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�ICORDTN CERTIFICA i E OF LIABILITY INSURANCE <br />PRODUCER License # OB02587 (805) 96"071 THIS CERTIFICATE IS ISSUED AS A MATTER <br />Brown & Brown Insurance / MFC&V Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE <br />P.O. Box 1469 HOLDER. THIS CERTIFICATE DOES NOT AM <br />ALTER THE COVERAGE AFFORDED BY THE <br />I <br />Santa Barbara, CA 93102-1469 <br />INSURED Legal Aid Society of Orange County <br />902 North Main Street f(©r.U`fC7 <br />Santa Ana, CA 92701.0000 <br />— - A- �(ri � Z� °aU <br />:an ixi.TIBi <br />INSURERS AFFORDING COVERAGE A, INSURER . Fidelity and Guaranty Insurance <br />INSURER B: <br />INSURER C. <br />INSURER D. <br />DATE (MM/DoTYYY) <br />4/22/2005 <br />OF INFORMATION <br />CERTIFICATE <br />E <br />ND, EXTEND OR <br />POLICIES BELOW. <br />NAIC # <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 <br />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 />INSR DD' POLICY EFFECTIVE POLICY EXPIRATION <br />L R R POLICY NUMBERDATE fiffilli <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,00 <br />A XTCjMMERCtAJ_ GENERAL LIABILITY BK02064546 513/2005 5/3/2006 <br />_ <br />_RENrE� _ <br />PREMISES (Ea occuren__ $ 30Q00 <br />I <br />LAIMS MADE l_X OCCUR <br />NED EXP (Any one person) $ 10,00 <br />PERSONAL& ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE $ 2�000�00 <br />GENT AGGREGATE LIMIT APPLIES PER <br />PRODUCTS-COMPIOPAGG$ 2,000,00 <br />X POLICY PRO- LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1,000,QQ <br />A <br />ANY AUTO <br />BK02064546 <br />5(3I2005 Sl3/2006 <br />lea accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Pe person) <br />$ <br />X <br />HIRED AUTOS <br />- <br />X <br />BODILY INJURY <br />$ <br />NON -OWNED AUTOS <br />(Per accident) <br />--- ----- ----- <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY EA ACCIDENT Is <br />ANY AVTO <br />— _— <br />OTHER THANEA ACC $ <br />UTO <br />AONLY'. qGG .$ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE $ 1,000,00 <br />OCCUR `] CLAIMS MADE BK02064546 <br />5/3/2005 <br />5/3/2006 <br />AGGREGATE $ 1,000,00 <br />$ <br />DEDUCTIBLE <br />APPROVED AS <br />TO FORM <br />_ <br />$ <br />RETENTION $ <br />_ <br />$ <br />WORKERS COMPENSATION AND <br />/' <br />WC STATU- OTH- <br />TORV LIMITS_ ER_ <br />EMPLOYERS' LIABILITY <br />�/ �,�(.' <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER <br />---'P/—V- _ <br />�I'.lI <br />IT' y <br />EL EACH ACCIDENT $ <br />_-- — --- <br />EXCLUDED? <br />,IDIU <br />E L DISEASE EA EMPLOYE S <br />If Yee describe under <br />SPECIALPROVISIONSbelow <br />y,p Ot. L,�IY <br />""' <br />_ ic:c s;04 <br />---- - <br />EL. DSEASE-POLICY LIMIT $ <br />OTHER <br />A <br />Crime Policy iBK02064546 <br />5/3/2005 5/3/2006 <br />Employee Dishonesty $250,0010 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />10 day notice for non-payment of premium <br />Certificate Holder & Its Officers, Agents, Employees & Volunteers are named as Aditional Insureds under the General Liability per the <br />(Form CL BF 22 66 11 02. <br />uR <br />City of Santa Ana - CDBG M-25 <br />Community Development Agency <br />P.O. Box 1988 M-15 <br />Santa Ana, CA 92702- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVE <br />ACORD 25 (2001)08) D <br />