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<br />;--- CERTIFICA'fE OF LIABILITY INSURANCE <br />ACgRDm I DATE <br />01/29/2003 <br />PROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />A11-Ca1 Insurance Agency (916)784-9070 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />420 Folsom Road, Suite Ilc ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Rosevil1e 95678- INSURERS AFFORDING COVERAGE <br />CA <br />INSURED INSURER A' Nonnrofi ts Ins Alliance Of CA <br />ORANGE COAST INTERFAITH SHELTER INSURER 8: <br />1963 WALLACE AVENUE INSURER C <br /> INSURER 0: <br />COSTA MESA CA 92627- INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOING ANY <br />REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br />II~TS: TYPE OF INSURANCE POUCV NUMSER ~i~~~'b~E POo.kW~~N UMITS <br />X Q ENERAL LIABILITY 1 1 1 1 EACH OCCURRENCE . 1,000,000 <br /> X COMMERCIAL GENERAL lIASI UTY AAE DAMAGE (An one firel . 50,000 <br /> I CLAJMS MADE [!] OCCUR 2003-02187 01/17/2003 01/17/2004 MED E.XP (Anyone person) . 5,000 <br /> X PROFESSIONAL LIAR. PERSONAL & AnV INJURY . 1,000,000 <br /> X IMPROPER SEXUAL CONn 1 1 1 1 GENERAL AGGREGATE . 2,000,000 <br /> GEN'L AGG~nE UMIT nES PEA: PRODUCTS - COMP/OP AGO . 2,000,000 <br /> Xl PRO- 1 1 1 1 1,000,000 <br /> X POLICY JEer lOC IMPROPER SIXUAL COND <br />X ~l1TOMOBILE LIABIUlY 1 1 1 1 COMBINEO SINGLE LIMIT <br /> ~ ANY AUTO (Ea accident) . 1,000,000 <br /> ALL OWNED AUTOS 2003-02187 01117/2003 01117/2004 BODILY INJURY <br /> t- <br /> SCHEDULED AUTOS (perpersonj . <br /> - 1 1 1 1 <br /> ~ HIRED AUTOS BODILY INJURY <br /> ..!.. NON-O'MIIED AUTOS (peraccidenl) . <br /> 1 1 1 1 PROPERTY DAMAGE <br /> (per accident} . <br /> RAAOE LIABIlITY AUTO ONLY - EA/lCCIDENT . <br /> ANY AUTO 1 1 1 1 OTHER THAN EA/lCC S <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY 1 1 1 1 EACH OCCURRENCE . <br /> ~]'OCCUR D CLAlMSMADE AGGREGATE . <br /> . <br /> R ~EDUCTIBLE 1 1 1 1 . <br /> RETENTION S APPROVED AS TO Fe Ri\l . <br /> WORKERS COMPENSATION AND flU 1 1 1 1 I T~~~ L~Jflfs I 10TH- <br /> EMPLOYEAS' LIABILITY ER <br /> II b'eW E.L EACH ACCIDENT . <br /> r~illlra Sheedy ! - --r-I 1 1 E.L DISEASE- EAEMPLOYEE S <br /> E.L DISEASE. POLICY LIMIT $ <br /> r\, ., r.:. . ." <br /> ... '" <br /> OTHER <br /> 1 1 1 1 <br />DESCRIPTION OF OPERA TION$1.OCA TJONSlVEHICLES,'EXCLUSIONS ADDED BY ENDQ RSEMENT.'SPEClAl PROVISIONS <br />THE CITY OF SARTA AHA, ITS OFFICIALS, OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS ARE HAMED AS ADDITIONAL IHSURED AS A <br />FUHDING SOURCE REGARDING THE ACTIVITIES OF ~HE IHSURED PER THE ATTACHED ENDORSEMENT. <br />CERTIFICATE HOLDER I X I ADOrrlONAL INSURED: INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WilL ~)(){X<< MAIL <br /> 30 DAYS WRrrTEN NOTICE TO THE CERTIFICATE HOLDEA NAMED TO THE LEFT, KCtP<> <br /> CITY OF SANTA ANA ~ll~~llllll(liI/:llll<llC)(_llK~~lIJtllE <br /> 20 CIVIC CENTER PL.I M-25 1I~ <br /> P.O. BOX 1988 AUTHORlZ~ tRESEN"f:..IVE ""'-J/~ <br /> SANTA ANA CA 92701- _ A, <br />ACORD 25-S fl /97) ELECTRONIC LASER FOAMS, 1~)327-0545 \/1 / ~ ACORD CORPORATION 1988 <br />'ftn.--INS025S (9910).01 yo. Page 1 of2 <br />