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<br />ACORD <br />-,'--'-'---TM <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />PRODUCER' <br /> <br />Schweickert & Company <br /> <br />15 Peters Canyon Road <br />Irvine <br /> <br />CA <br /> <br />92606 <br /> <br />DATE (MMfDDNYYY) <br />02/09/2007 <br /> <br />THIS CERTIFICATE 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 <br /> <br />Templo Calvario Community Development Corporation <br /> <br />2511 W. 5th Street <br />Santa Ana CA 92703 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER ^' NonProfit Insurance Alliance of CA <br /> <br />NAIC# <br /> <br />,4- CJ,OO - qO <br /> <br />INSURER B: <br />INSURER c: <br />INSURER 0: <br />INSURER E: State Compensation Ins. Fund <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, 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 />INSR 00. -.-- POLICY NUMBER P.9Al.$.Y EFFECTIVE POLICY EXPIRATION l.IMITS <br /> X ~NERAl.l.IAB]L1TY 2007 -17088-NPO 02/08/2007 02/08/2008 EACH OCCURRENCE . 1000000 <br />A X DAMAGE TO RENTED 100000 <br /> COMMERCIAL GENERAL L1ABllIlY Professional and Abuse sublimits . <br /> I CLAIMS MADE IX] OCCUR are $1,000,000 per occurrence; MED EXP (An" one nerson\ . 10000 <br /> ~ Social Service Prof. $1,000,000 aggregate PERSONAL & ADV INJURY . 1000000 <br /> ~ Abuse Liability GENERAL AGGREGATE . 2000000 <br /> Yl'L AGG~EnE LIMIT APMS PER: PRODUCTS - COMPfOP AGG . 1000000 <br /> X POLICY PRO- LOC <br />A X -.M!TOMOBIl.E LIABILITY 2007-17088-NPO 02/0812007 02/08/2008 1000000 <br /> COMBINED SINGLE LIMIT . <br /> - ANY AUTO (Eaaccident) <br /> - ALL OWNED AUTOS <to "to ~ BODILY INJURY <br /> . <br /> X SCHEDULED AUTOS ~ (Per person) <br /> X HIRED AUTOS ~'O p.!O ./~ BODILY INJURY <br /> (Per accident) . <br /> -=-= NON-OWNED AUTOS ~~~ . :~ <br /> - , ,/- ~. S",O ,,\'lot' e'l PROPERTY DAMAGE . <br /> (Per accident) <br /> lRAGE LIABILITY ~ \..'" t\\ c.'" , r)' AUTO ONLY - EA ACCIDENT . <br /> ANY AUTO pe.'io\~ ,f" EA ACC . <br /> (10 OTHER THAN <br /> AUTO ONLY: AGG . <br /> ~ESSJUMBRELLA LIABILITY '== EACH OCCURRENCE . <br /> OCCUR D CLAIMS MADE AGGREGATE . <br /> . <br /> ~ ,DEDUCTIBLE . <br /> RETENTION . . <br />E WORKERS COMPENSATION AND 1816178 OI!O 1/2007 01/01/2008 X I T~<;'''T~l''~ I 10J.'!- <br /> EMPLOYERS' LIABILITY 1,000,000 <br /> EL EACH ACCIDENT . <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? EL DISEASE. EA EMPLOYEE $ <br /> I ~~~ltes~d.~v~~1;!~,~ ~ . I w EL DISEASE - POLICY LIMIT . 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, its officials, employees, and representatives are hereby named as additional insureds as respects Templo <br />Calvario Community Development Corporation. <br />10 days notice of cancellation for non-payment of premium <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />Santa Ana <br /> <br />CA <br /> <br />92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOro THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER W1LC""END8WOR'"TO MAIL _ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,"B'DTF.AA..DRFTtTOO"'SO"'5RA1..L <br />-TNIPOS'E""NUUB[IGATlOWUR"lJABn.1TrCF -m'QrPJl'ilD UPON"TflE1NSlJRER; ITS'"JtGENTS OR <br />-REPRESEIlITImVES: <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />City of Santa Ana <br />1000 E. Santa Ana Blvd. <br />Suite 200 <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br />