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<br />Oti-OC-05 02:21pm <br /> <br />F,,,,,-DRIVER AL' "~T INS, C <br /> <br />9497562713 <br /> <br />T-470 P.02/03 F-547 <br />'...........-.,..\1."..........'" <br />10/6/05 <br /> <br /> <br />PRODUCER <br />Driver. Alliant Insurnnce Services. Inc. <br />P.O. Sox 25884 <br />Santa Ana. CA 92799 <br />(800) 821-9283 Ex!. 190. Fax (949) 706-2713 <br />LiCe No.~1 <br />mUHD SPECIAL lIA&lUtv JNSiJAAltfCE (SlIP) MI;MI,&R: <br />FAMILIES TOGETHER OF ORANGE COUNTY <br />S01 S. LYON ST. <br />SANTA ANA. CA 82705 <br /> <br />C"","ANY <br />L&TT... <br />COIlI'AHY <br />LErr'" <br />""""All. <br />LETTER <br />COMPAH'f <br />LETTl!ft <br />OOOIPAN'( <br />LETTBl <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOIlMATION ONL v AND <br />CONFERS NO RIGHTS UPON THE CERTlFlCATE HOLDER. THIS CeRTlFlCATE <br />DOES NOT AMEND. E)(TEND OR ALTER THE COVERAGE AFFORDED 8V THE <br />POLICIES BeLOW. <br />COMPANIES AFFORDING COVERAGE <br />A EVANSTON INSURANCE COMPANY <br />B <br />C <br />o <br />E <br /> <br />TIM IS TO CERTIFY THAT ~ POI...JC$S OF 1NSURANc& L..-rE1) -.ow HAVE BEEIriI llfE IMURa) ~D ABove FOR THI POLICY IlERtQp INDICATED. <br />HO'TWITHST~ ANY 1Ui00000MIlNT. TERM 011 CONDITION Of ANt COf('rMCT OR OTHER OOCUMEHT WITH RE$"~ TO WNCH Ttitti CSmFtCATIi MAV H I$Sut=D <br />OR MA,'t PERT..... THE ~&MFORDEP av TI'tII ~ D9CRIUP IilftDlIS SUBJECT TO AU. THE TtiR... EXCLUSfON AND COkQTlONS OIl SIJCH POLlelES. <br />uwr OWN MAY IiAVI! IIB!N ftEOUt:eD I5V PAIOCLANI. <br /> <br /> <br /> <br />CO <br />LTR <br /> <br />TYPE OF INSuRANcE <br /> <br />PDI..ICY MJMBIift <br /> <br />POUCY I!1fECTrvE <br />DATE (U"'M'VY) <br /> <br />A <br /> <br /> <br />GEtIERAL l.IABILITY <br />COMMSACw. GENERAL <br />llABlUTY <br />~s 0 OCCUR <br />OWNER'S & CONl'AACTOR'5 <br />PROT. <br />Gl. 0100:$1.000 <br /> <br />SLIP300~ <br /> <br />09/29105 <br /> <br />P<lUCY <br />BXPI~TtON <br />TE <br />09129106 <br /> <br />WIllTa <br /> <br />A <br /> <br />AllT""""""1.IAlllUTY <br /> <br />GSNERAL.AGGR:SGATE <br />TS-CoMP",. <br />AGG. <br />PERSONAL. & ADV. INJURY <br />EACH OCCUfft!NCE <br />FIRS DA~E (Any QIlO hre) <br />MED. &.XP!;NSe CAn)' Me <br /> <br />N1A <br />$1.000.000 <br />$1.000.000 <br />$1.000.000 <br />$1,000,000 <br />NlA <br />$1,000,000 <br /> <br />SLIP3~ <br /> <br />09 <br /> <br />09129106 <br /> <br />AHYAUTO <br />AU. OWNED AUTOS <br />SCHWlA.SC ....uros <br />X HI~"'U10s <br />X NOtVOWNeOAUTOS <br />GARAGE UAaA.ITr <br />AUTO D~D: $1.000 <br /> <br />UMBREUA FORM <br />OTHm TIiAN UMBRELLA FORM <br /> <br /> <br />aoo.L Y IrouuRY <br />(PI:;rpcr-..on) <br />BOOIL Y INJURY <br />(Per iJCCldltm) <br />PROPERTY DAMAGE <br /> <br />APPROVED AS 0 FORM <br /> <br />2ACJ1 OCCuRRENCE <br />AGGREGAT <br /> <br />WORKEws COMPENSATtON <br />A>lD <br />BCPLOVIE1r& UABIlITY <br /> <br />.'. \... ".' <br />""~- .....~-'--~ .....,-"'"--~- ... ... <br />-~""" <br /> <br />EACH ACCIOliNT <br />DISEAS&POlIC:Y LIMIT <br />llISEASE-EACH _COVEE <br /> <br />A <br /> <br />NON-PROFIT DIRECTORS <br />AND OFFICERS <br /> <br />SUP3OOO.QS <br /> <br />09/29105 <br /> <br />09l29I06 <br /> <br />$1.000,000 <br /> <br />PeR OCCURRENCE AND <br />ANNUAL AGGREGAll' <br /> <br />Cl~CRIfoTION OF ~noNSlI.OCATION:WEt.:LEAISPIiC&,II,&, IttMl!l <br /> <br />AS RESPECTS TO THE COMMUNITY DEvELOPMENT BLOCK GRANT. THE CITY OF SANTA ANA, ITS OFFICERS. AGENTS. EMPLOYEES AND <br />VOLUNTEERS SHALL BE NAMED AS ADDITIONAL INSURED. THIS INSURANCE IS PRIMARY AND ANY INSURANcE OR SELF INSURANCE MAINT AINIOD BY <br />SUCH ADDITIONAL INSUREDS SHALL NOT CONTRIBUTE TO IT. ADDIl1OI'1AL INSURED ENDORSeMENT A TTACHEa. SUBJECT TO POLICY TERMS. <br />CONDITIONS AND exCLUSIONS. <br /> <br /> <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-2S <br />20 CIVIC CENTER DRIVE <br />PO SOx HISS <br />SANTA ANO..CA 92702 <br /> <br />SHOULD ANy OF THE AIlOVE OeSCRIBED POUClES BE CANCELLED BEFORE TIll! <br />EXPlRAT10N bAt!! THEREOF. nil! ISSUING COMP~Y WII..L IIl:W..... ..~tt Tt) MA!L <br />"30 DAYS WRITTEN NOTICE TO THE CERTlFICIIT1i HOLDER NAMeD TO THE LeFT. <br />rJUT FAILURE TO MAIL. :SUCH NOTice StlAl.L .MPQ&E 1'110 O&f",IGATION OR UAaIl...fJ'Y <br />OF ANY KIND UPON 'tN. COMPANY,ITS AGEftlTS OR REPIU$~NTATIVES <br />'"EXCEPT 10 DAYS FOR NON-PA YMEN'r <br />AU ORIZED ATIV <br /> <br /> <br />F.Ill r.D~~:AI, <br /> <br />liI'",~r.JA1 <br />P 1l1I'..lIo.--......_.._ <br /> <br />. <br />