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<br />.,; <br /> <br />ACORQ. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br />FAX (714)549-2943 <br />Inc. <br /> <br />DATE (MMJDDIYYYY) <br />02/14/2007 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER (714)979-6543 <br />Wigmore Insurance Agency, <br />2970 Harbor Blvd. #215 <br />License #0811959 <br />Costa Mesa, CA 92626 <br />INSURED Share Our Selves <br />1550 Superior Ave. <br />Costa Mesa, CA 92627 <br /> <br />A-2007 -105-037 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURER A: Travel ers Property Casual ty CO. <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br /> <br />NAlC# <br /> <br />f America <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 />INSR IADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY 660830X485007 01/26/2007 01/26/2008 EACH OCCURRENCE $ 1,000,00C <br /> - DAMAGE TO RENTED 100.000 <br /> X COMMERCIAL GENERAL LIABILITY $ <br /> - tJ ClAIMS MADE 0 OCCUR 5,00{J <br /> MED EXP (Anyone po..on) $ <br /> - 1,000,000 <br />A PERSONAL & ADV INJURY $ <br /> - 2,000,000 <br /> GENERAL AGGREGATE $ <br /> - 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COM PlOP AGG $ <br /> I .nPRO. n <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY BA3466W34407 01/26/2007 01/26/2008 COMBINED SINGLE LIMIT <br /> - (Ea accident) $ 1,000,000 <br /> M;Y AUTO <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> X (Per person) $ <br /> SCHEDULED AUTOS <br />A X <br /> HIRED AUTOS BODILY INJURY <br /> X $ <br /> NON.()WNED AUTOS (Per accident) <br /> - <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ==1 ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSlUMBREUA LIABILITY XSMCUP3459Y45907 01/26/2007 01/26/2008 EACH OCCURRENCE $ 1,OOO,OO( <br /> 1] OCCUR D ClAIMS MADE AGGREGATE $ 1.000.00( <br />A $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $ 10,OO( $ <br /> WORKERS COMPENSAnON AND T~"X~,~TATU- I TOJ,tl- <br /> EMPLOYERS' LIABILITY <br /> M;Y PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCAnONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />ANCELLATION NOTICE IS 10 DAYS IN THE EVENT OF NON-PAYMENT OF PREMIUM <br /> <br /> <br />GTY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />ATTN: FRANK HERNANDEZ <br />20 CIVIC CENTER DRIVE <br />SANTA ANA, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />-3.!L.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> <br />ACORD 25 (2001/08) <br /> <br />APPROVED AS TO F <br /> <br />~' '___. ~~ / /L( <br />, ~. t " . <br />, a. n-o "I' S.-.'.e"y <br />'''' .....t -;.~ ". ..: ~ . .......v 'Owl <br />;i~~:)lstD;it ' ity Attorney <br /> <br /> <br />~~ <br /> <br />@ACORD CORPORATION 1988 <br />