ <br />Santa Ana, CA 92701-0000 , INSURER B <br />IL`F'_C.YYaI <br />LEGAAi D-LJt DACA <br />DATF <br />512512004 <br />OF INFORMATION —'' <br />CERTIFICATE <br />END, EXTEND CR <br />POLICIES BELOW. <br />NAIL 4 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVATHSTINDW17 <br />ANY REQUIREMENT, TERM OR CONDI110N OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUaJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS. <br />R DL <br />POLICY EFFECTNE <br />GENERAL LUBILRY <br />A X X COM,£RC WL GENERAL LIABILITY BKO1821748 <br />cwIMG MADE I� DccuR 10 Days Notice for <br />GENL AGGREGATE LIMITAPPLIES PER' <br />POLICY PRO, X LOG <br />AUTOMOBILE LIABLITY <br />A MY AUTO BK01821748 <br />ALL OWNEDAUTOS <br />SCHEDLAEDAUTOS <br />X HIREDAUTOS <br />X N OWREO ADIOS <br />X INCLUDED <br />GARAGE UMLRY <br />ANY AUTO <br />A IOCCUR CLAIMS MADE <br />POLICY EXPRATpN <br />LIMITS <br />EACH OCCURREw_e <br />�— 1, 000,00 <br />5/312004 <br />ntofPremiu <br />5/312005 <br />Fs. 100, <br />iI;.. 5,0n <br />PREMISES'Ea ::cL <br />MEDEPI,,, n_, <br />PERSONAL IN <br />EXCLUDE <br />GENERAL At rEG<TE <br />tl <br />Ic- 2 000,00 <br />PROEUCT qF_ F <br />2,000,00 <br />5/3/2004 <br />5/3f2m <br />COMBINED 1INd1 F 1 ITIV <br />(Ea acadenq <br />, <br />BODILY IN,x IP- <br />(Per person;. <br />f <br />BODILI IK <br />(Per ecndal'• <br />+. 2 <br />i <br />PROPERT/D,MA':nt <br />_ <br />(Par ecoldenq <br />- � <br />— —i <br />AUTO ONLY - E-oC'IDELJ- <br />Ir1 <br />OTHER TIL'-.r, <br />ALJr00NL'. <br />A <br />�, I <br />1. <br />EACH OCCUPRPN, E <br />?.000, 00 <br />004 <br />513J2005 <br />r- ?.000,00 <br />i <br />AGGREGATE <br />— <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WC gTATL. C <br />MB <br />EMPLOYERS' LILRY <br />TORY Lingl P <br />ANY PROPRIETOR'PARTNERrEXECUTIVE <br />OFFICERAAEMBER EXCLUDED? <br />,./ <br />/� <br />E.L EACHa IEELI 4 <br />IIy s, descnoeu r <br />b{ <br />l( <br />EL EISEACE EF.ENF EEI !" I <br />SPECIAL PROVISIONS Eelar <br />j <br />OTTER <br />EL DISEASE-L'AL cUMT i <br />1 <br />:FTION OF OPERATpNS I LOCATIONS / VEHCLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECAI. PROVISIONS <br />Ncate Holder & Its Officers, Agents, Employees & Volunteers are named as Aditional Insureds under <br />wording provided in the <br />y wording.. It is further agreed that the insurance provided by this endorsement is primary. Other insurance afforded to the <br />:ional Insured shall apply as excess of and does not contribute. <br />City of Santa Ana - CDBG M-25 SHOULD ANY OF THE ABOVE DESCBBED POLICIES BE CANCELLED BEFORE THE Er PIRATION <br />Community Development Agency GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 _ DAY, WRITTEN <br />P.O. Box ISM M-15 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />Santa Ana, CA 92702- IMPOSE NO OBLIGATION OR LUBILDY OF ANY KIND UPON THE INSURER. ITS AGF1— OR j <br />REPRESIE TNES. <br />AL MORIZEO REPRESENTATNE <br />ACORD 26 (2001I08) © ACORD CORPORATION 1988 <br />