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From: Comprehensive Insurance 9437031668 To:' I Icy Flores Date: 10118!2005 Time: 421:48 PM Page 2 of 3 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE 1011812005 <br />PRODUCER (949)709 -8800 FAX (949)709 -1668 <br />Comprehensive Insurance Services <br />22342 Avenida E resa <br />mP <br />Suite 200 <br />RSM, CA 92688 <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 />INSURERS AFFORDING COVERAGE <br />- <br />NAIC # <br />wsuREO <br />Laura's House <br />27129 Calle Arroyo, Suite 1822 <br />San Juan Capistrano, Ca 92675 <br />INSURERA NONPROFITS' INSURANCE ALLIANCE <br />POLICY NUMBER <br />INSURERS: NATIONAL UNION FIRE INS OF PITT_BURGH <br />PA <br />INSURER <br />INSURER D <br />GENERAL LIABILITY <br />INSURER E: <br />10/11/2005 <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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, TH E 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 <br />ADD1 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POUCYEFFECrIVE <br />POUCYEXPXUITION <br />LIMITS <br />GENERAL LIABILITY <br />2005- 03889 -NPO <br />10/11/2005 <br />10/11/2006 <br />EACHOCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ 100 000 <br />CLAMS MADE [X] OCCUR <br />MEL EXP IAny' one ce s,n <br />$ 10,000 <br />A <br />PERSONA_ B ADk1 HJUR', <br />4 1, 000. 000 <br />GENERAL ACGRE =ATE <br />$ 3. 000, 000 <br />GENT AGGREGATE LIMIT APPLES PER <br />PRODUCTS- COMP'OP AG4 <br />Y 3, 000, 000 <br />POLICY "' X LOC <br />AurDNDBILE <br />LIABILITY <br />ANYAUTO <br />2005- 03889 -NPO <br />10/11/2005 <br />10/11/2006 <br />COMBINED Wk LE LIMIT <br />(Eaerddert) <br />1 . am, 000 <br />X <br />sceeY <br />IPerpersen) <br />A <br />ALL OANED AUTOS <br />SCHEDULEDAUTOS <br />BODU r RId.IR'r <br />+Per LCaitlanl) <br />f <br />H WED NJTOS <br />NON -0VdJFD NJTOS <br />PP,OPERTY CAM Pol— <br />tPeroxd>nq <br />$ <br />GSRAGELIABILITY <br />AIJTODNL-E,As_,LEIJ <br />t <br />ANYAUTO <br />OTHER EAACI_ <br />, <br />AUTO ONTNL r. <br />EXCESSIIMBRELLALIABILITY <br />2005- 03889 -UMB <br />10/11/2005 <br />10/11/2006 <br />EACHOCOJRRENCE <br />t 1,000,000 <br />X OCCUR El CLAMS MADE <br />AGGREGATE <br />S 1 , 000, OD() <br />A <br />t <br />{ <br />DEDUCTIBLE <br />X RETENTION $ 10,00 <br />.I <br />WORKERS COMPENSATION AND <br />NC STATI} ^T(- <br />EMPLOYERS' UASKJTY <br />EL EACH ACCIDENT <br />E <br />PNY PROPRETOR,PARTNER,EXECUTIVE <br />OIE <br />E L DISEASE - EA E__Li_ <br />f <br />OFFICERMMEMBER EXCLUDED' <br />It yes, &srnbe i tler <br />EL DISEASE -PO JCYLIMr_ <br />1 <br />SPECIAL PROVISIONS belay <br />AL SERVICE <br />2005- 03889 -NPO <br />10/11/2005 <br />10/11/2006 <br />$3,000,000 AGGREGATE <br />A <br />PROFESSIONAL LIABILITY <br />$1,000.000 OCCURRENCE <br />A 7� <br />ERT I F KATE HOLDERS I N MD AS ADDITIONAL BY NSUURRED PER SPECIAL PROVISIONS EXH fdrWh" AS TO I+O,�jlyf <br />EXCEPT 10 DAYS FOR NON- PAYMENT <br />"REPLACING CERTIFICATE ISSUED 10/11/05" Z <br />Laura Stitt She dy <br />Assistant City Attorney <br />CITY OF SANTA ANA ITS OFFICERS, AGENTS, <br />EMPLOYEES AND VOLUNTEERS <br />CDBG M -25 <br />COMMUNITY DEVELOPMENT AGENCY <br />P.O. BOX 1988 M -25 <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 0)&)&" MAIL <br />`30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER 14AMEOTO THE LEFT. <br />i4Y�XEC4)UOEtldBAOf XX <br />AUTHORIZED REPRESENTATNE <br />Richard Eynon,_ CIC /JEREMY �✓ <br />ACORD 25 (2001109) © ACORD CORPORATION 1988 <br />