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<br />LEGAAID-01 <br /> <br />CUCA <br /> <br /> - I <br />ACORDTM CERTIFICATE -,F LIABILITY INSURAN('~ DATE (MMIDOIYYYY) <br /> 51212007 <br />PRODUCER (805) 965-0071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Brown & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 1469 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Barbara, CA 93102-1469 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Legal Aid Society of Orange County INSURER A: Travelers Property Casualty Co of Americ <br /> 2101 No. Tustin Ave., INSURER B: <br /> Santa Ana, CA 92705 INSURER c: <br /> 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 />,I~~ ~~~ POLICY NUMBER "r?}.J.~~.;~f~g,w~ Pg~'fJ ~:,!.,~~N LIMITS <br /> GENERAL lIABIUTY EACH OCCURRENCE $ 1,000,OOC <br /> f--o- 16603825K878TIL06 ~~~:s~s YE~~~~nce) 300,OOC <br />A X ~ 3MMERCIAL GENERAL LIABILITY 5/3/2007 51312008 $ <br /> I--- CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 10,OOC <br /> PERSONAL & ADV INJURY $ 1,OOO,OOC <br /> GENERAL AGGREGATE $ 2,000,00C <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,OOO,00C <br /> Xl POLICY n p'~r9.,: i=Y LOC <br /> ~TOMDBILE LIABILITY COMBINED SINGLE LIMIT $ 1,OOO,00C <br />A ANY AUTO 16603825K878TIL06 5/312007 5/3/2008 (Ea accldenJ) <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> X BODILY INJURY $ <br /> NON.OWNED AUTOS (Per accident) <br /> - <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 /> EXCESSJUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 <br />A ~ OCCUR D ClAIMS MADE ISFCUP3685Y807TIL06 5/3/2007 5/312008 AGGREGATE $ 1,000,000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ r >.i $ <br /> I WORKER.S COMPENSATION AND !~._ :"~~::-{J\i b .J t...:. ~.~ T~f STATU-: 1 IOTH- <br /> T RY LIMITS ER <br /> EMPLOYERS' LIABILITY ' \ lib ! <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ;~',:;17& E.L EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? ----"<-- E. L. DISEASE. EA EMPLOYEE $ <br /> ~~~MtS~~~M~~ONS below _-7IU E.L DISEASE - POLICY LIMIT $ <br /> --- ." <br /> OTHER v '-'__- /,~~. ~C':-'~ ~,. <br /> J<S:..:"Si' ~l~ ~~, i.'j <br />DESCRIPTION OF OPERATIONS I LOCA nONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />10 Days Notice for Non-Payment of Premium <br />!certificate Holder & Its Officers, Agents, Employees are included as Aditionallnsureds under the General Liability per the form CG T4 91 11/88 <br />to be issued by the carrier <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana Community Development <br />Agency <br />Emergency Shelter Grant CESG <br />P.O. Box 1988 M-15 <br />Santa Ana, CA 92702- <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil 3L- 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 R, ITS AGENTS OR <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />CORPORATION 1988 <br />