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AWN CERTIFICATE F LIABILITY INSURANCE 01/30/D2004) — <br />Ol/30/2004 <br />PRODUCER (626) 599-8830 FAX (626 S99-8831 THIS CERTIFICATE IS ISSUdD AS A MATTER OF INFORMATION <br />Pacific General Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />405 E. Santa Clara Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Arcadia, CA 91006 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Mexican American Opportunity Foundation INSURERA: Philadelphia Insurance Company <br />401 N. Garfield Avenue INSURER B: <br />Montebello, CA 90640 NSURERC: <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.. NOTWITHSTANDINI <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 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 />INLT R <br />_ DM <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POUCY EFFECTIVE <br />POLICY EXPIRATIONDATE mmunDMI <br />LIMITS <br />X <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />MADEFX OCCUR <br />PHPK071751 <br />01/30/2004 <br />01/30/200S <br />E 1, 000,00X <br />ENTED$ <br />100,00CLAIMS <br />one person) <br />$ 5, DDA <br />MOCCURRENCEENCE <br />DVINJURY <br />S 1,000,00REGATE <br />$ 3,000,0GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JEST LOC <br />OMP/OP AGO <br />$ 3,000,00 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />PHPK071751 <br />01/30/2004 <br />01/30/2005 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />S 1,000,00 <br />X <br />A <br />X <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />' <br />NON -OWNED AUTOS <br />ODILYiINJU <br />BODRYdent) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />AUTO ONLY: AGG <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />- <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION E <br />� <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />_ - _ <br />- <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOWPARTNER/EXECUTIVE <br />OFFICEWMEMBER EXCLUDED? <br />_ .. - - - - <br />E.L. DISEASE -EA EMPLOYE <br />S <br />If yes, tlesmbe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />OTTER <br />rime Coverage <br />rofessional Liability <br />PHPK071751 <br />PHPK071751 <br />Ol 30 2004 <br />/ / <br />01/30/2004 <br />Ol 30/2005 <br />/ <br />01/30/2005 <br />Limit $1,000,000/$2,000 Ded <br />$1,000,000 OCC/$3,000,000 OCC <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />he City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as <br />additional insured as respects to claims arising out of the operations and uses performed by or on <br />behalf of the named insured. <br />ten day Notice of Cancellation shall be given in the event of non-payment of premium. <br />City of Santa Ana <br />Community Development Agency (M-25) <br />Attn: Carla Thompkins- Mngt. Aide <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL K*XX1 MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />xacxa�xawtx�sxulxmxxLxXxx <br />AUTHORIZED <br />n <br />OACORD CORPORATION 1988 <br />