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<br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE OP II L~ DATE(llMlDDIYY'YY) <br /> KAlUP-2 03J29J05 <br />PRODUCER THIS CERTIFICATE IS ISSlED AS II. MATTER OF _ORMATION <br />Bvere.t Insur.....,e Servi.,es In., ONLY AND CONFERS NO RIGHTS UPON TIlE CER11FICATE <br />P. O. Box 10788 HOLDER. THIS CERT1FICATE DOES NOT AMBlD, EXTEND OR <br />16S1 B Fourth St.. SUi te 150 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />Santa ADa CA 92701 <br />phone. 714-559-o80D Fax:714-S69-o807 INSURERS AFFORDING COVERAGE NAIC , <br />INllUREl> I~A: Philadel1:lllia Indi!m..itv <br /> Hariposa Waaen a:nd Family INSURER B: <br /> Center INSURER C: <br /> Attn. Dilllle wright <br /> 812 Town ....d Country Boad .~RERD: <br /> Or....ge CA 92668 I~R'~ <br /> <br />COVERAGES <br /> <br />THE POLICIES OF.INSURANCE LISTED BELOW HAVE BEEN ISSUEDTD THE..INSURED-IW.IEO ABOVE. fOR THEPOUCY PERIOD Jl<<)tcATED. NOTWITHSTANDING <br />Nf1.REQUlREMENT. TERIA OR CONDITION OF.N<< CON'mACTOROTHER DOCUMENT WITH RESPeCT TO WHICH lHISCERJ1FICATE rMY BE lSSUED:OR <br />MAY PERTAIN, lHE tNSURANCE AFFORDEDBYTHE POliCIES OESCRJBEDH~JS SUBJECT TO ALL I ttt 11::HM8. EXCLlJSlON::i NIID GONDTT100:5 01" :5UCH <br />I~ ~~ AGGREGATE LIMITS SHOWN ~y HAVE....N REDUCED BY PAID aAIMS. .~~ -- <br />LTR TYPEOFIMIIU'RANCE POUCVNll.-eR LIMITS <br /> GENERAl. l.IABIl.1fY EACH OCCllRREHCE _~;L000000 <br />A X ~- COMMERCIAL ~LUABll..1TY PHPlt1.51366 02/01/05 02/01/07 l~~\ $ 100000 <br /> I CLAIMS MADE ~ OCCUR MED EXP.(Anyone.petSOr'I) o SooO <br /> '- ,---- PERSONAL & AININJURY 01000000 <br /> ~ ProfesBional Liab GENERAl. AGGREGATE 02000000 - <br /> nN'lAG~nILIMIT APnPER: PRODUCTS -COMPIOP AGG 02000000 <br /> POUCY ~ LOC <br /> ~lIILeuABnJTY COftelNED SINGLE WAIT 0 <br /> I.- ANY AUTO i (Eaaccldent) <br /> I.- AU... OWNED AUTOS 80DIL Y INJURY <br /> S <br /> SCHEDULEDAl1TOS (r'~,..__,,) <br /> e.- ...-- <br /> I.- H1RB>NJTOS I BODlL'VtNJURY <br /> I 0 <br /> 1--- NON-OWNED AUTOS (PetflCtjdel1t1 <br /> , <br /> h---' PROPERTY DAMAGE 0 <br /> , (PerlCCidentl <br /> GARAGE LWlIlITY AUTO ONLY - EA.ACCIDENT , <br /> R ANV AOJTO OTHER THAN ....ACC S <br /> I AUTOOM..Y: AGG $ <br /> t=]ESSIlJImRELl..A llA8ll.JTY EACH.OCCURREHCE " <br /> DCCUR 0 ClAIMS w.DE AGGREGATE . <br /> i 0 <br /> I R DEDUCTIBLE b'l>";) t,S ' $ <br /> RE.TENTION . A n~PJ ('\ FORM $ <br /> j <br /> WORKERS ~SATJONAtI) t1l~rt k; ;/z_ ITORYL~ I IUJ:;' <br /> , EMPL;OYERr L;lABtLlTY <br /> . ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT S <br /> OFFICERltdEMBER EXCLUDED? - E.l. DISEASE ~ EA EMPLOYS $ <br /> ~~~~s:oNsbelOW LitHd :~;!:lt 51. ::;;euy E.L. DISEASE -POLICY I.IMIT $ <br /> DTHER ,A, :'.l':;l,lili \...,j. <br /> I <br />DESCRPTION OF OPEftATK)NS IlOCA11ONSI VEIU:loES1EXCLUStONSADOEOBY ENDORSEMENT I SPECIAL PROVISIONS <br />Covering: Operations 01: tbeNamed Insured. City 01: S....ta ADa Community <br />Development Agenc:y 18 .......d as Addi tionaJ. J:nBured per CG2011 11/85 <br />endorsement on Ule with insurance carrier. *10 day noti.,. ot caDcellatioJ1 <br />may be given tor non payment 01: "remi"",.1USJ:SStlBD TO SHOW THB NEW R>>IBD <br />INSURED - ALL 0T1IBR TBRKS RBMAJ:NBI) AS J:S. <br /> <br />CERTIFICATE HOLDER <br /> <br />City Of Santa Ana CClIIIIIISW1ity <br />Development Agency <br />Attn. Frank Hernandez. lilgmt <br />20 Civi., Center Plaza <br />Santa Ana CA 92701 <br /> <br />CANCEUATION <br />SAH'J:A04: SHOULD.AHV OF THE ABOVE IlEICRIH!D'POUCIES EN! CMfCELLED BEFORE TKE'EXPIRATtON <br />DAlE THaEOF, THE tsSUttG INSURER Wl.lENDIl!AVOR TO IUJL ~.~ 0 DAYS WRITTEN <br />NOTICE TOTltE CEIOFICATE HOLDER HAlED TO 1lIE lEFT, BUT FAlLlJRE TO DO so SHALL <br />IltPOSE NO OBLIGATION OR UABLITY OF Atl'( KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATNE5. <br />AU AT1\'E <br /> <br /> <br />@ACORDCORPORATION 1988 <br /> <br />ACORD 25 (2001108) <br />