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<br />A CORD_ CERTIFICATE OF LIABILITY INSURANC~ CSR DH I DATE (MMlDDrtY) <br /> RCY-l 06/04/03 <br />P~l'CER ... \..i THIS CERTIFICATE SUED AS A MA ITER OF INFORMATION <br /> ONLY ANO CONFER NO RIGHTS UPON THE CERTIFICATE <br />Huntington Pacific Ins. Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />18672 Florida St. Ste. 302D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Huntington Beach CA 92648 INSURERS AFFORDING COVERAGE <br />Phone: 714-841-6283 <br />INSURED INSURER A; Great American Insurance CO. <br /> INSURER 8: .J-- <br /> Mercy House Transitional <br /> Livini Center ETAL INSURER c: 1f ,1'-)-1 tJ.l52 -, (>L;" :a <br /> P.O. ox 1905 INSURER 0: <br /> Santa Ana CA 92702 <br />I INSURER E: <br />. <br /> <br />\.vvr.:i-(AGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISsueD TO THE INSURED NAMEDA80VE FOR THE POLICY PERroo 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 ~~D CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IrTRI TYPE OF INSURANCE POLICY NUMBER I DATetMMlDDNYi" DATE rMM'i~DrN"i LIMITS <br /> ~r~ EACH OCCURRENCE $ 1,000,000 <br />A X COMMERCIAL GENERAL lIABILITY PAC6536218 05/02/03 05/02/04 FIRE DAMAGE (Anyone fire) $200,000 <br /> CLAIMS MADE ~ OCCUR MEO EXP (Anyone person) $10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> , , , I ~c~~RAlAGGREGAI~ S ~ ,~';'~,C:':'''-j <br /> .. ---- <br /> GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 1,000,000 <br /> 'Xl '..0 PRO. nLOC - <br /> X POLICY JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> - (Eaaccidenl) <br /> ANY AUTO <br /> - <br /> ALL OWNED AUTOS BODilY INJURY <br /> - (Per person) $ <br /> SCHEDULED AUTOS <br /> - PAC6536218 05/02/03 05/02/04 <br />A ~ HIRED AUTOS BODILY INJURY <br /> (Peraccldent) $ <br /> ~ NON.QWNEO AUTOS <br /> PROPERTY DAMAGE $ <br /> (Peracc:idenl) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EAACC S <br /> APPROVED AS Tv j-.\..} '\..~~. AUTO ONLY: AGG $ <br /> EXCESS LIABILITY ~h ",j", EACH OCCURRENCE S <br /> ~ OCCUR o CLAIMS MACE . AGGREGATE S <br /> Y <br /> LauV, "1'" "y ornt . <br /> " ...'IL.", <br /> =j DEDUCTIBLE poputy City At . <br /> RETENTION . . <br /> I WORKERS COMPENSAT'ON AND , I TORy'UMITSI I'ER <br /> EMPLOYERS. lIASlllTY E.l. EACH ACCIDENT . <br /> I I t.;.. DISEASE. [,;, '-~,:"::;";'::i .. <br /> I I re.l. DISEASE. POLICY liMIT J S <br /> OTHER <br />DESCRIPTION OF OPERATIQNSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENOORSEMENTISPECtAL PROVISIONS <br />l'iith 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: ::::H,j::::O, k,:;-' ~'8:.;.:Otl:J <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 EXPIRATlO.'J <br />DATE THEREOF, THE ISSUING INSURER WILL ~~, j3 MAlL ~ DAYS WRITTH,' <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~ r'j,(~<JEt V' rfo,-~ rtf1 <br />~~"'V'rJj' r,~JlB}!.~~ 'Yn/f'rY'V'orPf+.t,l:.sM <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~'7\E <br />Don Heberden Ji)(/'r1J <br /> <br /> <br />~ <br />@ACPRD CORPORATION 1988 <br /> <br />'"11,..{ .-1/'. __ <br />