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<br />ACORD CERTIFiCAtE OF LIABILITY INSU.CE I DATE (MMlDDNYYY) <br />-,'-..--TM 02/09/2007 <br />PRODUCER' Schweickert & Company THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 15 Peters Canyon Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Irvine CA 92606 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Templo Calvario Community Development Corporation INSURER A: NonProfit Insurance Alliance of CA <br /> 2511 W. 5th Street INSURER B: <br /> Santa Ana CA 92703 INSURER c: <br /> INSURER D: <br /> A- ~oDlD-lqO ,A - ,~O'l-Itfo INSURER E: State Compensation Ins. Fund <br /> I <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 />INSR DO' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> X ~ERAL LIABILITY 2007-17088-NPO 02/08/2007 02/08/2008 EACH OCCURRENCE $ 1000000 <br /><\ X COMMERCIAL GENERAL LIABILITY Professional and Abuse sublimits DAMAGE T9,,~ENTED $ 100000 <br /> I CLAIMS MADE [K] OCCUR are $1,000,000 per occurrence; MED EXP (Anv one oerson) $ 10000 <br /> X Social Service Prof. $1,000,000 aggregate PERSONAL & ADV INJURY $ 1000000 <br /> X Abuse Liability GENERAL AGGREGATE $ 2000000 <br /> 'fl'L AGGREnE LIMIT APflS PER: PRODUCTS - COMP/OP AGG $ 1000000 <br /> X POLICY ~~T LOC <br />A X -M!TOMOBILE LIABILITY 2007-17088-NPO 02/08/2007 02/08/2008 COMBINED SINGLE LIMIT 1000000 <br /> $ <br /> ANY AUTO (Ea accident) <br /> - ~ <br /> - ALL OWNED AUTOS ~tO BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS ~ (Per person) <br /> X HIRED AUTOS ~'O ~ ^ 14- <br /> X BODILY INJURY $ <br /> NON-OWNED AUTOS ~d ~:~ (Per accident) <br /> - , <br /> e'l PROPERTY DAMAGE <br /> I J. ..~. S~ r:..'<!.O~f; (Per accident) $ <br /> ~GE LIABILITY ~ \..~ ~\. C,\'" ,... ~ AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO ~~\~~ ,f't:- OTHER THAN EA ACC $ <br /> (,0 AUTO ONLY: AGG $ <br /> ~ESS/UMBRELLA LIABILITY c= EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =1 DEDUCTIBLE $ <br /> RETENTION $ $ <br />E WORKERS COMPENSATION AND 1816178 01/01/2007 01/01/2008 X I WC STATU- T IOJ~- <br /> EMPLOYERS' LIABILITY 1,000,000 <br /> E.L. EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> ~~~~I~rs~~,!;\~~~,;~" "~Inw E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, its officials, employees, and representatives are hereby named as additional insureds as respects Templo <br />Calvario Community Development Corporation. <br />10 days notice of cancellation for non-payment of premium <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />Santa Ana <br /> <br />CA <br /> <br />92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOflj THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER W1LC"El'lDBWOR"TO MAIL _ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,lroTFJULDRE'lU'DO'SO'SRA1.L <br />-IMPOSE'NtTUBCIGATlON'URLl.ItBn.'l1T'OF -JUlrKIND 'UPON'TFIE ll'ISIJRER; rrs-A:GENTS OR <br />-REPRESEATIrnVES'. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />@ACORD CORPORATION 1988 <br /> <br />City of Santa Ana <br />1000 E. Santa Ana Blvd. <br />Suite 200 <br /> <br />ACORD 25 (2001/08) <br /> <br />