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ACORD,„ CERTIFICATE OF LIABILITY INSURANCE °09/0212°'05os/ov2oosPRODUCER SCHWEICKERT & COMPANY 15 PETERS CANYON ROAD IRVINE, CA 92606 714-436 6400 .THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND: CONFERSNO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER. THE COVERAGE AFFORDED BY THE POLICIESBELOW. INSURERS:AFFORDING COVERAGE NAIC# INSURED ON AGING 1971E4TH STREET,#2001NSURERc ANACA 92705�INsuaERD A'o��i"-D7"0/1 INSURERA PHILADELPHIA INDEMNITY INSURANCECOUNCIL INSURERe NONPROFITS UNITED EXECUTIVE PERILS, INC.SANTA ROLICY NUMBER INSURER E. COVERAGES THEPOLICIES OF INSURANCE LI$TEOEELOW HAVEBEEN ISSUED TO TME EMENT, TERM OR CONDITION OF ANYCONTRgCT OR OTHER , THE INSURANCE AFFORpEO BY THE POLICIES DESCRIBED Stitt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES' BE: CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WIL�MAIL 30 DAYS WRITTEN CITY OF SANTA ANA -0060 M-25 NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT COMMUNITY DEVELOPMENT AGENCYP.O. BOX 1988 M-25SANTA ANA, CA. 92702 _ Au111 ¢vkE-$EN T EAPPROVED Ati7 tACORD 25(2001/08) �'ACORDCORPORATION 1988 '1.ecdY AsaistanL Citynzv INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING DOCUMENT. WITH RESPECT TO. WHICH THIS CERTIFICATE MAY BE ISSUED OR HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED. BY PAID CLAIMS: ROLICY NUMBER POLIE IMMIDDBT l POLICYEMIDO I) LIMITS AL LIABILITY EACHOCCURRENCE $ 1,60O,OOD GENERAL LIABILITY PHPK12M4J 07/01!2005 07/01/2006 ETQRENTE�OMMERCIAL PREMISES(E $ 100,000 CIAIMS EAADE ❑X OCCUR TOY)DID OCCIAGG _ MEDEXP(Any p on)1,000000 EACH CAUSE/EXUALABUSE 3000000 AGGREGATE PERSONAL B ADV INJURY $ 1,000,000 IQUOR LIABILITY. E 2,000.000 _EMPBENEFITSIPROFIA@GENERALAGGREGATE AGGREGATELIMITAPP_LIES PER PRODUCTS; COMPIOPAGG $ 2,000000 1000..EAINGQ.D00,0O0AGG OLICY PRO+ :LOCAUTOMOBILE A X LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO PHPK128443 07/01/2005 07/01/2006 (EaaccmmU BODILYINJURY ALL OWNED AUTOS SCHEDULEDAU(OS (Pa�XHIREDAUTOS 00DILYJNJURVXNOWOWNEDAUTOSPRO PERTY. DA MAG E $ (PorGARAGE LIABILITY. AUTO.ONLY, EA ACCIDENTANYAUTO $ OTHERTHAN EAACC $ AUTOONLV: qGG EXCESSIVMBRELLA UABIUTY EACH OCCURRENCE �'$ 2,000,000A X X n PHUB048346 07/01/2005 07/01/2006 OCCUR CLA6ISMADE. AGGREGATE $ 2000000 DEDUCTIBLEY RETENTION 'E.. WORKERS COMPENSATION AND WCSTATIL OTHB TORY LIMITSX ER,ANY EMPLOYERS LIABILITY a NPU -WCC; D01 .03/01/2005 03/01/2006 EL EACH ACCI DENT $ PROPRIETORIPARTNEIDEXECUTIVE DISEASE SEA EMPLOYEE __500,000 $SPECIAL OFFICERMEMB ER EXCLUDED;I(yes.descdb.VntlerEL EL DISEASE, POLICY LIMIT $ 500000 PROVISIONS IeIoW OTHERC ERRORS & OMISSIONS MPL000 0080-01 01!09/2005 01/09/2006 500ODOEACHCIAIM 500,000 POLICY AGGR ELATE ]500. DEDUCTIBLE DESCRIPTION OF OPERATIONS / LOCATIONSIVEHICLES I EXCLUSIONS ADDED DY ENDORSEMENT /SPECIAL PROVISIONS CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERSARE NAMED AS ADDITIONAL INSURED. AS RESPECTS THEIR INTEREST IN CONNECTION WITH THE'NAMED INSURED. THEPOLICIES OF INSURANCE LI$TEOEELOW HAVEBEEN ISSUED TO TME EMENT, TERM OR CONDITION OF ANYCONTRgCT OR OTHER , THE INSURANCE AFFORpEO BY THE POLICIES DESCRIBED Stitt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES' BE: CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WIL�MAIL 30 DAYS WRITTEN CITY OF SANTA ANA -0060 M-25 NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT COMMUNITY DEVELOPMENT AGENCYP.O. BOX 1988 M-25SANTA ANA, CA. 92702 _ Au111 ¢vkE-$EN T EAPPROVED Ati7 tACORD 25(2001/08) �'ACORDCORPORATION 1988 '1.ecdY AsaistanL Citynzv