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AG -AD CERTIFICATE OF LIABILITY INSURANCE OP ID SB DATE (MWOD/YYYT <br />WISEPLI 02/13/07 <br />°R0,; R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />(SAOC) Heffernan Ins. Brkrs HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1855 W. Katella Ave., #255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Orange CA 92867 <br />Phone: 714-997-8100 Fax: 714-997-1994 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />INSURER A, Pn11A0a1PNia IMaanity Iru. Co <br />INSURER 8: <br />Wiseplace, a CA Corporation <br />Kathi Bowman INSURER C: <br />1411 N. Broadway NSURER D: <br />Santa Ana CA 92706 <br />INSURER E: <br />L. U v r_KAla tJ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />My 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 LI U ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR—T L <br />LTR <br />SRp <br />I <br />TYPE OF NSURANCE <br />POLICY NUMBER <br />DATE (MMMOMj <br />POLY'Y EXPIRATION <br />DATE (MIBpp%YY) <br />LIMITSPOLL'YEFFECTWE <br />$ 1,000,000 <br />A X <br />CENERALUABENERAL­­OCCURRENCE <br />�G�COMMERCIAL urY <br />PHPK203603 <br />01/01/07 <br />01/01/08 <br />DAMAGE TO RENTED <br />PREMISES (Ea s 100,000 <br />MEDEXP(Anyona,,I ml f 5,000 <br />j CLAMS MADE Fj] OCCUR <br />r--1 J <br />PERSONAL 6 ADV INJURY s 1,000,000 <br />GENERAIAGGREGATE S 2,000,000 <br />uProf. Liability <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGO f 2,000,000 <br />X POLICY F_jJPECT LOC <br />Occ / A $lmm / $2mm <br />AUTOMOBILE <br />LIABILITY <br />A t <br />X—II <br />ANY AUTO <br />PHPK203603 <br />01/01/07 <br />01/01/08 <br />COMBINED SINGLE LIMIT <br />(Ea A—) S 1,000,000 <br />ALL OWNED AUTOS <br />BODILY INJURY <br />S <br />SCHEDULED AUTOS <br />IPV Parson) <br />X <br />HIRED AUTOS <br />X <br />NON-OWNEDAUTOS <br />SCO LY INJURY <br />(Par accid-1) f <br />PROPERTY DAMAGE f <br />(PlM acdnwltl <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT f <br />ANYAUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY: <br />AGG S <br />EXCESSNMBREULA LIABILITY <br />EACH OCCURRENCE S 1,000,000 <br />A <br />X OCCUR ❑ GLNMSMADE <br />PHUB074946 <br />01/01/07 <br />01/01/08 <br />AGGREGATE s 1,000,000 <br />f <br />I <br />DEDUCTIBLE <br />S <br />X RETENTION $ 10,000 <br />$ <br />N'UNhEH$ COMPENSATION AND <br />WC STATU I OTH4 <br />EMPLOYERS' LIABILITY <br />TCk! UM'ii;. I EN I <br />_ <br />E.L. EACH ACCIDENT_ <br />ANY PROPRETORIPARTNERIEXECUTIVE <br />I <br />'i OFFICEiUMEMBER E%CLWEDi <br />I <br />E.L. DISEASE-EAE-PLOYEE S <br />II ys.. oasrrn>c unaar , <br />- <br />E.L. DISEASE - POLICY LNIT f <br />SPECIAL PROVISIONS Mbw <br />OTHER <br />I <br />A Property PHPK203603 01/01/07 01/01/08 Contents $ 250,000 <br />Deduct. $ 500 <br />DESCRIPTION OF OPERATIONS ! LOCATIONS VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVIBION9 <br />Re: (HUD) Community Development Block Grant Funding for Women's Shelter ED AS <br />Certificate Holder S the attached are found as additional insured w/ regards :..1 <br />the above as respects GL coverage, but only if required by written agreement <br />with the Named Insured prior to an occurene per the attached CG 2026 (11/85) <br />Endorsement. *10 Days Notice of Cancellation for Non -Payment of Premium, dL' CI j. <br />CFRTIFICATF Wf%l noo <br />CITY OF SANTA ANA COMMUNITY <br />DEVELOPMENT AGENCY M-25 <br />ATTN: MICHAEL GARCIA <br />P.O. BOX 1988 <br />SANTA ANA CA 92702-1988 <br />ACORD 25 (2001/08) <br />SANTAAN I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYSWRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER MANED TO THE LEFT, BUT FAILURE TO DO SO SMALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY MIND UPON THE INSURER, ITS AGENn OR <br />©ACORD CORPORATION 19RR <br />