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<br />. <br /> <br />~COHD CERTIFICATF4F LIABILITY INSURAN~ I DATE (MM/DD/YYYY) <br /> T. 07/27/2005 <br />PRODUCER Schweickert & Company THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 15 Peters Canyon Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Irvine CA 92606 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAICt# <br />INSURED Mercy House INSURER" Great American Insurance Company <br /> P.O, Box 1905 INSURER B: <br /> Santa Ana CA 92702 INSURER c: <br /> INSURER 0: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEOABOVE 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 />I~~: 1:.'1.'1:~ ~D.n.' POLICY NUMBER POLICY EFFECnve POUCY EXPIRATION LIMITS <br /> ~NERAL LIABILITY PAC5373885 05/02/2005 05/02/2006 EACH OCCURRENCE $ 1,000,000 <br />A X X COMMERCIAL GENERAL LIABILITY Sex Abuse Aggregate limit is DAMAGE T9,,~ENTED $ 100,000 <br /> I CLAIMS MADE [K] OCCUR $1.000,000 MED EXP A'i'" one ....rson\ $ 5,000 <br /> X Professional Liability PERSONAl & ADV INJURY $ 1,000,000 <br /> 'x Abuse & Molestation No deductible or SIR 2,000,000 <br /> GENERAL AGGREGATE $ <br /> - 1,000,000 <br /> -j[l'L AGG~EnE LIMIT APflS PER: PRODUCTS. CQMP/OP AGO $ <br /> X POLICY ~~9,: LOC <br /> .M!TOMOBILE LIABILITY PAC5373885 05/02/2005 05/02/2006 COMBINED SINGLE LIMIT $ 1,000,000 <br /> ANY AUTO (Eaaccident) <br /> - <br /> - ALL OWNED AUTOS BODilY INJURY <br /> (Per person) . <br /> SCHEDULED AUTOS <br />A X X HIRED AUTOS <br /> X BODilY INJURY <br />A X (Per accident) $ <br /> - NON-QWNED AUTOS <br /> - PROPERlY DAMAGE $ <br /> (Peraccidenl) <br /> ~~.E UABIUTY AUTO ONLY. EAACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> 3~SS/UMBRELLA LIABILITY EACH OCCURRENCE . <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> . <br /> ~ ~EOUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND APPROVED AS TO FO ~"~l I T'X~Jm~~ I IOJ~- <br /> EMPLOYERS' L1ABIUTY <br /> '-fi~ ' n~ "Iz-. E.L. EACH ACCIDENT $ <br /> ANY PROPRIETORI?ARTNERJEXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ <br /> ~~~ describe under E.L. DISEASE. POLICY LIMIT $ <br /> OTHER ~a ra lee ~" " <br /> Assistant ~ity Atlorney <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, its officials, employees, representatives, and volunteers are hereby named as Additional Insureds as <br />respects the operations of or on behalf on Mercy House Transitional Living Center, performed under contract with The City of <br /> .:' ,;:., ,,',1 <br />Santa Ana,' """, <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />PO Box 1988 <br /> <br />Santa Ana <br /> <br />CA <br /> <br />92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEF~ THE EXPIRATION <br />DATE THEREOF, mE ISSUING INSURER W1LC~"'O MAlL _ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,1JOIFAtLDREitrU<TSU'SRALL <br />-TJII1'CSE"NC"'OIr\.1~T1OfQ'"tJR'1.DtBIIJ1T'OF~N'f'"KIND-D'PCrrTHE1NSD'RER,-TTS"')\UENTS OR <br />-'REPRDErmmvES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORD CORPORATION 1988 <br />