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:te: 4/16/2004 Time: 10,01 AN To: Thompkins, Carla 0 1-714-647-6549 <br />Page: 011-011 <br />ACORQ, <br />�,T DATE(MMIDDIM <br />..+ .... a..,. <br />, .,.. , ., ";?"' 04/16/2004 <br />PRODUCER (310)393-9477 FAX (310)393-7186 <br />THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION <br />White & Company Insurance Inc <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE j <br />P 0 Box 70 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Monica, CA 90406-0070 <br />COMPANIES AFFORDING COVERAGE <br />COMPANY Philadelphia Ins Co <br />Attn Daren O'Neill Ext <br />166 A <br />MSURED <br />Women's Transitional Living Center <br />COMPANY <br />PO Box 6103 <br />Orange, CA 92863 <br />COMPANY <br />C <br />I <br />COMPANY <br />W go f <br />r'. tee, <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO - TYPE OF IRSURANCE POLICY NUMBER <br />LTR <br />-' POLICYEFFECTIVE - POLICY EXPIRATION <br />DATE(MNDDIYY) DATE POVDDIP/) COVERED PROPERTY LIMBS <br />X PROPERTY PHPK076921 <br />04/04/2004'04/04/2005 X'BJwDING 1,400,000 <br />CAUSES OF LOSS <br />: X PERSONAL PROPEPY 150,000 <br />BASIC <br />X BUSINESS INCOME H 675,000 <br />BROAD <br />EKTRA EXPENSE 8 <br />A X SPECIAL <br />BLANKET BUILDING 'd <br />EARTHQUAKE <br />: BLANKET PERS PROP f <br />,.._..... FLOOD <br />- <br />BLANKET BLD53 PP <br />X Replacement Cost <br />s <br />RA -AND MARINE <br />A <br />TYPE OF POLICY <br />CAUSES OF LOSS <br />i ! <br />NAMED PERILS <br />-f j <br />OTHER <br />� <br />CRIME <br />TYPE OF POLICY <br />..._ BOILER a1MCHNNERY <br />{ <br />f <br />_. <br />OTTER <br />a <br />LOCATION OF PREMISESIDESCRPTQN OF PROPERTY <br />- <br />SPECIAL CONDITIONSA1THER COVERAGES <br />roof of Insurance. <br />*Except for 10 days written notice of cancellation for non-payment of premium. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL iN6XiPiN )UWIL <br />City of Santa Ana - CDBG M-25 <br />30 DAYS WRITTEN NOTIOETO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, <br />Attn: Carla Thompkins <br />M7tXlIDUiKiDYVOiwmwwxxxx*mO7i(aHC1CXdtliD0l0VOMXXXXX <br />P.O. Box 1988 M-25 <br />C(iomyHDOUfX**XdOUMfXWXAOfEXdgliNtXwf xxxxXXXXXX <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />rn <br />Kathleen Benner/KJB <br />CORD CORPORATIOt4 i99 <br />y,. <br />