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<br />>dE'a. 'T': ..,' .P.:l"C:::A'tE""'O:"F"':::L' <:t"A> :S...:,.[.:>:I:r...:y....::IKlS.. 'j:>io:AN' >'C' "'E"'::: >':':::':::':>': ... DATErMIIJ1lOIYY}
<br />:.:>.::.:.:...,:. :,:::::.....:!:y,:.:.}.::>.:::: :'::::.., .':,:,:.<:.::.:>.!,,:..YQb.:>.::.:...:.:.:~~:i. ...... 05/03/02
<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 BELOW.
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />NOY-eS-2aS2 83:20 PM
<br />
<br />-c,=, House
<br />'-'
<br />
<br />ACORD.
<br />
<br />PRODUCER
<br />
<br />HUT.~ington Pacific Ins. Agency
<br />~8672 Florida St. Ste. 302D
<br />Huntington Beach CA 9~'4B
<br />
<br />Robin Hatfield
<br />Phone No. 714-841-6283
<br />INSuneo
<br />
<br />F", No. 714-842-2538
<br />A ~2M2-IM'-2'"
<br />14 -~l. -"C/~ -~q
<br />Mercy Bouse Transitional
<br />Living Center E'I'AL A--'24n-1J1{3-1J~
<br />P.O. Box 1905
<br />Santa Ana CA 92702
<br />
<br />71~ "36 7901
<br />....J
<br />
<br />COMPANY
<br />A Great American Insurance Co.
<br />
<br />COMPANV
<br />B
<br />
<br />COMPANY
<br />C
<br />
<br />COMPA.N'l'
<br />D
<br />
<br />~Wr~~~~~iZT ';~~oLl6ES OF INSU;"N~~ L1ST~~.ELO~ ~~ ~~~~D;D .;~~ ~~D~~~ ~~6vE FO~~E ;.olley PERIOD'
<br />
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUI.lENT WITH RESPECT TO 'M-t10l THIS
<br />CERTIFICATE MA.Y Be ISSUeo OR MAY PERTotJN, THE INSURANCE AFFORDED BY THE POLICIES CESCRIllEO HEREIN IS SUBJECT TO All THE TERMS,
<br />EXClUSIONS ANO CONDITIONS OF SUCH POl.ICIE.S. l.IMlT8 SHOWN MAY HAVE e!!eN REDUCED BY PAID ClAIMS.
<br />
<br />co
<br />LTR
<br />
<br />TYPE OF INSURANCE:
<br />
<br />POLICY NUMeeR
<br />
<br />GENERAl llAalLnY
<br />t-=
<br />A X COMMERCIAl. GENeRAL LIABIlITY
<br />:::;: I CLAlMS""" [!] OCCUR
<br />Olh'NER'S & CONTRACTOR'S PROT
<br />-
<br />
<br />PAC65362J.B
<br />
<br />!.,:,:"OMOBILE LIABJlJTY
<br />ANY AUTO
<br />- ....LL OWNeD AUTOS
<br />- SCHEDULEO AUTOS
<br />A X HIRED ALn'OS
<br />~ NON-O'o\INED AUTOS
<br />.-0
<br />f-
<br />
<br />PAC6S362J.B
<br />
<br />~MGE LIABILITY
<br />r-- ANY AUTO
<br />
<br />-
<br />
<br />EXCESS LIABILITY
<br />
<br />I UMBRelLA FORM
<br />
<br />I OTHEA THAN UMBRELLA FORM
<br />
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LlABllITY
<br />
<br />POLICY G'fECTrve: POLICY EXPIRA rlCN
<br />DATE(Mf.IJODiYV) DATE(MfNCOfr'Y}
<br />
<br />05/02/02
<br />
<br />GENERAl AGGREGATE
<br />PRODUCTS. COMPJOP AGO
<br />PERSONAL & AOV IHJURY
<br />EACH OCCURRENCE
<br />FIRE OMIAGE (Any one nr~)
<br />NED EXP (My one pl!I"sonJ
<br />
<br />05/02/03
<br />
<br />COMBINED SINGLE lIMIT
<br />
<br />05/02/02
<br />
<br />BODn..VINJURY
<br />(P<<"""",)
<br />05/02/03 eoOJLYJNJURY
<br />(Per.cddenl]
<br />
<br />PROPERTY OAMAGE
<br />
<br />AUTO ONLY. EA ACCIDENT
<br />OTHEA.1'HA.N AUTO ONLY:
<br />
<br />EACH ACCIO!NT
<br />AGGR.fGA TE
<br />EACH OCCURRfNCE
<br />AGGREGATE
<br />
<br />P.82
<br />
<br />LIMITS
<br />
<br />52,000,000
<br />.J.,OOO,OOO
<br />11,000,000
<br />.s 1,. 000, 000
<br />. 200,000
<br />'J.O,OOO
<br />
<br />. J., 000, 000
<br />
<br />.
<br />
<br />.
<br />
<br />.
<br />
<br />~
<br />
<br />S
<br />.
<br />.
<br />
<br />>\PPROVJ:;J) AS TO r{J!<
<br />
<br />Ih ./
<br />)f';'/A'A /J "f4 I A
<br />Lliura Sheedy /
<br />Deputy City Attorne.
<br />
<br />.
<br />.
<br />1~~~I.YiR I IO~'~
<br />EL EACH ACCmENT 5
<br />a. OJSEASE - POLICY LIMIT S
<br />EL DISEASe. EA EMPLOYEE $
<br />
<br />THE PRQPFUETORI
<br />PARTNER~XECUT~
<br />OFFICERS ARe:
<br />OTHER
<br />
<br />nlNeL
<br />NEXCl
<br />
<br />DESCRIPTION OF OPERATIOHSflOCATJONSNEHlClES'SPEClAllTEMS
<br />
<br />With respects to the additional insureds, this insurance shall not be cancelled or materially
<br />reduced in coverage or limits except after (3D) days written notice has ~ given to the
<br />City of Santa ana.
<br />CERTIF:r(;ATEi;OI:DEfl::::>,:,........ ... ...... ..... .... .........: :<:::,:C1\,'lI:;~Lli\:T!Dt-I,:::::.:::'",:::::::":"",, ...
<br />
<br />City of Santa Ana,~nitY
<br />Development Agency, -25
<br />Att: John Maloney
<br />P.O. Box 1.988
<br />Santa Ana CA 92702-J.988
<br />
<br />SHOULD /4Nf OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BefORE THE
<br />t:XPJRATION DATE THEREOf, THE ISSUING COMPANY WILl_~-WJL
<br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOlDER NAMEO TO THE LEFT.
<br />...."~,,.O<<T__....,~!""<~t1t~~
<br />m7'3.'",,::::;''Y' .
<br />!>N. . .
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />SANTANA
<br />
<br />!icPRQ :~S;$l'$l<:
<br />
<br />...~>:.......
<br />
<br />Robin Hatfie1d
<br />
<br />.:,.: ..:::':::A<:(:j"p:q9~QRh!10N ,1:9~8.
<br />
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