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<br />ACJJ.8Q <br /> <br />CERTIFICATE OF LIABILITY INSURANCE. <br />FAX (949)553-9797 <br /> <br />u,..,..\lQmll......'I "'1 <br /> <br />. PRODUCER (949)553-9700 <br />W~stland Insurance Brokers <br />2302 Martin, Suite 315 <br />Irvine, CA 92612 <br /> <br />12/07/2005 <br /> <br />THIS CJ:ORTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />INSURED De hl Conmnunity Center <br />505 South Central Ave. <br />Santa Ana, CA 92707-3504 <br /> <br />It- J<fCl.5- 63 I <br />A-.xOc5-i 83 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURER A: St Paul Travelers <br />INSURER B: <br />INS:\JRER C; <br />INSURER 0: <br />INSURER E: <br /> <br />NAIC# <br />190380 <br /> <br />cn\l-:D^GE", <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 'SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWJ1H 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 />,Jr~ ilR'l:f TYPE OF INSURAN,CE POl.ICY NUMBER POLICY EFfECTIVE PQUCY EXPIRATION LIMITS <br /> GENERAL LIABILITY X-660-818X4872-TIL-05 12/14/2005 12/14/2006 EACH OCCURRENCE . 1,000,000 <br /> X COMMERCIAL GENERAL UABIUlI' DAMAGE TO RENTED . 300,000 <br /> I CLAIMS MADE 0 OCCUR MEa EXP (Anyone person) . 5,000 <br />A PERSONAL & ADV INJURY . 1,000,000 <br /> GENERAL AGGREGATE . 2,000,OOU <br /> GEl'll AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG . 2,000,000 <br /> 4, ,n PRO. n, <br /> POLICY JEer LOC <br /> AUTOMOBILE LIABILITY BA-3123W685-TCT-05 12/14/2005 12/14/2006 COMBINED SINGLE LIMIT <br /> - (Ea accident) . <br /> ANY AUTO 1,000,000 <br /> - <br /> - ALL OVIINED AUTOS BODrl Y INJURY <br /> (Per person) . <br /> SCHEDULED AUTOS <br />A X ~~;:,A <br /> HIRED AUTOS ,;l.t~\jitl l\I , BODlt. Y INJURY <br /> X S <br /> NON-OWNED AUTOS -- (Per accident) <br /> - >, ~;1A<'-" 'l:- I.. fYV"c....:- <br /> ~C" . PROPERTY DAMAGE S <br />I (Peracc:ident) <br /> ~":GE LIABILITY ...-,:;T \.I ~C ty (o~'~ - t) AUTO ONLY - rEA ACCIDENT . <br /> ANY AUTO !\3SiStaO\ OTHER THAN EAACC . <br /> . AUTO ONLY: AGG . I <br /> EXCESS/UMEJRELLA UABU..ITY X M-CUP 3289W520-TIL-05 12/14/2005 12/14/2006 EACH OCCURRENCE . 100,000 <br /> ~ OCCUR o ClAIMS MADE AGGREGATE S 1,000,000 <br />A Retained Limit . 10,000 <br /> =J ~EDUCTISLE S <br /> RETENTION . S <br /> WORKERS COMPENSATION AND IYVC STATU-.I 10J~- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORJf'ARTNERlEXECUTNE E.L EACH ACCIDENT . <br /> OFFICERlMEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYE . <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT . <br /> OTHER i <br />DESCRIPTION OF OpeRA liONS { lOCATIONS I VEHICLES ( EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS <br />idelity Bond: The Hartford #72BDDAM2830 - 7/7/2005-2006 Limit: $600,000 Deductible: $2;500 <br />he Santa Ana Empowerment Corporation and the City of Santa Ana are named as Additional Insured's <br />Per attached Endorsements CN0188(01/9), CGD037(0199) <br />'Except non-payment of premium which is a 10 day notice of cancellation <br /> <br />C <br /> <br /> <br />Santa Ana Work Center <br />Attn: Bea Gonzalez <br />1000 E. Santa Ana Blvd <br />Suite 200 <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVEDESCRISED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DA"TE "THEREOF, THE ISSUING INSURER WILl. KiXXX~ MAIL <br />'* 30 CAYS WRITTEN Nones: TO THE CERTIFICATE HOLDER NAMED TO TH~ LEFT, <br />JlilOlOOOl~K)(II('I0illl0lM)llOOlltlill>>~XX <br />IllOOOOOOl>>IlK~IOOIl(iIiltl(lIK)(~lIOOOOl\JtlIXXXXXXXXX <br />AUTHORlZEDREPRESENTATlVE A----<) ~~ <br />Alfonso Galvez PAT ~ ~ <br /> <br />ACORD 2S (2001108) <br /> <br />@ACORDCORPORATION1988 <br />