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~ .11/OZ~`2005 15:34 F_+~ 949 3d1 4079 HOLBERT IySURANCE C~tj003 <br />- ~ ~ERTIF~C <br />) L : TE~OF INSURp <br />N <br />` <br />. - <br />CE IssuEpATE <br />- . PRODUCERS .. <br /> <br />I' - HOLBeRT INSURAIVCE AGENCY 11/02/2005 -__ J <br />~,_ Cect# 7052 • T+iIS CERTIFICATE 1S ISSUEp AS A MATTER OF INI~ORAAATION ONLY ANp <br />:• •• <br />: ~ <br />O <br /> <br />• - . P.O.80X•1208 ~ . ~ - <br />. <br />C <br />NFERS NO RIGHTS CtPON THE CERTIFICATE HOMER. PHIS CERTIFICATE <br />~ <br />DOES <br /> <br />SAN CLEMENTE. CA• 92674'1208 . <br />NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICES 9ELOW <br /> <br />{949) 4912-638 . <br />FAX {P49) 361-g07g <br /> _ COMPANIES AFFORDING COVERAGE <br />99~r+~h pp s~ COIuiPANY -- - -._~- <br />I Q - o~w6" O /02-0 ~Yp A TRAVELERS <br /> <br />BisI1RED -.. _._. _~ . _ INDEMMTY CO OF It, <br />__ _ <br /> <br />WOMEN HELPING WOMEN - -,- -- <br />coMPANY <br /> B <br /> <br />711 W_ 17TH STREET, #A-ifl COMPANY • • -- - - <br />C <br />COSTA MESA <br />CA 92627 <br />, COMPANY <br />(covERAt~s D - - <br />Yw5 is m reerncv ~.,.. ,•..~ .,.,....,._ __ _ -i <br />- - - - ~....... «,. ~..~ ~n.e.~ a,rr ntiy~AN~ LISTED BELOM <br />N9T~TNSrAN01NO ANY ~%11REMENf, TI3A1 ~ CONDITgs) OF ANY <br />PERTAIN, THE INSt1RANC@ AFFORDED BY THE FOLIdE.S DE6GR>~p )N <br />FIAVE BEEN R®UCEp BY PAID CLAN~IS. <br />CO <br />LTR~ TYPE 01° AQ3URANt~ PDLICY IKJMBER <br />GENERAL. LIABILITY <br />X COMMEACIAL Ge+F1rAL LMBILITY <br />x OWES 8 CO ~CF(g pRpT. <br />OMOBtLE LIABILITY <br />AM AUTO <br />Atl OWNED AUTOS <br />SQI®ULED AUT03 <br />IeREDALmDs <br />NONLWVNEDAUTY)9 <br /> <br />GARAGE LIABILITY <br />--~ ANY AUTO <br />= eEal ssvEO To t-+E INffiIRED NAME AeovE FpR TFie POLICY F'>:FtIOD ~CATeD. <br />CTO~AL.L TNF TERNS. EXCLUSIONS ANDN C~Cf•E71710NS OF SUCH FOUgES.I L~ g grpHM MAY <br />POLICY ~FECTIVE - <br />bATE jM1~Y0pYY) ~- LNu1RS <br />ceaERAL AGGREGATE s 2,000,000 <br />680-46dP705_A bCT2805 OCT2806 ~UC75-co-~ProaACCt. _s 2,000,000• <br />PERSONAL d ADV IKIURY f 1,1x10,000 <br />EAChIS7C(X/RRENCE S 1.000,000 <br />FIRE DAMACaE(JMry One Fue) S 300,000 <br />. E7~ENSE1Any One Persa, = S,OOD <br />680.466P105-A 0CT 28 05 OCT 28 08 ~~NgwEO sm~Gle uNrr s 1,000.000 <br /> <br />EXCESS LtAeIl1TY <br />uMercELU Fo~1 <br />OT-fR THAN uh~RELtA FDRk <br />WORKER'S COMPENSATION AND <br />EMPl.OYf~tS' LIABILITY <br />TA15PROPRIETOW (-~~ ~.~ .. <br />DESCRIPTION df OPERATIONSILOCA KL ITEMS <br />OPERATIONS OF THE NAMED INSURED <br />PAfiTNERSIgSECITTNE <br />OFFCER$ ARE: <br />OTHER <br />BODILY MUURY <br />(Per Ppaae) s <br />BODN.Y tNdURY s <br />~Pe~ Acr~eeM) <br />PROPERTY DAMAGE f <br />AUTO ONLY - EA ACC[1ENT <br />OTHER THAN AUTO ONLY: <br />__ EACH gCClDOrr S <br />AGGREGATE S <br />EACH OCCURRENCE S <br />AC~GREGA7~ s <br />STATUTORY LIMITS <br />EACH ACCweNT r <br />oIsEASE-POLICY uMff ~s <br /> <br /> <br />CERTIFICATE HOLDER •1k5•RDDF170114A! INS~II <br />CITY OF SANTA ANA-CDSG M-25 <br />COMMUNITY DEVELOPMENT AGENCY <br />P.o. Box 19sa M-25 <br />SANTA ANA, CA 92702 <br />• ~ ~.~ :CANEEkLAT10N.• ~ - <br />SFIOULD ANY OF THE ABOVE DE3CR18ED POLJC~$ BE CANCELLED BEFDRE THE <br />EXPIRATION DATE THEREOF, THE NG COMPANY WILL WUl 3D DAY9 <br />WRMEN NOTICE TO THE CERTIFICATE HOLDER NAMED r0 THE IEFY . <br />10-GY NOTICE OF CANCELLATION APPL~$ FOR NONPAYMENT OF PREMIUarI ' <br /> <br />