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<br />.414-06-' 06 11: 04 <br /> <br />FROM-A'WAL INSURANCE <br /> <br />9167840158 <br /> <br />. <br /> <br />T-840 <br /> <br />P002!004 F-034 <br /> <br />ACORD", <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />PRODUCER (916) 784-9070 <br />A11-Ca1 In~u~ance Agency <br />801 Riverside AVB. <br />Suite 105 <br />RosQvil.l.e <br />INSURED <br /> <br />FAl< (916) 784-0158 <br /> <br />CtA'1'ti! (MNl/OPIYVYVI <br /> <br />4/6/2006 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 /> <br />CA 95678 <br /> <br />INSURERS AFFORDING COVERAGE <br />HS~R~Non rofits rns A11iance <br />INSURER B: <br />INSURER C; <br />INSURER 0: <br />INSURER E: <br /> <br />NAIC# <br /> <br />Southwest Community Canter, DBA: Southwe.t <br />1601 WeGt 2nd Street <br /> <br />Santa Ana <br />COVERAGES <br /> <br />CA 92703 <br /> <br />THE POLlCII;S Or: INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSUREb NAMeD ABOVE FOR THE POLICY PERIOD INDICATED. N01W4THSTANDING ANy{ <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER OOCUlIENTWlTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE"" 1$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH pOUCtES <br />AGGREGAIS LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IHSR ~%1; TYPE OF INSURANCE fOLlCY NUMBER rg.{~:~J; DATI! 1M.cf\~N UMIT5 <br />L1R <br /> ~tI"'AAL l.IABIUTY EACH OCCURftENCE $ 1,000,0' <br /> X COMMERCIAl GENERAl.. LIABILITY ~ET()~~~!<.~. , SO/OC <br /> PREMI ES/Ea~r~~J <br />A x I CLAIMS MADE: [1U OCCUR '00S-0.312 3/25/2006 3/25/2007 Ml:O fXf' (ArYf 008 Mraonl , s,oe <br /> PERSONAL &. ADV INJURY $ l,OOO,OC <br /> GJ;NERAL AGGREGATE . 2,OOO,QC <br /> @'lAGG~EnLJMIT rlS PER; PFtooucrs - COMPJOP AGG $ 2 , 000, DC <br /> X POLICY ~'\?i Loe <br /> ~roM08B...E L1ABIUTY COMBINED SINGLE LIMIT $ 1, 000 , OC <br /> (Ea:KcidDl'lt) <br /> - NNAl)TO <br />A X - AU. O'M.IEO AUTOS 20015-02312 3/25/2006 3/25/2007 BODILY INJURY <br /> (PllI'pBf$DI'!) $ <br /> 2i SCHEDULED AUTOS <br /> ~ HIRED AUTOS BOOILYINJUR'f . <br /> ~ NON-OWNEO AUrOs (Per accidw11) <br /> - PROPERTY DAMAGE $ <br /> (PwlKlOidfllf) <br /> RRAGE LlABIUTY AUTO ONL V - EA ACCIDENT , <br /> Am AUTO OTHER THAN EA ACe , <br /> AlJrO ONLY: AGO $ <br /> OS8.lUMeltrLLA LIABR.tTY' EACH OCClJAAENCE . <br /> OCCUR D ClAIMS MADE AGGREGATE $ <br /> . <br /> q OEouCl'BLE $ <br /> RETENTION $ 7' ^" TO 'ORM ~llv.t\'. , <br /> WORKERS COIllPENSAnoN AND AI'I"."" " iU, <br /> EMPLOYEJUj' UABIUTY --A. {~; <br /> ANY PROPRIETORlPARTNERlEXECUTIYE e.L eACH ACCIOENT , <br /> OFFICERJMEM8ER EXCLUDED? E.L DiSEAsE - E^ EMPLOYEE $ <br /> It)'e$., ae&cilbe under <br /> SPeCIAL PROVISIONS bEllow -.- E.L DISEAsE. POLICY L1MJT $ <br /> OYHEk AS~I.Sla l City i\.ltw ~ <br />DESCRIP'JION OF O,..AA'rtOtfSlLOOATtON$NEHlCI.E5lEXCW9IOfUI ADDEO BY ~DORSEMENTlSPECIAL PROVlSlONI <br />'1'H8 C:ITY OF SANTA ANA :IS NAMED ADO:;l'l.IOlIAL tNST..llmD AS A I'UNDING aOURCB. FORM CG 2026 APPl.IES. * 10 DAYS FOR NONPAYKEll <br />OF PREMIUM. <br /> <br />CERTIFlCA TE HOLDER <br /> <br />CITY OF SANTA J\NA <br />20 CIVIC CENTER PLAZA <br />P_O. SOX 1988 <br />SANTA ANA, CA 92702 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLlCIE& Be: CANCELLED BEJ:ORI! YHIl: <br />eXPIRAnON DATI! THEImaF, THE! ISSUING INSURt;~ WILL ENDEAVOR 10 MAt&. <br />~ DAYS WRlTIEN NOTICE TO THE CERTIFICATE HO~R "'lAMED TO THE LEH, 8ijT' <br />FALURE 10 DO SO SHALL IUPO~ NO OeUGAnON OR L1AsIUlY Of ANY KIND UPON THE <br />""SURtRoIr&: AGENTS OR ftEr <br />AUTHORiZE:D REPfI,ESENTATf <br /> <br /> <br />ACORD CORPORATION 19: <br />Page 1, <br /> <br />ACORD 25 (2001/08) <br />INS02$I0108fOO AMS <br />_5ell f <br /> <br />VMP Mortgage SOlUIOO&. loe. (800)327..QS45 <br /> <br />p <br /> <br />1-- <br />