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<br />A CORD_ <br /> <br />CERTIFICf TE OF LIABILITY INsunANCeeRgi~lDH OA~.:;'(;'40~ <br /> <br />THIS CERTIFICATE SUED 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 /> <br />P~OOt."CER <br /> <br />Huntiagton Pacific Ins. Agency <br />18672 Florida St. Ste. 302D <br />Huntington Beach CA 92648 <br />Phone:714-B41-6283 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />Mercy House Transitional <br />Living Center ETAL <br />P.O. Box 1905 <br />Santa Ana CA 92702 <br />I <br />\.uvr:i-<AGES <br /> <br />INSURER A: <br />INSURER B; <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />Great American Insurance Co. <br /> <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 ~~o CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br />l~f~1 TYPE OF INSURANCE POLICY NUMBER DATEUMMIOOfYYl OATE"MM/DDrvYl LIMITS <br /> ~"- EACH OCCURRENCE $1,000,000 <br />A X COMMERCIAL GENERAL LIABIUTY PAC6536218 05/02/03 05/02/04 FIRE DAMAGE (Anyone fire) $200,000 <br /> CLAIMS MADE 0 OCCUR MEO EXP (Anyone person) $10,000 <br /> PERSONAL & ADV INJURY , 1,000,000 <br /> ~L AGGREGATE LIMIT APPL;S-PER I , I ';f~c.:RAL AGGRE~.... I c: li;',V~C/GG;l <br /> PRODUCTS. COMP/OP AGG $1,000,000 <br /> ,[=tPRO. n <br /> X POLICY JEeT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> r-- (Eaaccident) <br /> ANY AUTO <br /> f- ALL OWNED AUTOS <br /> BODILY INJURY . <br /> r--- (Per person) <br /> SCHEDULED AUTOS <br />A ex HIRED AUTOS PAC6536218 05/02/03 05/02/04 BODilY INJURY $ <br /> r--- (Per accident) <br /> ~ NON-DWNED AUTOS <br /> - PROPERTY DAMAGE . <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONL Y ~ EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> APPROVED AS Tu l-v -\..10. AUTO ONLY: AGG . <br /> EXCESS LIABILITY J>>. ",/,., EACH OCCURRENCE . <br /> :=J OCCUR D CLAIMS MADE AGGREGATE $ <br /> .d::::. <br /> LauVI She. oj' lJrnt $ <br /> =1,0EOUCTIBLE poputy City At . <br /> RETENTION $ . <br /> I WORKERS COMPENSATION AND I jTORYLlMrisl I"ER. <br /> EMPLOYfRS' LIASILITY E.L. EACH ACCIDENT $ <br /> ( t::.i... DISEASE. E,., ..;"r-:':':":::j W <br /> , <br /> I I 1E.-l~ISEASE. POLlZy LIMIT I $ <br /> IOTHER <br /> I <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHIClES/EXClUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS <br />hOith respec ts to the additional insureds, this insurance shall not be <br />cancelled or materially reduced in coverage or limits except after (30) days <br />written notice has been given to the City of Santa Ana. <br /> '::.7: t:;r,. C' :::0.. ~--t: ~-'9 :~; 0 I:j::i <br /> <br />CERTIFICATE HOLDER <br /> <br />I y I ADDITIONAL INSURED; INSURER LETTER: <br />SANTANA <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATIO~< <br />DATE THEREOF, THE ISSUING INSURER Will ~""'ijB MAll ..3..L OAYS WRITTEN <br />NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, ~ '41~~ VJ R J.. r1-' <br />~~n}J..~'I"'l'O'fT'n"'rorfiftt<I#s# <br /> <br />City of Santa Ana, Community <br />Development Agency M-25 <br />Att: John Maloney <br />P.O. Box 1988 <br />Santa Ana CA 92702-1988 <br /> <br />I <br />ACORD 25.S (7/97) <br /> <br />AUTHORIZED REPRESENT~~E <br />Don Heberden Ji}(frV <br /> <br /> <br />~ <br />@ACORD CORPORATION 1988 <br /> <br />O~_./"....~__ <br />