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<br />. <br /> <br />A ~lDOL- jO:)-;27 <br /> <br /> ... .J <br />ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODIYY) <br />07/08/2002 <br />'"OOUC'" (800) 843 - 6054 FAX (909)307-1245 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Tom Cutler & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />329 West 5tate Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Redlands. CA 92373 <br />Teri Newcombe INSURERS AFFORDING COVERAGE <br />INSURED Mar j ners Church, Inc. INSURER A: GuideOne Insurance <br />Minnie Street Learning Center INSURER B: <br />5001 Newport Coast Dr. INSURER c: <br />Irvine. CA 92612 INSURER 0: <br />I INSURER E: <br /> <br />'-' <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 ISSUEO 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 />'~f~ TYPE OF INSURANCE POLICY NUMBER P8i+~Y EFFEcnVE POLICY EXPIRATION LIMITS <br /> ~NERAL LIABILITY 1169-029 06/01/2002 06/01/2003 EACH OCCURRENCE $ 1,000.0Q( <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 1.000.000 <br /> I CLAIMS MADE 0 OCCUR MED exp (Anyone person) $ 10.00C <br />A PERSONAL & ADV INJURY $ 1.000.000 <br /> 'x Extensions GENERAL AGGREGATE $ 3.000.00C <br /> ~N'~ AGG~nE:L1MIT AnSI PER PRODUCTS - COMP/OP AGG $ 3.000.000 <br /> POLICY :lC8i LOC <br /> ~TOMOBILE LIABILITY 1703-490 06/01/2002 06/01/2003 COMBINED SINGLE LIMIT <br /> (Eaaccidenl) $ 1.000,00C <br /> X ANY AUTO <br /> - <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> - (Per person) <br />A - SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY S <br /> - (Per accident) <br /> NON-OWNED AUTOS <br /> ~ PROPERTY DAMAGE <br /> (PeracCidanl) S <br /> ~R~G' LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY AGG $ <br /> EXCESS LIABILITY APPROVED i ~;s lV ~ - EACH OCCURRENCE $ <br /> O'OCCUR D CLAIMS MADE Slb/)R~ AGGREGATE $ <br /> $ <br /> $ <br /> =i D'DUCTIBLE ;rLaura Sheedy;' <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND Deputy Lily,,,,,, "J r ib~~lful~s I IOER- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> E.L. DISEASE - Ell. EMPLOYE $ <br /> .------ <br /> E.l. DISEASE - POLICY LIMIT S <br /> OTHj" . 1169-029 06/01/2002 06/01/2003 $500.000 Each <br />A Emp oyee Dishonesty Forgery $75.000 <br />and Forgery <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESJEXClUSJONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: Grant <br />Certificate holders are named as additional insured per attatched endorsement <br />CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILl~XytjQ)t>> MAil <br /> its officers, agents, _~O__ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br /> City or Santa Ana. llOOt)(~-:MlU()jK_ltX~llil!K~IIiX~XX <br /> employees & representatives -)O)jj,;X/l(G{N(~~~o\:i:OX/l(llJ!JHtEWlI!_XXXXXXXX <br /> 20 Civic Center Plaza / AUTHORIZED REPRESENTATlV 4 ..J!.., <br /> Santa Ana. CA 92702-1988 Terl Newcombe 'tZ11 (/~, /A1~ ./ <br /> @ACORD CORPORATION 1988 <br /> <br />ACORD 25-S (7197) <br />