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<br />ACORD. CERTIF"-"ATE OF LIABILITY IN-.JJRANCE;EEgbJ~ N~ DATE (MM1OOfYYj <br />11/08/02 <br />PRODUC~R ~/1J J THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Advanced Insurance Marketing HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 4459 /\lJ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Orange CA 92863-4459 "n6v INSURERS AFFORDING COVERAGE <br />Phone: 714-997-8100 <br />INSURED . /V INSURER A' Nonprofits' Insurance Alliance <br /> ~ INSURER B <br /> Teen Challenge of So. Ca. Inc. ; INSURER C <br /> 5445 Chica8K Avenue I INSURER 0 <br /> Riverside 92507 I INSURER E <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 AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />I~f~' TYPE OF INSURANCE POLlCY NUMBER DATEi'MMIDDJYY DATE MMJDDIYY LIMITS <br /> GENERAL LIABILITY I EACH OCCURRENCE .1,000,000 <br />A ~ COMMERCIAL GENERAL LIABILITY 200201903NPO 07/19/021 07/19/03 FIRE DAMAGE (Anyone fire) .100,000 <br /> T 1 CLAIMS MADE Iil OCCUR I MED EXP (Anyone person) .10,000 <br /> T- ~ PERSONAL & ADV INJURY .1,000,000 <br /> -- --"-" GENERAL AGGREGATE .2,000,000 <br /> ~'L AGG~EnE ~L1MIT APPlSIPER: PRODUCTS - COMP/OP AGG .2,000,000 <br /> POLICY j~8T LDC <br /> AUTOMOBILE LIABILITY ' COMBINED SINGLE LIMIT <br />A X ANY AUTO 200201903NPO 07/19/02 07/19/03 (Eeaccident) .1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> ---; " <br /> _ I SCHEDULED AUTOS (Per person) <br /> I-- HIRED AUTOS , I BODILY INJURY , <br /> . <br />'- NON.OWNED AUTOS (Per accident) <br /> c- PROPERTY DAMAGE . <br /> {Per accident) <br /> GARAGE LIABILITY ! AUTO ONLY. EA ACCIDENT . <br /> P ANY AUTO OTHER THAN EA ACC . <br /> AUTO ONLY: AGG $ <br /> EXCESS LiABILITY EACH OCCURRENCE $ 9,000,000 <br />A ~ OCCUR D CLAIMS MADE 200101903NPO 07/19/02 07/19/03 AGGREGATE . <br /> . <br /> ~ DEDUCTIBLE i . <br /> X ,RETENTION $10 000 . <br /> WORKERS COMPENSATION AND ITORYLlMrrsl IU~~" <br /> EMPLOYERS' LIABILITY APPROVElJ AS 10 ORM <br /> E.L. EACH ACCIDENT . <br /> I all J E,L. O:SEA5E. EA EMf1l0YEE $ <br /> - E.l. DISEASE - POLICY LIMIT I $ <br /> OTHER ltorley <br /> Laura'Sheed} <br /> Deputy City <br />DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS <br />10 day notice of cancellation for non-payment of premium. city of Santa Ana, <br />its officers, agents, employees and volunteers are named as Additional <br />Insured as respects their interests and connection with the named insured. <br />RE: Funding <br /> <br />CERTIFICATE HOLDER <br /> <br />; Y ADDITIONAL INSURED; INSURER LETTER: <br /> <br />CANCELLATION <br /> <br />COVERAGES <br /> <br />CITSANT <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA nON <br />DATE THEREOF, THE ISSUING INSURER WllL_ _ MAil ..3.0.- DAYS WRmEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> <br />City of Santa Ana CDBG M-25 <br />Community Development Agency <br />P.O. Box 1988 M-25 <br />Santa Ana, CA 92702 <br /> <br /> <br />T1VE <br /> <br />ACORD 25-5 (7/97) <br /> <br />@ ACORD CORPORATION 1988 <br />