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LEGAAID-01 DESU <br />ACOIRD CERTIFICA <br />E OF LIABILI TY INSUR~.rJCE °"~'"~'°°"Y"" <br />. <br />TM 6/23/2006 <br />PRODUCER (805) 965-0071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Brown & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Box 1469 <br />P <br />O HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />. <br />. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Barbara, CA 93102-1469 <br /> INSURERS AFFORDING COVERAGE NAIC # <br />NISURED Legal Aid Society of Orange County INSURERA Fidelity and Guaranty Insurance Underwri 5879 <br />902 North Main Street INSURER e: <br />Santa Ana, CA 92701-0000 <br /> INSURER c: <br /> INSURER D: <br /> INSURER B <br />COVERAGES <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 CONDRION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV 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 POLICY EFFECTIVE POIK:Y IXPUTATgN <br /> POLICY NUMBER DMTTS <br /> GENERAL LIABILITY EACH OCCURRENCE f 1.~Or <br />A X X CO <br />C 61(02064546 $/3/2006 5/3/2007 300 <br /> MMER <br />IAL G`NERAI. LV+BILRV PREMISES Ea ocwrenca , <br />f <br /> CLAIMS MADE OCCUR MED E%P (AIry aro perean) f 10,0 <br /> PERSONAL BADV INJURY f 1x000, <br /> GENERAL AGGREGATE f 2,000,0 <br /> GEN'L AGGREGATE LIMn APPLIES PER: PRODUCTS-COM%OP AGG f 2r000,O <br /> X POLICY PR0. LOC <br /> AU TOMOBILE LU1BILffY COMBINED SINGLE LIMIT f 1,000,0 <br />A ANV AUTO BK02064546 5/3/2006 5/3/2007 IEaawdent) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Fer Pe+ecn) S <br /> MIRED AUTOS BODILY INJURY <br /> X NON-0WNED AUTOS (Per xddent) f <br /> PROPERTY DAMAGE <br /> f <br /> (Per accident) <br /> - GARAGE LUlBILITY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO OTHER THAN EA ACC f <br /> AUTO ONLY: AGG f <br /> IXCESSAIMBRELLA LUUTILnY EACH OCCURRENCE S 1 r~Or <br />A X OCCUR ~cuIMSMAOE BK02064546 513/2006 5/3/2007 AGGREGATE s 1rD00. <br /> f <br /> DEDUCTIBLE f <br /> RETENTION S f <br /> WORKERS COMPENSATION ANO <br />' _ ,. <br />- ~ .. , . ,. WC STATU- OTH- <br />T ~ IM <br /> EMPLOYERS <br />LU181LffY <br /> ANV PROPRIETOR?ARTNER/E%ECUTNE E.L. EACH ACCIDENT f <br /> <br />OFFICERIMEMBER IXCLUDEO9 ~/~ <br />E.L DISEASE-EA EMPLOYE <br />f <br /> H yes, desaibe uMer <br />_...___. <br />_... .. .. _.___ <br />- <br /> SPECIAL PROVISIONS EeImv E.L DISEASE-POLICY LMn f <br /> OTHER - - <br /> <br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I IXCLUSIONS ADDED BY ENDORSEMENT / SPECULL PROVISIONS <br />0 Days Notice for Non-Payment of Premium <br />ertificate Holder 8. Its Officers, Agents, Employees 8 Volunteers are Included as Aditional Insureds under the General Liability per the Form <br />F 22 66 11 02 . <br />CERTIFICATE HOLDER ceNCEt.1 nnrTN <br /> <br />City of Santa Ana - CDBG M-25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA <br /> <br />Community Development Agency PATE THEREOF, THE ISSUING INSURER HALL ENDEAVOR TO MAIL 3O DAYS wRnTEN <br />P.O. Box 1988 M-15 NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Santa Ana, CA 92702- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND VPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATNE <br /> dLa ~-'Rdh~e-~ <br />AGORD 25 (2001/08) ~ L ©ACORD CORPORATION 1988 <br />e- <br />