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05-10-'05 11:36 FROM -ALL-( INSURANCE 9167840158 <br />IF <br />T-97`; P001/002 F-�0' <br />ACORo CERTIFICATE OF LIABILITY INSURANCE °ATEIMM,oD rm <br />O5/10/2005 <br />PRODUCER (916) 784-9070 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />All -Cal Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />801 Riverside Avenue #105 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. <br />ATTN: BEVERLY <br />Roseville CA 95678- INSURERS AFFORDING COVERAGE NAIC 4 <br />SOUTHWEST COMMUNITY CENTER <br />1601 WEST 2ND STREET <br />SANTA ANA CA <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUF_D OR MAY PERTAIN,' <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />NOR <br />LTR <br />AWt <br />INSW <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICYEFFEC VE <br />DATE hf' <br />POLICY Q)@IRAT N <br />DATE <br />LIMITS <br />A <br />X <br />GENERALLIAMUTY <br />X COMMERCJAL GENERAL LIABILITY <br />CLAIMS MADE OX OCCUR <br />X PROFESSIONAL LIAR. <br />2005-02312 <br />/ / <br />03/25/2005 <br />/ / <br />/ / <br />03/25/2006 <br />/ / <br />EACH OCCURRENCE <br />E 1,000,00C <br />DAMk3E1OHENTE0 <br />PREMISES Ea 000wrot�ce <br />E 50, OOC <br />MED p(p . ,ep <br />E 5,000 <br />PERSONALSADVINJURY <br />E 11000100C <br />GENERALAGGWGAT2 <br />E 2, 000, DOC <br />GENLAGGREGATEppLqIIMiTAPPUESPER <br />X POLICY <br />JE Ll LOC <br />PRODUCTS-COMP/OP AGG <br />E 2,000,00( <br />A <br />X <br />AUTOMOBILE <br />LMOILOY <br />ANY AUTO <br />ALL OWNED AUTOS <br />8Crrt0uLPDAUTOB <br />FSREDAUTOG <br />NON-0VMIEDNJYOS <br />2005-02312 <br />/ / <br />03/25/2005 <br />/ / <br />/ / <br />03/25/2006 <br />/ / <br />COMBINED SINGLE LIMIT <br />(Ea aocidenl) <br />E 1,000, 00C <br />BODILYINJURY <br />(Per person) <br />E <br />X <br />X <br />BOULYINJURY <br />X <br />PROPERTY DAMAGE <br />(Pwr oen0 <br />E <br />GARAGE DAMUTY <br />ANY AL T <br />/ / <br />/ / <br />AUTOONLY. EAACGIOEM <br />E <br />OTHER THAN EAACC <br />AUTO ONLY'. AGG <br />E <br />E <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR DCLAIMSMADE <br />DEDUCTIBLE <br />RETENTION 3 <br />T� <br />OVED AS TO FORME <br />/ / <br />/ / <br />EACH OCCURRENCE <br />E <br />AGGREGATE <br />E <br />E <br />WORKERSOOMPENSATIONANDOTH- <br />EMPLOYERS, LIABILITY <br />ANY PROPRIETOP/PARTNERFJ(ECUTIVE <br />OFFlCERIMEMBER f](CLUDED'/ <br />NyeA. aeamna„Aaer <br />SPFpAL PROVISIONS below <br />/ <br />/ / <br />/ / <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />S <br />EL DISEASE - EA EMPLOYEES <br />Laura Stitt Sh dy <br />E.L. DISEASE -POLICY UNIT <br />E <br />DEWRIPNON OF OPERATION L-OCAMONEAM"CLCW2XCLUSIONS ADDED BY ENOORSEMENTISPEGAL PROMSIONS <br />,THE CITY OF SANTA ANA, ITS' OFFICIALS, OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS, IS NAMED AS ADDITIONAL INSURED AS <br />A FTJNDING SOURCE CONCERNING THE OPERATIONS OF THE INSURED UNDER THIS AGREEMENT. CO2026 APPLIES <br />FRANK HERNANDEZ <br />CITY OF SANTA ANA/CDBG <br />COMM.DEV.AGY./ <br />P-O. BOX 1988 M-25 <br />SANTA ANA CA <br />14) 647-6549 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL kNs0LX251tXXffi MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, fi'(% <br />BMaDWUf;fM�6m'0WI10(AGA4ital�lSild.00C/dkYlfKX1%�%i}1!(kIKMMKI'0(IA�(M1sNNNE <br />NS025 (010s).G5 ELECTRONIC LASER FORMS,00— - t"32)-05a6 d ACORO <br />Pogn <br />