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ArCR T. CERTIFIC E OF LIABILITY <br />PRODUCER Schweickert & Company <br />15 Peters Canyon Road <br />Irvine CA 92606 -1402 <br />INSU CE DATE <br />04/27/2006 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />CONFERS O CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />POLICY NUMBER <br />INSURED Mercy ouse <br />y <br />P.O. Box 1905 <br />INSURER A: Great American Insurance Company <br />INSURER B: <br />Santa Ana CA 92702 <br />INSURER C: <br />INSURER D: <br />05/02/2006 <br />NSURER E: <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, 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 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />GENERAL LIABILITY <br />X <br />PAC5373885 <br />05/02/2006 <br />LIMITS <br />05/02/2007 <br />EACH OCCURRENCE <br />1,000,000 <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE X� occuR <br />X <br />�X Professional Liability <br />Sex Abuse Aggregate Limit is <br />$1,000,000 <br />FIRE DAMAGE Ao one fire <br />$ 100,000 <br />MED ExP A, o„e area, <br />$ 5,000 <br />Xj <br />Abuse & Molestation <br />PERSONAL S ADV INJURY <br />$ 1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS- COMP /OP AGO <br />S 1,000,000 <br />A F AUTOMOBILE LIABILITY <br />ANY AUTO <br />PAC5373885 <br />05/02/2006 <br />05/02/2007 <br />COMBINED SINGLE LIMIT <br />(Ea a «iaenq <br />$ 1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />� X HIRED AUTOS <br />BODILY INJURY <br />(Per Person) <br />S <br />X NON -OMED AUTOS <br />- - -, <br />BODILY INJURY <br />(Per aaidenry <br />E <br />PROPERTY DAMAGE <br />(Per ac dent) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />P <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY <br />$ <br />EXCESS LIABILITY <br />— OCCUR EI CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />i /.3 J.J <br />,. <br />r "�1 .�'0 <br />' <br />AGG <br />EACH OCCURRENCE <br />$ <br />$ <br />G <br />AGREGATE <br />$ <br />$— <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS- LIABILITY <br />�) <br />y Attorney <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT <br />It <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$100,000 special form <br />special form <br />OTHEPMjSC.Equipment- <br />A j Rented & Property of othr <br />PAC5373885 <br />05/02/2006 <br />05/02/2007 <br />$1,006 <br />DESCRIPTION OF OPERATIONS /LOCAMONWEMCLESMXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />The City of Santa Ana, its officials, employees, representatives, and volunteers are hereby named as Additional insureds as <br />respects the operations of or on behalf on Mercy House Transitional Living Center, performed under Contract with The City of <br />Santa Ana. <br />CERTIFICATE HOLDFR I X I ......�.....- ...._..___ ... A <br />City of Santa Ana <br />Frank Hernandez FxN647 -6549 <br />PO Box 1988 <br />Santa Ana <br />25-S(7/97) <br />✓ . � , <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL: NDMWCWTO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT'BtlT'PAILtlRCTO'D09D+JHAi,I <br />- IMPOSE7100DLIOATIONOR't1ADKR OF- ANY -MD U 014 THEINSURER ITS'NBfHT3 ON <br />CA 92702 AUTHORIZED REPRESENTATIVE <br />I9RR <br />