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From: Comprehensive Insurance 949-709-1668 To: Lucy Flores Date: 10/1812005 Time: 4:21:48 PM Page 2 of 3 <br />^ - a OC,s - o (G <br />ACORQ CERTIFICATE OF LIABILITY INSURANCE <br />AM <br />°10/`18/zoos <br />PRODUCER (949)709-8800 FAX (949)709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Empresa <br />Suite 200 <br />RSM, CA 926BB <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BE LOW. <br />GE AIC <br />INSURERS AFFORDING COVERAN# <br />INSURED <br />Laura's House <br />INSURERA. NONPROFITSINSURANCE ALLIANCE <br />INSURER IS NATIONAL UNION FIRE INS OF PITT_BUkGH <br />PA <br />INSURER <br />27129 Calle Arroyo, Suite 1822 <br />INSURER <br />San Juan Capistrano, Ca 92675 <br />INSURER E <br />WVGKA LZI <br />OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />THE POLICIES <br />ANY REQUIREMENT, TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHfCH 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 CON DITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ <br />INSRhD1YL <br />TYPE OF INSLRANCE <br />POLICYNUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />10/11/2006 <br />LIMITS <br />s 1'COO-COO <br />N%RGENERAL <br />LIABILITY <br />2005-03BB9-NPO <br />10/11/2005 <br />EACHOCCURRENCE <br />DAMAGE 104ENTED <br />g 1GO, Ol <br />X COMMERCIAL GENERAL LIABILITY <br />ME["EXP IPny one Gerson: <br /># 10, 000 <br />CLAMSMADE TOCCUR <br />PER�onu.JaADvNdGle� <br />Y 1,000_000 <br />A <br />GENERAL aGdFEc_TE <br />s 3,000.600 <br />GEN'LAO6REGATE LIMB FOR <br />FRODUCTS_rpMp, <br />3,000, 000 <br />_ <br />-APPLIES <br />_. <br />PRO- <br />POLICY JECT X LOC <br />AUTOMOBILE LIABILITY <br />2005-03889-NPO <br />10/11/2005 <br />10/11/2006 <br />COME§NEp 51VGLE LRAIT <br />t- <br />0 <br />X ANYAUTO <br />J <br />(Ea a�ad=n1! <br />j Dno,OOC) <br />RODILJ <br />d <br />ALL ONNEDAUTOS <br />� SCHEDULED AUTOS <br />IFer nerscnl <br />__.. .. <br />A <br />� <br />HIRED AUTOS <br />E-11-1 IH 1Iq <br />t <br />IE=r a , ldenl', <br />NONnWNED AUTOS <br />I <br />FP FER', [?MA <br />.F <br />j <br />C , d-N. <br />GARAGE LIABILITY <br />:.UT-_INL -E, ETC <br />- _-_-. --- <br />TFAh EnA2_!= <br />ANYAUTOOTHER <br />AIrDJ^IL' <br />EXCESSAIMBRELLALIABILITY <br />2005-03889-UMB <br />10/11/2005 <br />10/11/2006 <br />EATH D� CURRENCE <br />f 1, 000, 000 <br />AC-BFEGATE <br />_ <br />6 1,000,000 <br />X OCCUR CLAIMS MADE <br />_ <br />A <br />t <br />DEWCTIBLE <br />�TATLL <br />VJC G <br />t __.._ <br />X RETENTION $ 10,00 <br />-' — <br />WORKERS COMPENSATION AM <br />-' ' - IEti <br />-- --- <br />EL EACH ACtiICENT <br />t <br />EMPLOYERS' LIABILITY <br />ANY PROPRET ORNARTNER,EXECUTIVE <br />OFFICERMEMBEF EXCLUDED? <br />EL DISEASE-EAEMFL"III__ <br />_ <br />EL DISEAalE-c'OJC• LIMr <br />Il yes, aescnr,e imler <br />RPECIAL PROVISIONS below <br />2005-03889-NPO <br />10/11/2fX)5 <br />10/11/2006 <br />$3.000,000 AGGREGATE <br />S(xEIAL. SERVICE <br />$1,000,000 OCCURRENCE <br />A <br />PROFESSIONAL LIABILITY <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS pp �7 OYSfii ASsfiad ��a <br />'I� +'iN AS <br />ERTIFICATE HOLDERS ARE NAMED AS ADDITIONAL INSURED PER ATTACHED EXHP 1 j( <br />EXCEPT 10 DAYS FOR NON-PAYMENT <br />'REPLACING CERTIFICATE ISSUED 10/11/05' __ Z <br />P Laura Stitt She dy <br />�, Ietant City Attornev <br />CITY OF SANTA ANA ITS OFFICERS, AGENTS <br />EMPLOYEES AND VOLUNTEERS <br />CDBG M-25 <br />COMMUNITY DEVELOPMENT AGENCY <br />P.O. BOX 1988 M-25 <br />SANTA ANA, CA 92702 <br />SHOLKO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER HILL Y7)bKKXYM MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />i4�KXeXKX�dH6KitlElOfaWCXKKII€M3Ut1Ntl�G1EK1(dfJONCYA�XTi1(XX. <br />AUTHORIZED REPRESENTATIVE ,? - <br />Richard Eynon CIC/JEREMY <br />ACORD 25 (2001109) <br />