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A ORD CERTIFICATE F LIABILITY INSURANC. WTOSF.DID T_1� DATE111 fl/e,. <br />Advanced Insurance Marketing <br />P.O. Box 4459 <br />Orange CA 92863-4459 <br />Phone: 714-997-8100 <br />Wiseplace, a Ca Corp <br />1411 N. Broadway <br />Santa Ana CA 92706 <br />COVERAGES <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 BELO <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURER A: Philadelphia Indemnity zve co. <br />INSURER B: <br />INSURER C: <br />INSURER D: <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 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 />LTR <br />NSR <br />TYPE OFINSURANCE <br />POLICY NUMBER <br />DATE MM/DPIEDATE <br />MMID <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />51,000,000 <br />PREMISES�urence) <br />$100,000$100,000 <br />A <br />X <br />X COMMERCIAL GENERAL LABILITY <br />PHPK104578 <br />01/01/05 <br />01/01/06 <br />CLAIMS MADE OCCUR <br />MED EXP(My one person) <br />55,000 <br />PERSONAL&AOV INJURY <br />51,000,000 <br />GENERAL AGGREGATE <br />S 2, 000, 000 <br />GEN-L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMPoOP AGG <br />f2,000,000 <br />POLICY PRO- <br />JECT LOC <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />PHPX104578 <br />01/01/05 <br />01/01/06 <br />COMBINED SINGLE LIMB <br />(Ea accident) <br />S <br />BODILY <br />(Perr Fem <br />$1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accidenq <br />f <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EAACC <br />AUTO ONLY: AGO <br />f <br />ANY AUTO <br />f <br />EXCESSNMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$11000 000 <br />A <br />XD OCCUR DCLAIMSMADE <br />P=03P585 <br />01/01/05 <br />01/01/06 <br />AGGREGATE <br />S11000 000 <br />f <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $10,000 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFPICEWMEMBFR EXCLUDEO? <br />l <br />TORV LIMITS 1 1 ER <br />E.L. EACH ACCIDENT <br />f <br />DISEASE - EA EMPLOYEE <br />S <br />If yes. desmbe under <br />SFCCiAL PROVISIONS below <br />elE.L. <br />! - <br />F.L OISEASE-POLICY LIMIT <br />S <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECVLL PROVISIONS <br />Ten Day Notice of Cancellation for non-payment/non-reporting/ The City of <br />Santa Ana, it's officers• agents, employees, and volunteers are named as <br />additional insured per attached CG2026 form. RE: Insured received (HUD) <br />Community Development Block Grant Funding & Emergency Shelter Grant Funding <br />to support their shelter program for homeless women. <br />l,=m I I iI, 1L r1VLUCR <br />CITY OF SANTA ANA COMMUNITY <br />DEVELOPMENT AGENCY M-25 <br />MICHAEL GARCIA <br />P.O. BOX 1988 <br />SANTA ANA CA 92702-1988 <br />SANTAAN I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOt <br />DATE THEREOF, THE ISSUING INSURER WILL MAIL 30_ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,L <br />GFY.IB <br />