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Page: 011-011 <br />,tee 4/16/2004 Times 10,01 AN To, Thompkins, Carla 0 1-714-647-6549 <br /><. DATE (MEVDDNY) <br />04/16/2004 <br />PRODUCER (310) 393-9477 FAX (310) 393-7186 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />White & Company Insurance Inc <br />P Y <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P 0 Box 70 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Monica, CA 90406-0070 <br />CO.MPAN.IES.AFFORDINGdOVERAGE <br />COMPANY Philadelphia Ins Co <br />Attn Daren O'Neill Ext <br />166 A <br />_COMPANY <br />NISURE D <br />Women's Transitional Living Center <br />B <br />PO Box 6103 <br />Orange, CA 92863 <br />ANY <br />C0 � <br />I <br />COMPANY <br />D <br />.,; 77,777 <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, NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION <br />OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 INSURANCE POLICY NUMBER <br />LTR: <br />POLICY EFFECTIVE : POLICYEXPIRATION COVEREDPROPERTY LIWS <br />: DATE011 DdYY) DATEMMDDYYY) <br />X PROPERTY PHPK076921 <br />04/04/200404/04/2005 X' BUILDING 1,400,000 <br />_ CAUSES OF LOSS <br />_: X -: PERSONAL PROPERTY ? 150,000 <br />BASIC <br />! X BUSIIAESS INCOME 1 675,000 <br />BROAD <br />EKTRA EXPENSE 8 <br />A X SPECIAL <br />BLANKETBUILDING 3 <br />EARTHQUAKE <br />BLANKET PERS PROP $ <br />FLOOD <br />BLANKET BLDG B PF L <br />X Replacement Cost <br />s <br />NA -AND MARINE <br />8 <br />TYPE OF POLICY <br />F <br />H � <br />CAUSES OF LOSS <br />_ I <br />NAMED PERILS <br />OTHER <br />£ <br />. <br />CRIME <br />- t <br />: TYPE OF POLICY -' <br />t <br />t <br />BOILER&MACHI ERY <br />i <br />OTHER <br />t ;' r ),• ' <br />LOCATION OF PREMISESIDESCRPTION OF PROPERTY <br />;_.. ', ..... .'." <br />SPECIAL CONDngNSIOTHER COVERAGES <br />Proof of Insurance. <br />Except for 10 days written notice of cancellation <br />_ <br />for non-payment of premium. <br />I <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL INSVMK)t*AIL <br />30 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />City of Santa Ana - CDBG M-25 <br />Attn: Carla Thompkins <br />MXX K xODMIXYMd84)WW"XNXDOX XXXXXX <br />P.O. Box 1988 M-25 <br />M (MdM)k) dEXOWXNd0itJ6iiNtXwa00%txiNt)MKXXXXXXXXXX <br />AUTHOR1ZEDREPRESENTATIVE <br />Santa Ana, CA 92702 <br />Kathleen Benner/KJB <br />li/L}4 i ak%�b'. e`4J'i*w' '&i�•'" <br />y�y./y.� �•q� <br />.'6%' v3 .%s,�Y %VIRPgI[R�t <br />