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<br />ACORQ CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMlDON'1YY) <br />06/01/2007 <br />PRODUCER (949) 709-8800 FAX (949)709-1668 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />comprehensive Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />22342 Avenida Empresa ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Su:l.te 200 A-2007 -105-002 <br />RSM, CA 92688 ~ INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Assistance League of Santa Ana INSURER A: NONPROFITS' INSURANCE ALLIANCE <br />1037 W. First Street INSURER B: <br />Santa Ana, CA 92703 INSURER C: <br /> INSURER 0: <br /> INSURER E: <br /> <br />COVERAGES <br />THE POUCIES 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 INlTH 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 />INSR 00' TYPE OF INSURANCE POL.ICY NUMBER POLICY EFFECTIVE POLiCY EXPIRATION LIMITS <br /> GENERAL. LIABILITY 2007-07504-NPO 06/01/2007 06/01/2008 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 <br /> ,-- =:J CLAIMS MADE 0 OCCUR <br /> MED EXP (Any ooe per"",,) $ 10,000 <br /> - <br />A PERSONAL & ADV INJURY $ 1,000,000 <br /> ~ <br /> GENERAL AGGREGATE $ 3,000,000 <br /> - <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PROOUCTS-COM~OPAGG $ 3,000,000 <br /> ~ POLICY n~:g: [Xl LOC <br /> AUTOMOBILE L.IABlLlTY 2007-07504-NPO 06/01/2007 06/01/2008 COMBINED SINGLE LIMIT <br /> - (Eo accident) $ <br /> X ANY AUTO 1,000,000 <br /> ~ <br /> ALL O_ED AUTOS BODILY INJURY <br /> - (per persoo) $ <br /> SCHEDULED "UTOS <br />A ,-- -' <br /> HIRED AUTOS 80DIL Y INJURY <br /> - $ <br /> NON-OWNED "UTOS (per accident) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (per accideot) <br /> ~AGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBREL.LA LIABILITY 2007-07504-UMB-NPO 06/01/2007 06/01/2008 EACH OCCURRENCE $ 3,000,000 <br /> ::!J OCCUR 0 CLAIMS MADE AGGREGATE $ 3,000,000 <br />A $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION S $ <br /> WORKERS COMPENSATION AND 2007-07504-00 06/01/2007 06/01/2008 I ~~~~~~I 10J~' <br /> EMPL.OYERS'LIABllITY $ 1,000,000 <br />A ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT <br /> --- -.---,- .----- f------ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE S 1,000,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />~FRIPTION OF OPERATIONS I L.OCATIONS I VEHICLES I EXCLUSIONS ADDED IlY ENDORSEMENT I SPECIAL PROVISIONS <br />: FUNDING .- <br />*10 DAY NOTICE SHOULD THE POLICY CANCEL FOR NON-PAYMENT I '.' -- ""' <br /> - -. <br />::ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER THE ATTACHED CG2026 (07/04) ~" - :./ <br />~ EXHIBT B SPECIAL ENDORSEMENT. <br /> '----v~,7 //: <br /> '" ,~'/3 <br /> " ." , r <br /> .... ., <br /> <br />CERTIFICATE HOLDER <br /> <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPEMENT AGENCY <br />M-25 <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br /> <br />CANCelLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.LED IlEFORE THE <br />EXPIRA TiON DATE THEREOF. THE ISSUING INSURER WIL.L ~ MAIL <br />* 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> <br />AUTHORIZED REPRESENTATIVE <br />Richard Eynon, CIC/KRISTY <br /> <br />~Z'~ <br /> <br />@ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) FAX: (714) 647-6580 <br /> <br />r <br />'-- <br />