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<br />,AC'JRQ" CERTIFICA TE OF LIABILITY INSURANCE I U"'~'''IIII''''''l 1'" <br />04/0Z/Z007 <br />PR~~R (714)569-Z700 FAX (714)569-3099 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Pridemark-Everest Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />A Leavitt Group Co lOF13098 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1820 E. First Street, Ste 500 <br />Santa Ana, CA 92705 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Mariposa Women And Family INSURER A:. Philadelphia Indemnity Ins.co. 18058 <br />81Z Town And Country Road INSURER B: <br />Orange, CA 9Z668 INSURER c: <br /> INSURER D: <br /> INSURER E: <br /> <br />r.O <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING <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 PAlO CLAIMS. <br /> <br />l!".!!t ~~ TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> <br />~NERAL UABlUTY PHPKZ051Zl OZ/01/Z007 OZ/01/2008 EACH OCCURRENCE <br /> <br />X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> <br />I CLAIMS MADE [gJ OCCUR <br /> <br />A X ~ Professional Liab <br /> <br />MED EXP (Any ooe person) <br />PERSONAL & AIJV INJURY <br />GENERAL AGGREGATE <br /> <br />f- <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />h POLICY n ~rg: n LOC <br />~TOM08ILE UA8lUTY <br />ANY AUTO <br />~ <br />~ ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />- <br /> <br />- <br /> <br />LIMITS <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />PRODUCTS - COMP/OP AGG $ <br /> <br />1000001 <br />100001 <br />5001 <br />100000 <br />200000 <br />ZOOOOO <br /> <br />-;RAGE LIABlUTY <br /> <br />I ANY AUTO <br /> <br /> <br />EXCESSIIIMBRELLA UABlUTY <br /> <br />=:J OCCUR D CLAIMS MADE <br /> <br /> <br />I DEDUCTIBLE <br /> <br />I RETENTION $ <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LlABlUTY <br />ANY PROPRIETORIPARTNERlEXECUTIVE <br />OFFICERlMEMBER EXCLUDED? <br /> <br />g~rc:~V~NS below <br />OTHER <br /> <br />........ <',:X'}.. <br />,r:,< ,,-'~ <br />~ "J <br /> <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />BODILY INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br /> $ <br /> $ <br /> $ <br />I T~~Ti.W~ I IO,ll;!- <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br /> <br />HIRED AUTOS <br /> <br />- <br /> <br />NON-QWNED AUTOS <br /> <br />- <br /> <br />, .,~~ ~~;;' r)d>./ <br />. //~-: .";" ~l:,~: c. <br />.',/ ,Jd~:-'I,'.- <br />'~(f! <br /> <br />/" ."- <br />./ r"~'" <br /> <br />.. -, c"j <br />'--,' <br /> <br />~~N OF OPERAnONS I LOCAl1QNS {VEHICLES I EllCl,USIOHS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />~vering: Operations o~ the named lnsured. City of Santa Ana Community Development Agency <br /> <br />'5 included as additional insured per CGZ010 11/85 as required by written contract. *10 days <br /> <br />nay be given if cancelled for nonpayment of premium. <br /> <br />City of Santa Ana Community <br />Development Agency <br />Attn:Frank Hernandez <br />ZO Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRlISI!D POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DAn THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTlACAn HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGA lION OR LIABlUTY <br />OF AI('( KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.. <br />AUTHORIZED REPRESENTATIVE <br /> <br />Gar <br /> <br /> <br />9f4 ;ud5 <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORD CORPORATION 1988 <br /> <br />~~.-ll <br />