Wise Place 13 - Laserfiche WebLink

Home Browse Search

A - .1005- 078 - (34 -1 OP ID M DATE (MMIDDIYYYY) ACORD CERTIFICAT_ F LIABILITY INSURAN%., WISEPLl 12/29/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INS LTR 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. LIMITS Orange CA 92863 -4459 Phone:714- 997 -8100 INSURERS AFFORDING COVERAGE NAIC# INSURED WSURER A: PyiladelPRia red ity Ioe Co. S 1 000 , 000 INSURER B: X X ER CIALC ENERALLIABILITY INSURER C: 01 /01 /05 Wiseplace, a Ca Corp 1411 N. Broadway Santa Ana CA 92706 INSURER O: $100,000 INSURER E: FCOMM CLAIMS MADE X OCCUR 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. INS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE M DATE M LIMITS L LIABILITY EACH OCCURRENCE S 1 000 , 000 A X X ER CIALC ENERALLIABILITY PHPR104578 01 /01 /05 01/01/06 PREMISES IEa orwrence) $100,000 FCOMM CLAIMS MADE X OCCUR MED EXP (Anyone person) s5,000 PERSONAL A ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 rGEWL AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGO 52,000,000 POLICY Pj LOG • AUTOMOBILE LIABILITY ANY AUTO PHPK104578 01/01/05 01101106 COMBINED SINGLE LIMIT (Ea acddenN $ X f— it - -- BODILY INJURY IPer person) 51,000, OOO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE IPer acrJdenH $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S ANYAUTO S AUTO ONLY AGG EXCESSNMBRELLA LIABILITY EACH OCCURRENCE 51,000,000 • X I OCCUR EICLAIMSMADE PHUB039585 01/01/05 01/01/06 AGGREGATE 51,000,000 _ S $ DEDUCTIBLE S X RETENTION $10,000 WORKERS COMPENSATION AND TORY LIMITS I I ER EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERJEXECUTNE OFFICERIMEMBEREXCLUDED? E. L. EACH ACCIDENT $ E. L. DISEASE -EA EMPLOYEE -- S II yyes, describe order SPECIAL FROVISIONS bd. _ - F. L. OISEASE PCLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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 (HUD) Community Development Block Grant Funding 6: Emergency Shelter Grant Funding to support their shelter program for homeless women. rCOTlnrATIP UnI ncc CANCFLI ATION CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY M -25 MICHAEL GARCIA P.O. BOX 1988 SANTA ANA CA 92702 -1988 SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL � MAIL 30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,wllwtl