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<br /> AGORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 '2~ DATE (MMIDDIYYYY) <br />- VIETN-2 03/20/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlO~ <br />Chapman & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License '0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO\'\ <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax: 626-405-0585 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED A- ~-o9;).- o4~ INSURER A:. Nonprof'it..' IlUIuranc. Alliance <br /> INSURER 8; North American Eli U IMuranc:. <br /> Vietnamese COllllllW1i ty of Orange INSURER c: <br /> ~~~t~. First Street INSURER D: <br /> Santa Ana CA 92703 <br /> INSURER E: <br /> <br />COVERAGES <br /> <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 CONomON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURMlCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONomONS OF SUCH <br />POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br />LTA NSRI TYPE Of INSURANCE POlJCY NUMBER DATEt~ DAT~ UMITS <br /> GENERAL UA81UTY EACH OCCURRENCE .1000000 <br /> I-- 200604575 10/04/06 10/04/07 .100000 <br />A X X COMMERCIAl. GENERAl UA8lUTY PREMISES Ea oc:o.nnc:e] <br /> I ClAJMSMADE ~ OCCUR UED EXP (Any one penJOn) .10000 <br /> X Abuse Liab 1MM PERSONAL. & ADV INJURY .1000000 <br /> X Soc Svc Prof 1M GENERAL AGGREGATE .2000000 <br /> ~~AGG~Fr~~ 7iSPER: PRODUCTS. CQMP/op AGO .2000000 <br /> POI.JCY JECT LOC <br /> ALITOMOBILE UABlUTY COMBINED SINGLE LIMIT .1000000 <br /> -=' <br />A ~ ANY AUTO 200604575 10/04/06 10/04/07 (Ea acddent) <br /> - All OWNED AUTOS 800IL Y INJURY <br /> (Pet person) . <br /> SCHEDULED AUTOS <br /> I- <br /> r!- HIRED AUTOS 800fl Y INJURY <br /> (Pefaccid8nt) . <br /> r!- NQN..QWNED AUTOS ~ <br /> ~ <to ~ PROPERTY DAMAGE . <br /> (Per acddent) <br /> ~":,GE lIABILITY ~ ~~ ~ AUTO ONLY. EA ACCIDENT . <br /> ANY AUTO ~i'fiP J .... [- O'?-C OTHER THAN EAACC . <br /> ."e'l .., AUTO ONLY: AGG . <br /> EXCESSJUMBREllA UABlUTY ",'(.0 C\t:l "'W ~/&) EACH OCCURRENCE . <br /> P OCCUR 0 ClAIMS""" '\. ~~ ~ AGGREGATE . <br /> ~~ 5( (9 I' . <br /> R DEDUCnBLE . <br /> RETENTlON . . <br /> WORKERS COMPENSATlON AND " .....- ITORYllMrrs livE" <br /> EMPLOYERS' UABIUTY E.L. EACH ACCIDENT . <br /> AnY PROPRIETORIPARTNERlEXECUTIVE <br /> OFFICERlUEMBER EXCLUDED? E.L. DISEASE. EA EMPlOYE . <br /> ~~~NSbelow E.L. DISEASE - POlICY LIMIT . <br /> OTHER <br />B Crime CWBOOO19270404575 10/04/06 10/04/07 Emp Disho 100000 <br /> For<Jerv 100000 <br />DESCRIPTION OF OPERATlONS J lOCAnoNS JVEtuClES J EXCWSK)HS ADDED BY ENDORSEMENT' SPECIAL PROV1$K)NS <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named additional insured with respect to the operations <br />of the named insured per the attached CG 2026 endorsement. Such insurance is' <br />primary and non-contributory. 10 days notice of cancellation for non-payment <br />of premium. XX <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CTYSTNA <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPlRATlO <br />DATE THEREOF, THE ISSUING INSURER Will MAIL 30 DAYS WRfTTEH <br />NonCE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br /> <br />@ACORDCORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br /> <br />