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~ ACORL~. CERTIFICAti le OF LIABILITY INSURANCE <br />Comprehensive Insurance Services <br />22342 Avenida Empress <br />Suite 200 <br />RSM, CA 92688 <br />IHSUR® Assistance Leaoue of Santa <br />1037 W. First Street <br />Santa Ana, CA 92703 <br />COVERAGES <br />INSURERS AFFORDING COVERAGE <br />INSURER B: <br />INSURER c: <br />INSURER D <br />DATE (MMIDDIyYyyl <br />NAIL # <br />THE POLICIES OF INSURANCE UBTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I <br />NDICATED. NOTWITHSTANDING <br />ANY REOIHREMEM, TERM OR CONDITOIJ OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WMCH THIS CER <br />TIFlCATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED 6Y THE POLICIES DESCRIBED HERFJN IS SUBJECT TO ALL THE TERMS <br />E%CLUSIONS A <br />, <br />ND CONgTIONS OF SUCH <br />POLICES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CW MS. <br />~~ TYPE OF INSImANCE POLbY NWABFR POLICY EFFECTNE POLICY E%PIMTIDN <br /> uMTs <br /> OERE/UL LU1BILm 2005-07504-NPO 06/01/2006 06/01/2007 EACHOxuRRENDE <br /> <br />X COLIMFAGAI <br />B s 1,000,0 <br /> G <br />EMLUA&ITTY DAMAGE TO RENTED <br /> <br />CWMS MADE <br />X S 100,0 <br /> ^ <br />OCCUR MED E)W (M <br />a <br /> <br />A y <br />M Person) S 1D, <br /> PERSONAL b ADV INJURY <br /> S 1 ,000. <br /> GENERAL AGGREGATE 5 <br /> <br />GE <br />NL 3,000,0 <br /> AGGREGATE ~ AFPUES PER: PRODUCTS- COMPAP AGG S 3 , OOO , O <br /> POLICY ,~T X LOC <br /> AU TOMOBILE LIABN.RY 2005-07504-NPO 06/01/2006 06/01/2007 <br /> X ANY AUTO COMBINED SINGLE LIMB <br />(Es aooaent) S <br /> <br />ALL ONNED A 1.ODD.O <br /> UTOS <br /> <br />A SCH®ULED AUTOS BOdLV INJURY <br />n'er Pemni S <br /> HIRED AUTOS <br /> NON-OVMED AUTOS ~ L~N~RY S <br /> <br /> PROPERTY DAMAGE S <br /> (Pm xCitleM) <br /> GARAGE LIABILITY AUTO ONLY - Ery ACCIDENT i <br /> ANY AUTO <br />OTH~RTHPN ~~ <br />S <br /> AVTOONLY: AGG S <br /> ExcES4NMBREtu LUBIDTr <br />X 2005-07504-UMB-NPO 06/01/2006 06/01/2007 EACH OCCURRENCE s 3,000, <br /> OCCUR ~CWMSMADE <br /> <br />A AGGREGATE f 3,000,0 <br /> <br /> X S <br /> DEDlICi18LE <br /> <br />X s <br /> RETENTION S <br /> S <br /> WORKERS COMPENSATbNAND 2005-07504-DO 06/01/2006 06/01/2007 SAC SrAT~- oiw <br /> ESPLOYERS' LIAB0.RY <br />A HtA.£MBER EYCLU~ VE <br />OFFN EL. EACH PCCbBR S 1 . OOO, O <br /> . <br />Byes. tlescb agar E.L. gSEASE-EA EMPLO S 1,DDD,D <br /> SPECIAL PROVISIONS bebw E.l. dSEASE -POLICY UMR S <br /> DTHER <br />~ \ <br />DESCRIPTpN OF OPEMTpN31 LOCATbN31VEHICLE31 EXClVSION3 ADDED BY QIDORSEMENT/gpEgAL PROVBiI0N3 <br />E: FUNDING <br />~~~ <br />10 DAY NOTICE SHOULD THE POLICY CANCEL FOR NON-PAYMENT - <br />_ <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER THE ATTACHED CG2026 (07/04) <br />EXHIBT B SPECIAL ENDORSEMENT. <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPEMENT AGENCY <br />M-25 <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />SHWID ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATbN DATE THEREOF, THE ISSVBN3 INSURER WILL ~){ MAIL <br />"3O pAY3 WRRTEN NOTICE IO THE CERTIFICATE HOLOER yuMED TO THE LEFT, <br />iUOkXi(Edl~iEk~XiQU6Nd4)9UflElfXl(ylpi(ifiMlb`O~Y116XiidHWHiXd61(1fXXX: <br />AIfTF10RRED RF~RESEMATNE <br />Richard Evnon, CI( <br />ACORD 25 (2001/08) FAX: (714)647-6580 <br />