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<br />ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) <br /> 06/12/2007 <br />PRODUCER ( 949) 218-0840 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Global Program Managers & Ins. Srvcs. , Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Post Office Box 7119 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Capistrano Beach CA 92624-7119 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: PHILADELPHIA INDEMNITY <br />El Puente CDC / Kidworks INSURER B: EVEREST NATIONAL <br />1902 West Chestnut Avenue INSURER C: <br /> INSURER D: <br />Santa Ana CA 92703- 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 ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ~~~~ POLICY EFFECTIVE Pg~.fe"(~~6~~N <br />LTR TYPE 01' INSURANCE POLICY NUMBER DATE (MMlDDIVY) LIMITS <br />_It ~NERAL LIABILITY I I I I EACH OCCURRENCE $ 1,000,000 <br /> ~ OMMERCIAL GENERAl LIABILITY ~~~H9E~~~~nce\ $ 100,000 <br /> I-- CLAIMS MADE ~ OCCUR PHPK 203 029 01/07/2007 01/07/200B MED EXP IAnv one person) $ 5,000 <br /> ~ PROFFESIONAL LIAB PERSONAL & ADV INJURY $ 1,000,000 <br /> - / / / / GENERAL AGGREGATE $ 3,000,000 <br /> ~'LAGGRnE ~:: ^flES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 <br /> X POLICY JECT LOC / / / / <br /> ~TOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT <br /> (Ea accident) $ <br /> - ANY AUTO <br /> - ALL O\MIIED AUTOS / / / / BODILY INJURY <br /> (Per person) $ <br /> I-- SCHEDULED AUTOS <br /> I-- HIRED AUTOS / / / / BODILY INJURY <br /> $ <br /> NON..Q\MIIEO AUTOS (Per accident) <br /> I-- <br /> I-- / / / / PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ~ ANY AUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> =rESSlUMBRELLA LIABILITY / / / / EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE / / / / $ <br /> RETENTION $ $ <br />b WORKERS COMPENSATION AND 5900001267071 02/01/2007 02/01/2008 X I T~n~'WS I IOTH- <br /> EMPLOYERS' LIABILITY ER <br /> A~ PROPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 <br /> OFFICERlMEMBER EXCLUDED? / / / / E.L DISEASE - EA EMPLOYEE $ 1,000,000 <br /> If yes, describe under 1,000,000 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY L1Mrr $ <br /> OTHER ~m"-"-" <br /> : (" . ' / .';. - . <br /> . .",' - .. ~ <br /> b'/f}oa9r///~ / / / / <br />DESCRIPTION 01' OPERAT10NSlLOCAT10NSNE;!:!I!:;LEJfexC~JjS"N~~D~~~60IfsEMEN"'ISPECIAL PROVISIONS <br />RE: CDBG GRANT FROM CITY OF SANTA ANA,CA. ADDI IONAL INSURED PER ATTACHED "EXHIBIT B" FROM CITY OF SANTA ANA <br /> . " ." ",--;". . <br /> .' ~.,- . ,;, ,-,:..1 <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMT AGCY(M-25) <br />P.O. BOX 1988 <br />SANTA ANA <br />ACORD 25 (2001/08) <br />~.,..- INS025 (0108).01 <br /> <br />CA <br /> <br />92702-1988 <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE <br />EXPIRATION DATE THEREOI', THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />030 DAYS WRITTEN NOllCE TO THE CERllFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGAllON OR UABILITY OF ANY KIND UPON THE <br />OR REPRESENTATIVES. <br />ENTAT1VE <br />... (!A 1-1<:-#6C'rfS-CSl <br /> <br /><Cl ACORD CORPORATION 1988 <br /> <br />ELECTRONIC LASER FORMS. INC. - (800)327-0545 <br /> <br />(< <br />'-... <br /> <br />Page 1012 <br />f <br />Jl ~ <br /> <br />