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<br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDIYYI <br />1/04/08 <br />PRODUCER CAL#0531 007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Wells Fargo Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Services Northwest, Inc. N - :;1.007-0-:>-1 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P.O. Box 91143 A - ~O'+ - 08'(,;, <br /> Seattle, WA 98111-9243 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: First National Ins, Co. <br /> Building Changes DBA <br /> AIDS Housing of Washington INSURER B: <br /> 2014 East Madison SI, Ste 200 INSURER c: <br /> ,Seattle WA 98122 INSURER 0: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE 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 MAY BE 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 />IIN~:I TYPE OF INSURANCE POLICY NUMBER ~~~~Y EFFECTIVE POLICY EXPJRATION I LIMITS <br />A ~:NERAL LIABILITY 25CC19428310 1/02/08 , 1/02/09 I EACH OCCURRENCE 1000000 <br /> I $ <br />~"ffi""_"~" I FIRE DAMAGE (Anyone fire] $ 200000 <br /> CLAIMS MADE [XJ OCCUR I I I MEO EXP (Anyone personl $ 10000 <br /> X . STOP GAP _ $lM/$1M/$lM I PERSONAL lit ADV INJURY $ 1000000 <br />,-X _ EMPL Y BEN_ EMPLOYEE BENEFITS GENERAL AGGREGATE $ 3000000 <br />4'~ AGGREr~Tl LIMIT APPLIES PER LIABILITY LIMIT: PRODUCTS - COMPtOP AGG $ 1000000 <br /> POLICY ~~gT I LOC 3 000 000 AGG. <br />A ~OMOBILE LIABiliTY I 25CC19428310 1/02/08 1/02/09 COMBINED SINGLE LIMIT <br /> IEaaccidentl $ 1000000 <br /> - ANY AUTO <br /> - ALL OWNED AUTOS BODilY INJURY <br /> $ <br /> _ SCHEDULED AUTOS IPer pef$(lnl <br /> ~ ~IRED AUTOS SODIL Y INJURY $ <br /> X I NON-OWNED AUTOS IPer accidentl <br /> ~, BUSINESS PROPERTY DAMAGE <br /> I IPer accidentl $ <br /> AUTO <br />~AOE L1A"L1TY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br />, AUTO ONLY' AGO $ <br /> ~ESS LIABILITY EACH OCCURRENCE , <br /> ...-J OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =1 DEDUCT'BLE !, <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I ~~ySI~~S \ 10TH. <br /> EA <br /> EMPLOYERS' UABlllTY I <br /> E.L EACH ACCIDENT $ <br />, I , <br /> E.L. DISEASE. EA EMPLOYEE $ <br /> , E.L. DISEASE - POLICY LIMIT $ <br /> OTHER , <br /> I <br /> i <br />DESCRIPTION OF OPERATIONS/LOCATlONSIVEHICLES/EXClUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> SEE ATTACHED FOR SPECIFIC WORDING REGARDING ADDITIONAL INSURED <br /> INTEREST. JHWL <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED, INSURER lETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED I5EFORE THE EXPIRATION <br /> City of Santa Ana DATE THEREOF, THE ISSUINl3 INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br /> Attn: Clerk of City Council NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT. BUT FAILURE TO DO SO SHALL <br /> PO Box 1988 IMPOSE NO OI5L1l3ATION OR LIABiliTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Santa Ana CA 92702-1988 REPRESENTATIVES. <br /> AUTIJPRIZ~'lIRE~'VE~i <br /> , .JiUlP'"\_ ~ I, <br />ACORD 25-S 17/971 11- 38 UV ... iii ACORD CORPORATION 19B8 <br />