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<br />ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) <br />04/11/07 <br />PRODUCER , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Ashbrook-t:levidence, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3000 W. MacArthur Blvd., #320 A-2007 -105-027 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />License #0188788 <br />Santa Ana, CA 92704 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Pennsylvania MFRS. Assn. <br /> Orange County Bar Foundation INSURER B: <br /> 313 N. Birch Street, 2nd Floor INSURER c: <br /> Santa Ana, CA 92701 INSURER D: <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 />.TR NS"R[ TYPE OF INSURANCE POLICY NUMBER P&';!~Y ~~~8,w,E P~~fl,~,l;~~N LIMITS <br /> ~NERAL LIABIUTY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ <br /> I CLAIMS MAlJE 0 O<;CUR MED EXP (Anyone person) $ <br /> - PERSONAL & ADV INJURY $ <br /> I--- GENERAL AGGREGATE $ <br /> n'L AGGREnLIMIT APnS PER: PRODUCTS - COMP/OP AGG $ <br /> POLICY j~2T LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> r-- <br /> "- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> - HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> I--- PROPERTY DAMAGE $ <br /> (Per accident) <br /> RGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER "THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> :5ESS/UMBRELLA LIABIUTY EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> =1 DEDUCTIBLE $ <br /> RETENTION $ $ <br />A WORKERS COr.;PErlSATIO~1 AND PM.4.1WC100709900 01/01/07 01/01/1)8 X ! T~~J!~J.~;, I TOJ);l- <br /> EMPLOYERS' LIABILITY $1.000 000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1 000.000 <br /> If yes, desaibe under $1,000 000 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT <br /> OTHER <br /> AT'" hl-?,OVED AS TO FORM <br /> ." <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ( Jd".?1 <br />.10 days for non-payment of premium and/or non-reporting of payroll 7" ~J I tf'A <br />LoC# 1 - 313 N. Birch Street 2nd floor; Santa Ana, CA <br /> - -, -- . ~~~< <br /> Laura St .le 'iii' uy <br /> .Assistant CllY . ttor.::..ey <br /> <br />CERTIFICATE HOLDER <br /> <br />Community Santa Ana <br />Community Development <br />Agency M-25 <br />Attn: Frank Hernandez <br />20 Civic Center Plaza <br />a 9 7 1 <br />A.CORD 25 (2001/08)1 of 2 #12663 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />