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Ar7RD CERTIFICATE F LIABILITY INSURANC, OP ID M DATE (MM /DO/YYYY) WISEPL1 12/29/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Advanced Insurance Marketing HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 4459 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orange CA 92863 -4459 LIMITS Phone:714- 997 -8100 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Philadelphia indemnity Inv Co. EACH OCCURRENCE INSURER B: • X INSURER C: PHPX104578 Wisepl ace, a Ca Corp 1411 N. Broadway Santa Ana CA 92706 INSURER D: TMIAGE� PREMISES(Eaoccurence) INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY P&;jrEXPIRATION MMID LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 • X X COMMERCIAL GENERAL LIABILITY PHPX104578 01/01/05 01/01/06 TMIAGE� PREMISES(Eaoccurence) 5100,000 CLAIMS MADE 1XI OCCUR MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY 51,000,000 yI GENERAL AGGREGATE 52,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG 52,000,000 POLICY PRO- LOC JECT • I AUTOMOBILE LIABILITY ANY AUTO PHPKI04578 01/01/05 01/01/06 COMBINED SINGLE LIMIT (Ea accident) $ X BODILY INJURY (Per Person) _ 51,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY d.r (Per acdtlend) $ HIRED AUTOS NON -OWNED AUTOS — PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC 5 ANY AUTO $ AUTO ONLY: AGO EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE 51,000,000 A X OCCUR ECLAIMSMADE PHO'B039585 01/01/05 01/01/06 AGGREGATE $1,000,000 E $ DEDUCTIBLE X RETENTION $10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? L J � TORY LIMITS ER E L. EACH ACCIDENT S E L DISEASE - EA EMPLOYEE E Hyyes, describe under SFeCIAL FROVtSIDNS below / '— E.L. DISEASE - PCL ICY LIMIT - - -- $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Ten Day Notice of Cancellation for non - payment /non- reporting/ The City of Santa Ana, it-s officers. agents, employees, and volunteers are named as additional insured per attached CG2026 form. RE: Insured received (HOD) Community Development Block Grant Funding & Emergency Shelter Grant Funding to support their shelter program for homeless women. CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY M -25 MICHAEL GARCIA P.O. BOX 1988 SANTA ANA CA 92702 -1988 SASITA -w I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL 111� MAIL 30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,L