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AGQ,P,D� CERTIFICA" OF LIABILITY INSURE' FE <br />04%11 /1 /2pp6 <br />PRDL JCER (310) 393 -9477 FAX (310)393 -7186 <br />White & Company Insurance Inc <br />P 0 Box 70 <br />Santa Monica, CA 90406 -0070 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT16N <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 />NAIL # <br />INSURED Women's Transitional Living Center <br />PO Box 6103 <br />Orange, CA 92863 <br />INSURERA Philadelphia Ins Co <br />INSURER B: <br />GENERAL LNBKM <br />INSURER C: <br />04/04 /2006 <br />INSURER O. <br />EACH OCCURRENCE <br />INSURER E: <br />yTHE 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 MAYBE 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 />MR <br />TYPE OF MSImANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE f <br />POLICY EXPIRATION <br />mw timuonrm <br />LIAM'fS <br />GENERAL LNBKM <br />PUPKI64779 <br />04/04 /2006 <br />04/04/2007 <br />EACH OCCURRENCE <br />$ 1100010" <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />S 300, <br />CLABAS MADE Q OCCUR <br />MED EXP (Any a person) <br />$ is, <br />..PERSONAL & ADV INJURY <br />$ 1 000' <br />A <br />GENERAL AGGREGATE <br />$ 2,000,00C <br />GENL AGGREGATE LOW APPLIES PER <br />PRODUCTS- COMP/OP AGO <br />S 1,000, <br />POLICY 7 LOC <br />AUTOMOexELweIDTY <br />ANY AUTO <br />PHPKI64779 <br />04 /04/2006 <br />04/04/2007 <br />COMBINED SINGLE LIMIT <br />(Es a=kW) <br />S <br />1,000, <br />BODILY INJURY <br />(PS Pal^) <br />S <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NO"WNED AUTOS <br />X <br />X <br />BODILY INJURY <br />(PwaccidW) <br />S <br />X <br />PROPERTY DAMAGE <br />(Per guide ) <br />S <br />GARAGE WIBRRY <br />AUTO ONLY- EAACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY AGO <br />S <br />ANY AUTO <br />S <br />ExCEBSIUYBPELLAL1ABILftY <br />PMB061149 <br />04/04 /2006 <br />04/04/2007 <br />EACH OCCURRENCE <br />S 2,000, <br />AGGREGATE <br />$ 2,000, <br />X OCCUR CLAM MADE <br />$ <br />A <br />$ <br />DEDUCTIBLE <br />1 <br />RETENTION S <br />_ <br />WORKERS COMPENSATION AND <br />EMPLOYERS•LNBILNY <br />ANY PR OPRIETOFWARTNERIEXECUTNE <br />OFFFFIICERIMEMBER EXCLUDEM <br />'DR'`•,i iii- <br />,�. '1 _. >»' <br />"• Ld ' <br />Y✓C STI OTH- <br />E.L. EACM ACCIDENT <br />$ <br />E.L. DISEASE • EA EMPLOYEE <br />S <br />E.L. DISEASE - POLICYI MIT <br />S <br />SPECW� RWISO SEekw <br />Lii1+ <br />as„sta -T <br />'�..., <br />OTHER <br />- •. <br />ity Attor ,C, <br />OF OPERATIONS I LOCATIONSI VENICLES / EXCLUSIONS AWED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents, employees, and volunteers are additional insureds as per form <br />I -NP -003 (OS /01) Item N - Funding Source and Primary Insurance as per form CGOO 01 07 98, both <br />attached to the general liability policy and accompanying this certificate. <br />*Except for 10 days written notice of cancellation for non - payment of premium. <br />City of Santa Ana - CDBG M -2S <br />ESG <br />P.O. Box 1988 M -25 <br />Santa Ana, CA 92702 <br />ACORD 25 12DDimai <br />C _ K <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL #1)LV)WM MAIL <br />30* DAYS wRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />XX <br />©ACORD CORPORATION 1988 <br />