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ACORD, CERTIFICATF )F LIABILITY INSURAN ' I 04/13/z 9 ) <br />?RODUCER (310)393-9477 FAX (31e.�393-7186 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />White & Company Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT -AMEND; EXTEND"'OR` <br />P 0 Box 70 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Monica, CA 90406-0070 <br />INSURERS AFFORDING COVERAGE I NAIC # <br />NSURED Women's Transitional Living Center INSURERA: Philadelphia Ins Co _ <br />PO Box 6103 INSURER B: <br />Orange, CA 92863 INSURER C. <br />INSURER D. <br />INSURER E. <br />r`nVCDAGrC <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />T. <br />0' <br />TypE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPHUTKIN <br />DATE IMMIDI)fM <br />LIMITS <br />GENERAL UABIUITf <br />PHPKII5560 <br />04/04/2005 <br />04/04/2006 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />L UEnC <br />$ 100,000 <br />CLAIMS MADE a OCCUR <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />A <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />S 1,000,000 <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />PHPK11S560 <br />04/04/2005 <br />04/04/2006 <br />COMBINED SINGLE LIMIT <br />(Ea..&nl) <br />$ 1,000,00 <br />X <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per aecitlenl) <br />- <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Peracatlen) <br />$ <br />GARAGE LIABILITY <br />A.UTOONLY-EAACCDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANYAUTO <br />$ <br />AUTO ONLY: AGO <br />EXCESS/UMBRELLALIABILITY <br />PHUB043582 <br />04/04/2005 <br />04/04/2006 <br />EACH OCCURRENCE <br />s 2,000,00 <br />OCCUR ❑CLAIMS MADE <br />AGGREGATE <br />$ 2,000,00 <br />A <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION f <br />WORKERS COMPENSATION AND <br />WC STATU- OTH- <br />EMPLOYERS* LIABILITY <br />ANY PROPRIETORIPARTNEEXECUTNE <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />tlesPROVI PROVISIONS <br />If SPECIAL <br />SPECIALPROVISIONStelwi <br />Laura <br />Stitt SITC <br />dy <br />-- <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />OTHER <br />Ass <br />scant City Att <br />may <br />DESCRIPTIONDFOPERATIONSf LO TIONSIVEHICLES)EXCLUSKINSADDEDBYENDORSEMENTISPECIALPROVISIONS <br />'ity of Santa Ana, its officers, agents, employees, and volunteers are additional insureds as per form <br />1-NP-003 (05/01) Item M - Funding Source and Primary Insurance as per form CGOO 01 07 98, both <br />Ittached to the general liability policy and accompanying this certificate. <br />*Except for 10 days written notice of cancellation for non-payment of premium. <br />City of Santa Ana - CDBG M-25 <br />Attn: Frank Hernandez <br />P.O. Box 1988 M-25 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 1#0tXIXX{U MAIL <br />30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />AUTHORIZED REPRESENTATNE <br />ACORD 25(2001108) FAX: (714)647-6549 <br />Kathleen Benner. I <br />©ACORD CORPORATION 1988 <br />