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<br />
<br />PATRICK PERLAS
<br />
<br />851 8Ø3 ZØZ8
<br />
<br />11/24/04
<br />
<br />04:08pm
<br />
<br />P. øØZ
<br />
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<br />
<br />ACORD",
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />I o.\TEIMWDDf't'YYY)
<br />11/24/2004
<br />TIiIS CERTIFICA. TE IS ISSUED AS A MATTER OF INFORMA. nON
<br />ONLY AND CONFIiRS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
<br />
<br />INSURERS AFFOIU1ING COVERAGE I NAIC'
<br />INS"''''A. SEQUOIA INSURANCE CO. !
<br />
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<br />
<br />PERLAS INSURANCE SERVICES
<br />401 N. Brand Blvd., Suite 445
<br />GLENDALE, CA 91203
<br />(818) 543-1133
<br />~~~ C.A.R.E. COUNSELING
<br />1614 EAST 17TH STREET *D
<br />SANTA ANA, CA 92705
<br />
<br />.lNSU~E~ R~._.-
<br />1NSURER C
<br />
<br />._--~
<br />
<br />,
<br />
<br />COVERAGES
<br />
<br />THE POlICIES OF INSURANCE liSTED BElOW HAVE e.EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POliCY FERIOO INDICATED NOTWITHSTAND:NG
<br />ANY R.QUIREII.1ENT. TERM OR CONDITION OF ÞNf CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS.CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSVRANCE AffORDED BY THE POi.ICIES DiSCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />!'OllCIE3. AGGftEGATE UMIT3SI~OWN MAY HAVE BEEN REDUCED BY PAID ClAIMS.
<br />
<br />INSURER E.
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<br />INSURER D-
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<br />111-17-04
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<br />I GENERAl AOOREGAìE
<br />PRODUCTS. CQMPIOÞ AGO
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<br />COMBlNE.O SINGlE UMlT "
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<br />DESCRIPT.ION OFO"ERAT1ONSI LOCATlONliIWHICLUf2lCLtJ9lONGADDI!DBYENDORSEfI1ENT I SÞEQAL ~O\lJ&IQr.IS
<br />
<br />CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED.
<br />
<br />CERTIFICATE IiOLDER
<br />
<br />CANCELI.A TION
<br />
<br />CITY OF SANTA ANA -CDBG-25
<br />COMMUNITY DEVELOPMENT AGENCY
<br />P.O. BOX 1988 -25
<br />SANTA ANA, CA 92702
<br />
<br />St1OULO ,.,....1' of "tHE ABO~ DESCR:I:ØEO POUC:1ES BE CANC;kUE.tI aE~Ti1E EX"!~:" ,;.:,1,
<br /> )An: i~t:OF. 'tHe t;5úJIIIQ II\u!iURER i/IIllL EHCEAVOR Tö MA!L ~ o)t.,'7S. \¡~x~::;::>:
<br />NOTICE TO THf. caulffCl'T£ HOLoEft; NM'IF.O TO -nE \..En, øuf fAlLlJR'E; 1'0 CO $0 sH..Iu..
<br />IMPOSE rwo OBUOATtON OR LJABIUTY OF ANT IQNg \/PO"': I".9UfŒR. In AGENTS ~
<br />
<br />REPRE8ENTATlVES.
<br />AUTHORfZI!D ttePFtEJeNTATM!
<br />
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