O.C. TEEN CHALLENGE 2 - Laserfiche WebLink

Home Browse Search

AL V9l(./ %,rZM11r1VH VI• LIABILITY DATE(MWDD/YYYY) INSURAN E PRODUCER OF ID ES TEENCHI 07 14 /04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Advanced Insurance MarketingONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 4459 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Orange CA 92863-4459 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: 714-997-8100 ____._. .—__—___---_._.---_ INSURED INSURERS AFFORDING COVERAGE NAIC# _ I _ INSURERA Philadelphia -- Pp'IadelpL'e Iudemuity Inc C o. Teen Challenge of So. Ca. Inc._ INSURER B: -- '- -- - - 5445 Chicago Avenue CA 92507 FINSUME.R'CRiverside ER DE _-' --- COVERAGES THE POLICIES ANY REQUIREMENT, OF INSURANCE LISTED BELOW HAVE TERM OR CONDITION OF ANY BEEN ISSUED TO THE INSURED NAMED CONTRACT ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MAV PERTAIN, POLICIES. THE INSURANCE AFFORDED BY THE OR OTHER DOCUMENT WITH POLICIES DESCRIBED HEREIN IS SUBJECT RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR TO ALL THE TERMS. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH INS IF DD'[� -- -- LTR INSRI] TYPE OF INSURANCE POLICY NUMBERTLTE P�LTC�%P TION./DD/YY GENERAL LIABILITYA DATE MMIDO/YY LIMITS III XTCOMMERCIALGENERALLIABILITY PHPK088005 EACHOCCURRENCE �S1,000,000 9/04 07/19/O5 PREMISE (Ea �5100, 000 __ CLAIMS MADE � OCCUR occurence) ~I MED EXP (Anyone person) i S 10 , 000 PERSONAL B ADV INJURY S1, 000, 000 - GENERAL AGGREGAT E S 2, OOO_O. ---- OO_ GEN'L AGGREGATE LIMIT APPLIES PER -� POLICY PRO- JECT TOO PRODUCTS-COMP/OPAGG S 2, 000 000 - j LIABILITY IEm Ben. 1, 000, 000 A li IANV II44-- rrA�UTOMOBILE AUTO F ALL OWNED AUTOS PHPK088005 ,COMBINED SINGLE LIMIT 07/19 004 07/19/05 I(Ea accident) -- S1,000,000 SCHEDULED AUTOS BODILYINJURYRV S HIRED AUTOS I - NON -OWNED AUTOS - BODILY INJURY (Per accident) S PROPERTY PROP RTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY- S ACCIDENT __ --- OTHER THAN EAACC S- EXCESS/UMBRELLA LIABILITY AUTO ONLY: AGG $--�—�- A X] OCCUR I J CI -AIMS MADE PHUB033466 r' EACH OCCURRENCE $ 9 000 000 07/19/04 07/19/05 AGGREGATE I S DEDUCTIBLE _ S 1RETENTION S10,000 -_— -- S II RKERS COMPENSATION AND S ANY PROPRIETORIPARTNER/EXECUTIVE I TOR LIMITS 1 ER _�- - — �S � GFIFIC RgMEMBIARICITY EXCLUDED' .. If yes, tl E L EACH EACH ACCIDENT under S (SPECIALL PROVISIONS below )� e L DISEAS-E EA EMPLOYEE S _. EMPLOY ' OTHER � �( E L DISEASE- POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS 10 day notice of cancellation for non-payment of its officers, agents, employees and volunteers premium. City of Santa Ana, are named as Additional Insured as respects their interests and connection with the named insured. RE: Funding CERTIFICATE HOLDER CANCELLATION CITSANT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ® MAIL 30 DAYS WRITTEN City Of Santa Ana CDBG M-25 NOTICE TO THE CERI'FICATE HOLDER NAMED TO THE LEFT, Community Development Agency P.O. Box 1988 M-25 R Santa Ana, CA 92702 AUTHO E ATIVE ACORn 95 r9nM /npl © ACORD CORPORATION 1988