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<br /> -200 - I - .... ,,-,"..--., 0 <br /> . <br />ACORD. CERTIFICAloe OF LIABILITY INSURwNCI;Isi>:i.~ Pl "DATE (MMIDDIYY) <br />01/04/02 <br />PRODUCER 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Orange CA 92863-4459 q'1I-1 q9 <.j INSURERS AFFORDING COVERAGE <br />Phone: 714-997-8100 Fo...i- <br />INSURED INSURER A: Philadelnhia Insurance CO. <br /> INSURER B: Clarendon National <br /> WiseplacB, a Ca Corp INSURER c' <br /> 1411 N. Broadw~~ INSURER 0: <br /> Santa Ana CA 9 06 <br /> INSURER E: <br /> <br />/)J <br /> <br />i <br /> <br />(?~ 5~ <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 REOUIREMENT, 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 />l~-f' TYPE OF INSURANCE POLICY NUMBER <br />~ERAL LIABILITY <br />A X COMMERCIAL GENERAL LIABILITY PHPKO 1 7 7 0 2 <br />I CLAIMS MADE ~ OCCUR <br />_-1 i <br /> <br />;;:(~tlMM/DDIYY <br /> <br />DATE MMIODIYY <br /> <br />EACH OCCURRENCE <br /> <br />01/01/02 <br /> <br />01/01/03 <br /> <br />FIRE DAMAGE (Anyone fire) <br />MED EXP (Anyone person) <br />PERSONAL & ADV INJURY <br /> <br />~'L AGGRE~~ LIMIT AP~S PER: <br />I POLICY I I j:8i I I LOC <br />~TOMOBILE UABIUTY <br />A ~ ANY AUTO <br />ALL OWNED AUTOS <br />- <br />_ SCHEDULED AUTOS <br />X HIRED AUTOS <br />~ <br />l!.. NON-OWNED AUTOS <br /> <br />- <br /> <br />GENERALAGGRF-GATE <br />PRODUCTS - COMP/OP AGG <br /> <br />PHPKOl7702 <br /> <br />01/01/02 <br /> <br />01/01/03 <br /> <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br /> <br />BODilY INJURY <br />(Per person) <br /> <br />APt-ROVED AS TO FORlY! <br />D2iJ <br />."... JJ/7.ee!e.. <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />GARAGE LIABILITY <br />=1 ANY AUTO <br /> <br />EXCESS LIABILITY <br />A tiJ OCCUR 0 CLAIMS MADE <br /> <br />I DEDUCTIBLE <br />x1 RETENTION .10 000 <br />WORKERS COMPENSATION AND <br />B EMPLOYERS' LIABILITY <br /> <br />Deputy City All rney <br /> <br />AUTO ONLY - EA ACCIDENT $ <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />PHUBO 072 05 <br /> <br />01/01/02 <br /> <br />01/01/03 <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />I <br /> <br />LIMITS <br /> <br />.1,000,000 <br />.100,000 <br />.10,000 <br />.1,000,000 <br />.2,000,000 <br />.2,000,000 <br /> <br />. <br /> <br />.1,000,000 <br /> <br />$ Santa Ana <br /> <br />. <br /> <br />CA92 <br /> <br />EAACC $ <br /> <br />AGG <br /> <br />. <br />.1,000,000 <br />.1,000,000 <br />. <br />. <br />. <br /> <br />SCTQT004070801 <br /> <br />08/15/01 <br /> <br />08/15/02 <br /> <br />1 TORY LIMITS I IUE~- <br />EL EACH ACCIDENT . 1000000 <br />E_L.OISEASE-EAEMPLOYEE $1000000 <br />E_... DISEASE. rOLlCY LIMIT IS 1000000 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLIC1ES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL MAIL ...3..0.- DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br /> <br /> <br />~IVE <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Ten Day Notice of Cancellation for non-payment/non-reporting/ The City of <br /> <br />Santa Ana, it's officers. aqents, employees, and volunteers are named as <br /> <br />additional insured per attached Additional Insured Endorsement. <br /> <br />CERTIFICATE HOLDER <br /> <br />I y 1 ADDITIONAL INSURED; INSURER LETTER; <br /> <br />SANTAlIN <br /> <br />CITY OF SANTA ANA COMMUNITY <br />DEVELOPMENT AGENCY M-25 <br />MICHAEL GARCIA <br />P.O. BOX 1988 <br />SANTA ANA CA 92702-1988 <br />, <br />ACORD 25-S (7/97) <br /> <br />@ACORDCORPORATION1988 <br />