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<br />/' fV"'-::;L- 7'~" \ <br />~ / <br /> <br />AC!2BD", CERTIFICATE OF LIABILITY INSURANCE I D~;/~~/~~~l <br />PRODUCER (626) 599-8830 FAX (626)599-8831 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION -- <br />Pacific General Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />405 E. Santa Clara Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO_~ <br />Suite 100 <br />Arcadia. CA 91D06 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Mexican American Opportunity Foundation INSURER k Philadelphia Indemnity Insuran~ Company <br /> 401 N. Garfield Avenue INSURER B: <br /> Montebe 11 0, CA 90640 A-d-,tJD(r I <67 INSURER C' <br /> INSURER O. <br /> .,-- <br /> INSURER E: <br />cnVI'RA"ES <br />THE POLJCIES 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 CONTRACTOR OTHER DOCUMENT WITH RI::SPECT 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 PArD CLAIMS. <br />II1'4M DD' TYPE OF INSURANCE POLIcY NUMBER ~l{i1 EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY PHPK213798 01/30/2007 01/30/2008 EACH OCCURRENCE , 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED , 100,00 <br /> , <br /> I CLAIMS MADE 0 OCCUR MED EX? (Any one p~on) , 5,Orn <br />A X PERSONAL & ADV INJURY , 1,000,00 <br /> GENERAL AGGREGATE , 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS" COMP/OP AGG , 3,OOO,OOC <br /> Xl pOllcD ~:~T /1- Loe <br /> AUTOMOBILE LIABILITY PHPK2B798 01/30/2007 01/30/2008 COMBINED SINGLE UMIT <br /> X , <br /> ANY AUTO (Eaaccldent) 1,000,OOC <br /> - <br /> AlL OWNED AUTOS BODILY INJURY <br /> t-- , <br /> SCHEDULED AUTOS RfM (Perperscin) <br />A X t-- <br /> HIRED AUTOS BODILY INJURY <br /> t-- , <br /> NON-OWNED AUTOS (Per accIdent) <br /> r-- <br /> PROPERTY DAMAGE <br /> r-- lPerarodent) , <br /> R~G. LIABILITY AUTOONL Y - EA ACCIDENT , <br /> ANY AUTO :>BM OTHER THAN EA Ace . <br /> LO'L"'I"I f AUTO ONLY' AGG . <br /> EXCESSfUMBRELLA UABIUTY Ai'P\\O'\11\ IP~~ I EACH OCCURRENCE . <br /> :J OCCUR 0 CLAIMS MADE .~~( "- AGGREGATE , <br /> E 5iORCK . <br /> ==i IDEDUCTIBLE _ \.\5 nt City "ttorr e'.l . <br /> RETENTION S ..t: . <br /> WORKERS COMPENSATION AND f( ,fl.) I we STATU- IOJ,t'" <br /> EMPLOYERS' LIABtLITY <br /> ANY PROPRIETORIPARTNERlEXECUTIVE EL EACH ACCIDENT . <br /> OFFICER/MEMBER EXCLUDED? ~ E.L. DISEASE - fA EMf'LOYE $ <br /> If yes, descrIbe under <br /> SPECIAL PROVISIONS below E,L DISEASE - POLlCY LIMIT . <br /> ,.llJijER PHPK2B798 01/30/2007 01/30/2008 See Below <br />A \..r1me PHPK213798 01/30/2007 01/30/2008 $1,000,000 Occ/$3,OOO,OOO Agg <br />Prof. Liab. r!>lsCRIPWN OF OPERATIONS / LQCATlONff":FHICLES J EXCLUSIONS ADDd BY EN~OR5EMENT I SPECIAL PRO~ISIONS insureds with <br />~1ty 0 Santa Ana, ltS 0 lcers, agents an emp oyees are name as additional <br />respects to a 11 operations by the named insured for general liability only as a funding source. <br />ten day notice of cancellation shall be given in the event of non-payment of premium <br /> <br />CERTIF T <br /> <br />ER <br /> <br />CA CELLATION <br /> <br />City of Santa Ana/Fez Daisy Wheel Network <br />Attn: Principe de Paz/Pastora Mercedes Zapata <br />502 S. Ross St. <br />Santa Ana, CA 92701 <br /> <br /> <br />@ACORDCORPORATION1988 <br /> <br />ACORD 25 (2001/08) FAX: (714) 565-2602 <br /> <br />