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.- CERTIFICAT( W LIABILITY INSURANC <br />DATE IMWOD/YYYY) <br />r1(VUVI:[M <br />Advanced Insurance Marketing <br />P.O. Box 4459 <br />Orange CA 92863-4459 <br />Phone: 714-997-8100 <br />Wiseplace, a Ca Corp <br />1411 N. Broadway <br />Santa Ana CA 92706 <br />COVERAGES <br />I HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOV <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURER A: Philad.lphie I>rdemity In. Co. <br />INSURER B: <br />INSURER C: <br />INSURER D.- <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 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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />OU"DATE WFECTW <br />GATE IMWDDNY) <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ® OCCUR <br />PHPX068383 <br />01/01/04 <br />01/01/05 <br />EACH OCCURRENCE <br />f 1, 000, 000 <br />X <br />PREMISES Eao ence) <br />$ 100, 000 <br />MED EXP (Any ane pens n) <br />$ 5, 0 00 <br />PERSONAL. &ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$ 2, 000, 000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />POLICY M jE7 LOG <br />PRODUCTS -COMPIOP AGO <br />$2,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-0WNEDAUTOS <br />PHPX068383 <br />t9.Ci.CaIY VJ:'. <br />01 01 44 <br />AS To i^ <br />i' <br />-- <br />Ol/Ol/OS <br />• <br />rM <br />COMBINED SINGLE LIMB <br />(Ea actldenl) <br />$ <br />X <br />(PeDIL�YfSn) INJURY <br />$ 1, 000, 000 <br />BODILY INJURY <br />Per acddenu <br />$ <br />PROPERTY DAMAGE <br />(Per acddeM) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />Laura <br />Assistant <br />AUTO ONLY -FA ACCIDENT <br />f <br />Stitt Sheerly <br />City Attorney <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />E <br />S <br />A <br />IXCESSNMBREIIA LIABILITY <br />X OCCUR ❑ CLAIMSMADE <br />0DEDUCTIBLE <br />X RETENTION f lO, OOO <br />PKUB025638 <br />01/01/04 <br />01/01/05 <br />EACH OCCURRENCE <br />31,000,000 <br />AGGREGATE <br />$ 1, 000, 000 <br />a <br />S <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNEWE%ECUTNE <br />OFFICERJUEMBER EXCLUDED? <br />Or describe under <br />SIAL PROVISIONS hebx <br />OTHER <br />TO I ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMB E <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / IXCLUSION3 ADDED BY ENDORSEMENT / SPECULL PROVISIONS <br />Ten Day Notice of Cancellation for non-payment/non-reporting/ The City of <br />Santa Ana, it's officers. agents, employees, and volunteers are named as <br />additional insured per attached Additional Insured Endorsement. RE: Insured <br />received (HUD) Community Development Block Grant Funding & Emergency Shelter <br />Grant Funding to support their shelter program for homeless women. <br />CITY OF SANTA ANA COMMUNITY <br />DEVELOPMENT AGENCY M-25 <br />MICHAEL GARCIA <br />P.O. BOX 1988 <br />SANTA ANA CA 92702-1988 <br />SANTAAN I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E)D'IRATIO <br />DATE THEREOF, THE ISSUING INSURER MLLi MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />25 (2001108) O ACORD CORPORATION198 <br />/ nniejI, <br />