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<br />HRH of Baltimore <br /> <br />,ê)íå;]; ÊIê)illíjlijl~~Î~liJij1JN.a. )~å..7!K.i.IXI...il.....IE........'..'.. ... . . .... DATE~7~~~lV) <br />- - .... - - -. .- ..... ......... <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 BELOW. <br /> <br />,---- COMPANIES AFFORDING COVERAGE___- <br /> <br />ACORD," <br /> <br />PRODUCER <br /> <br />303 International Circle, #400 <br />Hunt Valley, Md. 21030 <br /> <br />COMPANY <br />A <br /> <br />Zurich North America <br /> <br />----- <br /> <br />-- <br /> <br />--'----'~~- <br /> <br />.- <br /> <br />INSURED <br /> <br />Goodwill Industries of <br />Orange County <br />410 North Fairview <br />Santa Ana CA <br /> <br />COMPANY <br />B <br /> <br />-.-..-- <br /> <br />--_.._,-- <br /> <br />92703 <br /> <br />I CDM~A:"- <br />COMPANY <br />, D <br /> <br />--"------ <br /> <br />-- <br /> <br /> <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 />~_.- . - ~- <br /> <br /> <br /> <br /> <br />---------- <br /> <br />.----- <br /> <br />CO <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />POLICY EFFECTIVE <br />DATE (MM/DD/Y¥I <br /> <br />POLICY EXPIRATION <br />DATE (MMIDDIYY) <br /> <br />LIMITS <br /> <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />J CLAIMS MADE l~ OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br /> <br />GENERAL AGGREGATE <br /> <br />, <br />---- <br /> <br />PRODUCTS - COMP/DP AGG <br />.-------- <br /> <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br /> <br /> <br />¡tN\ <br />'yO fO <br /> <br />PERSONAL & ADV INJURY <br />--.. - <br /> <br />-' <br /> <br />, EACH OCCURRENCE <br />¡----...- <br />, FIR_~_DAMAGE (~_ny one fire) <br />MED EXP (Anyone personl <br /> <br />.----- <br /> <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br /> <br />COMBINED SINGLE LIMIT <br /> <br />----- <br /> <br />---- <br /> <br />------------ <br /> <br />, BODILY INJURY <br />!iPerpersonl <br /> <br />- <br /> <br />----." <br /> <br />HIRED AUTOS <br />NON-OWNED AUTOS <br /> <br />BODILY INJURY $ <br />IPeraccidentl__________I- <br /> <br />- <br /> <br />PROPERTY DAMAGE <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />AUTO ONLY - EA ACCIDENT <br />OTHER THAN AUTO ONLY: <br />----- <br /> <br />--- <br /> <br />-_.~~-~ <br /> <br />EACH ACCIDENT <br />AGGREGATE $ <br /> <br />---------- <br /> <br />EXCESS LIABILITY <br />UMBRELLA FORM <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />-------.------ - <br /> <br />OTHER THAN UMBRELLA FORM <br />A WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />WC3433858 <br /> <br />6/01/04 <br /> <br />6/01/05 <br /> <br /> <br />OTH- <br />Œ- <br /> <br />1000000 <br /> <br />---. <br /> <br />THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />OTHER <br /> <br />INCL <br />EXCL <br /> <br />EL DISEASE - POLICY LIMIT <br />EL DISEASE - EA EMPLOYEE <br /> <br />1000000 <br />_._.~.- <br /> <br />1000000 <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS <br /> <br /> <br /> <br />Private Industry Council of <br />Santa Ana <br />PO Box 1988 <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WilL ENDEAVOR TO MAIL <br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> <br /> <br /> <br />C MPANY, ITS <br />. 'á<-'-fOL.5 <br /> <br />AGENTS OR REPRESENTATIVES. <br /> <br />