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<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID N~ OATE(MMIDDI't'YYYI <br />TEENCH1 03/29/07 <br />PROOUCEA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />(OC) Heffernan Insurance Brkrs HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1855 Kate11a Ave, Suite 255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />orange CA 92867-4459 <br />Phone: 714-997-8100 rax:714-997-1994 INSURERS AFFORDING COVERAGE NAIe # <br />INSURED INSlRER A: rhib1klphia rna.uty lrw. CO <br /> INSLRER B: <br /> Teen Challenge of So. Ca. Inc. INSURER c: <br /> 5445 Cbica~ Avenue INSURER 0: <br /> Riverside 92507 <br /> INSl.R:RE: <br /> <br />CANCELLATION <br />SHOULD NN OF n-E ABOVE DESCRIBED POLICES BE CANCB.LED BEFORE tHE EXPIRATION <br />DATE THEREOF, me ISSUHG INSURER 1JYl.I. BfJEAVOR TO MAL ~ DAYS WRITTEN <br />NOTICE TO THE CERT1FICATE HOlDER NAIlED TO THE lEFT, Bl1T FALURE TO 00 SO SHAl..l <br />l'ftose NO OBLIGATION OR UA8LJTY OF AIf( KIN) UPON ne NSURER, rrs AGENTS OR <br />REPRESENTATIVES. <br /> <br />A ~ <br /> <br />COVERAGES <br /> <br />THE Pa..ICIES OF INSlJRN..lCE LISTED BElOW HP.VE BEEN ISSLED TO n-e tNSl....RED NAt.EO ABOVE f~ TIE POLICY PERIOO INDICATED_ OOTWllHSTN.OIt>K; <br />NoN REOUlREt.t:NT, TERM OR cOt..omON OF IWt CCt>ITRACT OR DltER ooct..t.1ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, TI-E INSffiANC:E AFFORDED BY TI-E POLICIES DESCRIBED t-EREIN IS SLeJECT TO All THE TERMS, EXCLUSIONS NI) cOt..oITlOOS OF SUCH <br /> <br />~ AGGREGA':':' =~n"VE BEEN REoo;~::A:'~;S DATE -""M1 DATE (MOVODM1 <br /> <br />~LIA8UIY <br />A X ..!. ~~IAlGEhERAl.lW3ILlTY PHPK181795 <br />_ --.J CLAIMS w.re ~ OCCUR <br /> <br />EACH OCCl.RRENCE <br /> <br />07/19/06 <br /> <br />07/19/07 <br /> <br />PREMISES (Ee OCCUllnce) <br />MED EXP (My one person) <br />PERSONAl & N)V IN...l.RY <br /> <br />A <br /> <br />~N1.AGGRE~L=flPPL~PER <br />I Petley I J JECT I I LOC <br />AUTOMOBLE UA8ll..rTY <br />- <br />- <br />- <br />...!. SCl-EDU..EDAllTOS <br />_ HIRED P.UTOS <br />_ NON-O\^.'I\H) AUTOS <br /> <br />- <br /> <br /> Ge.ERAl AGGREGATE <br /> PRODUCTS. COMPIOP AfjG <br /> Emp Ben. <br /> CC>>.BINED SINGLE LIMIT <br />07/19/07 (Eaaccldent) <br /> BODIL Y I~Y <br /> (Pefperson) <br /> BODILY INJURY <br /> (Perec:ciclent) <br /> PROPERTY D.A.Mt\GE <br /> (Per8CCideltl <br /> P.UTO ONLY - EAACCIDENT <br /> Dnal THAN EAACe <br /> P.UTOON..Y: N3G <br /> EACH OCClJRRENCE <br />07/19/07 AGGREGATE <br /> <br />_AUTO <br />AlL O'M.'ED P.UTOS <br /> <br />PHPK181795 <br /> <br />07/19/06 <br /> <br />=f=== <br /> <br />EXCESSJUMBRELLA LlABLrTY <br />A ~ oceLR 0 elAJMS""'" PHUB067382 <br /> <br />II DEDUCTIBLE <br />Ix1 RETENTION $10,000 <br />WORKERS COr.FENSATlON AND <br />EMPLOYERS'LlABUTY <br />AAY PROPRJETORIPPRTNERJEXECUTlVE <br />OfFICERlt.Er...eER EXClWED? <br />~1:S~~~bEbY <br />DlliER <br /> <br />07/19/06 <br /> <br />IrORY LIMITS I I'....ER <br />EL EACH ACCIDENT $ <br />E.l.DlSEASE.EAEWlOYEE $ <br />E,L, DISEASE - POLICY LIMIT $ <br /> <br />DESCRFllON Of OPERATlONS I LOCAnoNS IVEHIClES f EXCLUSKlNS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named as Additional Insured with regard to General <br />Liability. RE: CDBG Grant <br /> <br />CERTIFICATE HOLDER <br /> <br />CITSANT <br /> <br />-\ . <br />., UVEO AS TO F <br />City of Santa Ana 0 <br />20 Civic Center pla,za", ~ 1/ /. <br />Santa Ana CA 92.7.ll.A_ -L_~--'-.LZ <br />\,J;tura,~ 't "1,.,_ <br />ACORD 25 (2001/08) ;\"","2"t C"t A <br />1 Y , ttof'1ey <br /> <br />L1.... <br /> <br />$1,000,000 <br />$ 300,000 <br />$15,000 <br />$1,000,000 <br />$ 2,000,000 <br />$2,000,000 <br />1,000,000 <br /> <br />$1,000,000 <br /> <br />$ <br /> <br />$ <br />$ <br />$ <br />$ 9 ,000 ,000 <br />$ <br />$ <br />$ <br />$ <br /> <br />@ACORD CORPORATION 1988 <br />