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'AC~C,SRD CERTIFICATE OF LIABILITY INSURANCE oaiosizoo ) <br />PRODUCER (gq9) 709-5800 FAX (949)709-1668 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Comprehensive Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />22342 Avenida Empresa ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />Suite 200 <br />RSM, CA 82688 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Assistance League of Santa Ana INSURER A: NONPROFITS' INSURANCE ALLIANCE <br /> <br />1037 W. First Street ~-_~0~_ Q~_ D3 <br />INSURERe~. ___ <br />, <br />Santa Ana, CA 92703 A _~ INSURER C. <br />~_0 <br />7~_~~ <br />f't <br /> INSURER D: <br />i <br /> INSURER E: <br />I+VYCnMV w <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W17H RESPECT TO WHICH <br />ANY REQUIREMENT THIS CERTIFICATE MAV BE IS SUED OR <br />, <br />MAV 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 MAV NAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTVE POLICY EXPIRATION LIMBS <br />GENERAL LIABILITY 2005-07 504-NPO 06/01/2005 06101/2006 EACH OCCURRENCE s 1,000,00 <br />X COMMERCIgL GENERAL LIABILITY DAMAGE TO RENTED <br />eI, SFC (Earc E IOO,O <br />CLAIMS MADE O OCCUR MED E%P (Any one person)_ 8 _1 O, OO <br />A PERSONAL 8 ADV INJVRV $ 1 , OOO , OO <br /> GENERAL AGGREGATE 8 3, OOO, QO <br />GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP AGG $ 3 , QOO, QO <br />POLICY jEa X LOC <br /> AUT OMOBILE LIA&LNY 2005-07 504-NPO 06/01/2005 06/01/2006 coMelN£D SwcLE Umrt <br />$ <br /> X ANY AUTO (Ea ecdtlenl) 1 , OOO , OO <br /> ALL OWNED AUTOS BODILY INJURY <br />b <br /> (Pet parson] <br /> SCHEDULED AUTOS _ <br />A _- <br /> HIRED AllTO$ BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (PM acdberti) _ <br /> <br />~ - PROPERTY DAMAGE $ <br /> - (Petawitlenll <br /> GA RAGE LIABILITY AIfTO ONLY_EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXC£sstuMBR£LLA LUBaRY 2005-07504-UMB-NPO 06/01/2005 06/01/2006 EACH OCCURRENCE b 3,000,00 <br /> OCCUR ~GLAIMSMADE AGGREGATE-__ b 3,aoD,oo <br />A -- $ -- <br /> X DEDUCTIBLE ___ <br />~ $ <br /> X RETENTION $ $ <br /> WORKERS COMPENSATON AND 07 <br />O <br />4- <br />D <br />O <br />ZOOS- <br />5 / <br />O1 <br />/ZOOS <br />O6 06/01/2006 WC STATU- OTIi <br /> EMPLOYERS'LIABIIJTY p <br />p <br />( <br />~ <br />,T <br />T~ <br />t-]LI l~V ] <br />• <br />A <br />~Ll A5 l~ ~L-~-~I"' E.L. EACH ACCIDENT $ 1.000,00 <br />A ANY PROPRIETOR/PARTNERIE%ECUTIVE ' <br />OO <br />OO <br /> OFFICER/MEMBER E%CWDED? E.L. DISEASE - EA EMPLOYE b 1 , Q <br />, <br /> If yes, deSriiLa untler <br />SPECIAL PROVISIONS eebw { - <br />": ~~ <br />Et DISEASE -POLICY LIMIT <br />$ <br /> ~~ <br /> OTHER L' 6I' .'tltt SCa' -ly <br /> Assi tans City Att~ ...1. <br />DESCRIPTION OF OPERATKNi31 LOCATIONS! VEHICLES / EXC WSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />E: FUNDING <br />10 DAY NOTICE SHOULD THE POLICY CANCEL FOR NON-PAYMENT <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER THE ATTACHED CG2026 (07/04) <br />CERTIFICATE HOL ER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POIICNiS BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL dW61~XJEX8E14 MAIL <br />CITY OF SANTA ANA ~ 3O DAYS WRITTEN NOTIC£ TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />COMMUNITY DEVELOPEMENT AGENCY INIXr)€XIYIYA~XrMXXiC?:i(MY+X9ftEKS$YdUfNdk763F#1bYd~X~kX.D(dfX~X104XXX. <br />M-25 <br />BOX 1988 <br />P <br />O ~AEWXcKA4Xd4~('t(+`€%~1f>t~kXi%s~(NrXl6~)f~':~YIXj'+-NkXXXXXXXXX <br />. <br />. <br />SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE ~ 9 <br />/Il~z- <br /> Richard E non, CIC/KRISTY - <br />ACORD 25 (200'1/08) FAX: (714)647-6580 ©ACORD CORPORATION 1988 <br />