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<br />. ACORD,,; CERTIFI(~ TE OF LIABILITY IN~' ~RANCE 'I DATE (MM/ODtvY) <br />12/13/2002 <br />PRODUCER (949) 553-9700 FAX (949)553-9797 THIS CERTIFICA~ IS ISSUED AS A MATTER OF INFORMATION <br />Westland Insurance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2192 Martin Street, Suite 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine, CA 92612 INSURERS AFFORDING COVERAGE <br />INSURED Deihl Commnunity Center INSURER A: TRAVELERS PROPERTY CAS INS CO <br /> 505 South Central Ave. INSURER 8 <br /> Santa Ana, CA 92707-3504 INSURER c: <br /> INSURER 0: <br /> , INSURER E: <br /> <br />It -':;>062-1.05-:/ <br /> <br />COVERAGES <br /> <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 />I~~: TYPE OF INSURANCE POLICY NUMBER Pgk+~~~~~g~~ Pgk!f!l,~~~~N LIMITS <br /> ~NERAL L1ABIL.lTY 60818X4872-02 12/14/2002 12/14/2003 EACH OCCURRENCE , 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fira) $ 100,OOC <br /> - -.J CLAIMS MADE [8] OCCUR MED EXP (Anyone person) $ 5,000 <br />A PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APnStPER: PRODUCTS - COMPfOP AGG $ 2,000,000 <br /> II ,nPRO- <br /> POLICY JECT LaC <br /> ~TOMOBILE LIABILITY 81031BW685-02 12/14/2002 12/14/2003 COMBINED SINGLE LIMIT <br /> (Eaaccidenl) $ l,OOO,OOC <br /> - ANY AUTO <br /> ALL OWNED AUTOS BODlL Y INJURY <br /> - (Per person) $ <br />A X SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br /> X (Per accident) $ <br /> NON-OWNED AUTOS <br /> f-- <br /> r- PROPERTY DAMAGE $ <br /> (Peraccidenl} <br /> RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> EXCESS LIABILITY UP 3289W520-02 12/14/2002 12/14/2003 EACH OCCURRENCE $ 1,000,000 <br /> t::kJ. OCCUR D CLAIMS MADE AGGREGATE $ 1,000,000 <br />A $ <br /> =1 ~EDUCTIBLE $ <br /> RETENTION $ W~~ le'l'() $ <br /> WORKERS COMPENSATION AND V 1r~~~I~J,~s I IOJ~- <br /> EMPLOYERS' LIABILITY (~NE ~ 1'9-- EL EACH ACCIDENT $ <br /> ,-EE SHAW E.L. DISEASE - EA EMPLOYE $ <br /> f)poutv Ci Iv Attorney E.L DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES!EXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS <br />~ity of Santa Ana, Community Development Agency M-25 are named as Additional Insureds <br />~s per endorsements CN0188(01/9) ,CGD037(0199) & Exhibit B attached with respects to the <br />operation of the Named Insured. <br />'Except 10 days for Non-payment of Premium. <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANYWILLICrUX~ MAIL <br /> City of Santa Ana "30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Community Development Agency M-25 I(OOJOO(J(~K)(a00IJiJ"'(NJ(lllOO(lIi~lIillil(~lOlXXX <br /> P.O. Box 1988 ~~lil( ~~)(_mtlV~XXXXXXXX <br /> Santa Ana, CA 92707-1988 AUTHOR1ZEOR~j~TA;~EIJ~ <br /> , <br /> <br />ACORD 25-S (7/97) <br /> <br />@ACORDCORPORATION 1988 <br />