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<br />, <br /> <br />I ACORD" CERTIFICJiwiE OF LIABILITY INSU~CE I DATE (MMJODIYY) <br /> - . 02/07/2002 <br /> .RoollcER (626)599-8830 FAX (626)599-8831 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Pacific General Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 405 E. Santa Clara Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Suite 100 INSURERS AFFORDING COVERAGE <br /> Arcadia. CA 91006 <br /> INSURED Mex i can Amer i can Opportun i ty INSURER A: Phi ladelphia Indemnity Ins. Co <br /> 401 N. Garfield Avenue INSURER B: <br /> Montebello. CA 90640 INSURER c: <br /> INSURER 0: <br /> I INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY 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 PR1-~~~ EFfECTIVE POLICY EXPIRATION LIMITS <br /> ~NERAL LIABILITY PHPK018747 01 /30/2002 01/30/2003 EACH OCCURRENCE $ 1,000.000 <br /> ~ 3MMERe.AL GENERA' LIABILITY FIRE OAMz"GE (Any ,-,oa fin.} , 100.000 <br /> _ CLAlMS MADE [8] OCCUR MED EXP (Anyone person) $ 5,OOC <br />A PERSONAL & ADV INJURY $ 1.000,000 <br /> GENERAL AGGREGATE $ 2.000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2.000.000 <br /> I' (nPRO. n <br /> f>OLlCY JECT LOC <br /> ~OMOBILE LIABILITY COMBINED SINGLE LlM1T $ <br /> ANY AUTO (Eaaccicklnt) <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - ,.,'J., $ <br /> SCHEDULED AUTOS ~<;':,'.\ ~ {Par person) <br /> - "i'" ' <br /> <?-..." -' <br /> HIRED AUTOS ,..-,.,. ,/ BOOll Y INJURY <br /> - - ,-:;:)~~:'::-- $ <br /> NON-QWNED AUnS (Peraccicklnt) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Paraccicklnt) <br /> GARAGE LIABilITY AUTO ONLY. EA ACCIDENT $ <br /> H ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS lIABILITY EACH OCCURRENCE $ <br /> P-OCCUR 0 CtAIMSMADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE AJ;~:~fd j'" ~O l-,'(JRi,J $ <br /> RETENTION $ ///11 $ <br /> WOl'Uo;.:or:S CCM:"tt.:::A n::m AND rf(;fftj -<' d: ~_.._-~-~- -- I ibk~It'Jg:s I I OJ~' <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> LUbd ~!It......1_V /. E.l. DISEASE. EA EMPLOYE $ <br /> DeptH)' ('it,. J{!.i -::.y $ <br /> E.l. DISEASE. POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF OPERATIONSJlOCATIONSNEHICLESJEXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS <br />,S ADO IT I ONAl INSURED <br />e: City of Santa Ana. its Officers. Agents, Representatives, Employees & Volunteers are <br />amed as Additional Insured with respects to a $2.000 grant that was awarded from the <br />community Oevelopment Agency, <br />" TEN DAY N.O.C SHAll BE GIVEN IN THE EVENT OF NON-PAYMENT OF PREMIUM. <br />CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLA TlON <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WlLL~~:m MAIL <br /> City of Santa Ana -~~ DAYS WRITTEN NOTICE TO THECERTlflCATE HOLDER NAMED TO THE LEFT <br /> Community Development Agency __:ooool~lll(;I(l(lUllllWllOOllXJ).X-I(QOOII'x.iBlOOtXX. <br /> M-25 <br /> P.O, Box 198 lOOlllrJi:llllj)(ll(Iill(~liI~l6lI~XXXXXXX <br /> Santa Ana, CA 92702 ~~D REP~ESENTATIVE <br /> <br />ACORD 25-S (7/97) <br /> <br />@ACORD CORPORATION 1988 <br />