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<br />, <br /> <br />.' . <br /> <br />ACORCT <br /> <br />m:R'iu~'fiAl~ @j~'f4\f~wtti~rrtS~AN'@1E ' <br />, ' ..,..<.1..... ..... ..'" <br /> <br />Dale (mmJddlyy) <br /> <br />Produc r <br /> <br />Mary Jane Ricard <br /> <br />4/12/2005 <br /> <br />THIS CERTifiCATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />C & P Insurance Services <br />3580 Pacific Coast Highway Suite 3 <br />Long Beach <br />562-986-4251 <br />www.insurancelink.com <br />0556464 <br /> <br />INSURER <br /> <br />UR R <br />Maryland Casualty Company <br /> <br />CA <br /> <br />90804 <br /> <br />A <br /> <br />A ,)[('1 ~Cr:I- 3/ <br /> <br />INSURER <br />B <br /> <br />United States Liabilty Ins. Company <br /> <br />Insured <br />Orange County Bar Foundation <br /> <br />313 N. Birch Street <br />2nd Floor <br />Santa Ana <br /> <br />INSURER <br /> <br />C <br /> <br /> <br />CA 92701 <br /> <br />INSURER <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY POLICY <br />EFFECTIVE EXPIRATION <br />DATE DATE <br />DO DO <br /> <br />NSR <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />liMITS <br /> <br /> <br />GENERAL LIABILITY <br />COMMERCIAL GENERAl. UAB PPS 34632555 <br />~f' CLAIMS MADE [lIOCCUR <br /> <br />3/15/2005 <br /> <br /> EACH OCCURRENCE $ <br />3/15/2006 fiRE DAMAGE (An 1 fire) $ <br /> MED EXP (A one et"soo) $ <br /> PERSONAL & AOV INJURY $ <br /> GENERAL AGGREGATE $ <br /> PROOUCT5-COMP/OP AGG $ <br /> $ <br />3/15/2006 COMBINED SINGLE LIMIT $ 1,000,00 <br /> BODILY INJURY <br /> (Per person) $ <br /> BODilY INJURY <br /> {Per accident) $ <br /> <br /> <br />3/15/2005 <br /> <br />PPS 34632555 <br />PPS 34632555 <br /> <br />PROPERTY DAMAGE <br />{Peraccjdent} <br /> <br />DEDUCTIBLE <br />RETENTION S <br />WORKERS' COMPENSATION & <br />EMPLOYERS' LIABILITY <br /> <br /> <br />$ <br />AUTO ONLY. EA ACCIDENT S <br />OTHER THAN EA ACe S <br />AUTO ONLY; AGG S <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />$ <br />$ <br /> <br />APPROVE AS TO ORM <br /> <br />SSIS an y <br /> <br />STATUTORY LIMIT THE <br />El EACH ACCIDENT $ <br />EL DISEASE. EA EMPLOYEE $ <br />El DISEASE. POLICY LIMIT $ <br /> <br />Per Occ 1,000,000 <br />Aggregate 1,000,000 <br />Deductible $1,000 <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> <br />Directors & Officers <br />Liability <br /> <br />ND 0121018 5/1/2004 5/1/2005 <br /> <br />Certificate Holder is an additional insured per attached endorsement CG 20 26 11 85. <br />The insurance provided by this endorsement is primary insurance and is not additional to or <br />contributing with any other insurance carried by or for the benefit of the additional insureds. <br /> <br />. rlti~~tEtID~~ <br />.'..,/.,/'... ,,'.,:,. <br /> <br /> <br />,:<,', <br />:i:~" <br /> <br />'~~l:~W.qf{.,:~? ,", <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILl~)(;:(;() MAIL <br />~DAYS WRITTEN NOTICE TO THLCERTIFICATE HOLDER NAMED TO THE <br />LEFT, :QQX~ <br />~ <br />~ <br />AUTHORIZED <br />REPRESENTATIVE <br /> <br /> <br />The City of Santa Ana <br />Santa Ana Community Development <br />Agency <br />Attention: Carla Thompkins <br />P.O. Box 1988 <br />Santa Ana CA <br /> <br />* 10 Da s for Non-Pa ment of Premium <br /> <br />92702 <br /> <br />ACORD 25-S (7/~7) <br /> <br />Jim Mulligan <br />,.... .. <br />cre:ated -at www_~e tertsONpNE~com <br /> <br />i7=-<c'~~ <br /> <br />@ ACORD CORPQRAT(O/il198'a: <br />.. .. .."~:<-' ,",-', ".-< :...,..........:-o.l.' <br />