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<br />C f/. '-::&;, ']J~,,) <br /> <br />~ . . <: ~ (\ 0'Yl <br />ACORQ, CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYYVY) <br /> 02/15/2007 <br />PRODUCER (626) 599-8830 FAX (626)599-8831 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Pacific General Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />405 E. Santa Clara Street HOLOER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLlCIE~_BELOW. <br />Suite 100 <br />Arcadia, CA 91006 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Mexican American Opportunity Foundatlon INSURER A: Philadelphia Indemnity Insuranct Company <br /> 401 N. Garfield Avenue INSURER s: <br /> Montebello, CA 90640 A- ;).(JO~ - / g 7 -. <br /> INSURER C' <br /> - INSURER 0: <br /> _. INSURER E: <br />COVFRAGE~ A - 200., - 1'7 1 <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 REOUCED BY PAID CLAIMS. <br />I~~.t' lmll~ TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE PDUCY EXPIRATION UMlTS <br /> ~NERAL LlABIUTY PHPI<2B798 01/30/2007 01/30/2008 EACH OCCURRENCE S 1,000,00 <br /> X COMMERCIAL GeNERAL LIABILITY DAMAGE TO RENTED $ 100,00 <br /> I-- :::::J CLAIMS MADE m OCCUR \ <br /> MED EXP (Anyone Penlon) S 5,00l <br /> I-- l,OOO.OO(J <br />A X PERSONAL & ADV INJURY $ <br /> I-- <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOr AGG S 3,OOO,OO(J <br /> !xl POLICY n ~r8T n LOC <br /> AUTOMOBILE LIABILITY PHPK213798 01/30/2007 01/30/2008 COMBINED SINGLE LIMIT <br /> -- S <br /> X ANY AUTO (Ea acCident) 1,000,000 <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS IJ~~ (Per person) <br />A X - <br /> HIRED AUTOS BOOlL Y INJURY <br /> - $ <br /> NON.OWNED AUTOS (Per eccident) <br /> - <br /> - I PROPERTY DAMAGE S <br /> (Per accident) <br /> ~RAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO )~ OTHER THAN EA ACC $ <br /> _ '/f\'" f AUTO ONLY' AGG $ <br /> EXCESSIUMBRELLA LIABILITY l\P??t.O'\1'El ) ~ -.- I EACH OCCURRENCE $ <br /> :::::J OCCUR 0 CLAIMS MADE ~- / - AGGREGATE $ <br /> ~~ y~ ---- <br /> ~- ~RC'f- $ <br /> =1 DEDUCTIBLE ~ \.\$ ot CitY ,e..ttof(l ~':/ :; <br /> RETENTION :; . ..< $ <br /> WORKERS COMPENSATION AND r 1/ ( , f 1,,-) I WCSTATU- lO~. <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT <br /> ANY PROPRIETORIPARTNERlEXECUTIVE :; <br /> OFFICERfMEMBER EXCLUDED? "--=-- E.L. DISEASE - EA EMPLOYE $ <br /> It yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE. POLICY LIMIT $ <br /> "pJI;!ER PHPK213798 01/30/2007 01/30/2008 See Below <br />A ...r1me PHPK213798 01/30/2007 01/30/2008 $1,000,000 Occ/$3,OOO,OOO Agg <br />Prof. Liab. ~fSCRIP1?N OF OPERATIONS I LQCATlON~' VI'HICLES J EXCLUSIONS ADD'if BY EN~ORSEMENT I SPECIAL PRO~ISIONS insureds with <br />...lty 0 Santa Ana, lts 0 flcers, agents an emp oyees are name as additional <br />"espects to all operations by the named insured for general liability only as a funding source. <br />~ ten day notice of cancellation shall be given in the event of non-payment of premium <br /> <br />CERTIFI <br /> <br /> <br />R <br /> <br />CA CELLATION <br /> <br />City of Santa Ana/Fez Da;sy Wheel Network <br />Attn: Principe de Paz/Pastora Mercedes Zapata <br />502 S. Ross St. <br />Santa Ana, CA 92701 <br /> <br /> <br />@ACORD CORPORATION 1988 <br /> <br />ACORD25(2001/08) FAX: (714)565-2602 <br />