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<br />... <br /> <br />ACORD.". CERTIFICATE C. WORKERS' COMPENSATION \...JVERAGE I DATE CMMlDDIYY) <br /> 12/28/2006 <br /> THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY <br />PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />Alliant Insurance Services, Inc. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />The Transamerica Pyramid COVERAGE AFFORDED BY THE POLICIES BELOW. <br />600 Montgomery Street, 9th Floor INSURERS AFFORDING COVERAGE <br />San Francisco, CA 94111 Fax: (415) 402-0773 <br />Phone: (415) 403-1400 <br />INSURED INSURER A: NonProfits' United Workers' Compensation Grouo <br /> INSURER B: SafetvNationa1 Insurance Company <br /> Council on Aging. Orange County INSURER C: <br /> 197] E. 4th Street, Suite 200 INSURER 0: <br /> Santa Ana, CA 92705-3917 <br /> INSURER E: <br />COVERAGES This Certificate is nol intended to specify 011 en<lorserrenls, coverage., lsrms, condlUons and 8lCdusl"". of the policies shown. <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 MAY <br />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 TYPE OF INSURANCE POUCY NUMllER POLICY POUCY LIMITS <br />LTR ~:~lIIYYl ~~~~~PIYYI <br /> GENERAL UABIUTY EACH OCCURRENCE S <br /> COUMERCIAL GENERAlllA81UTY FIRE DAMAGE (Anyon. Nre) S <br /> I ClAll.IS MADE I I OCCUR MED EXPENSE 'M,,,,, ~ S <br /> PERSONAl & PDV INJURY S <br /> GENERAL AGGREGATE S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S <br /> POLICY I T ~~ T r LOC <br /> AlrrOMOBn.E UABIUTY COMBINED SINGLE LIMIT S <br /> IWY AUTO (Ea accident) S <br /> ALL OWNED AUTOS BODilY INJURY S <br /> SCHEDULED AUTOS (Pt!<" person) S <br /> HIRED AUTOS BODILY INJURY S <br /> NO~WNED AUTOS (Per accident) S <br /> _ ;.; r::l PROPERTY DAMAGE S <br /> f)?J7/ CPt!<" accident) S <br /> '., - .. ... <br /> GARAGE llABlUTY ~7 AUTO ONL Y-EA ACClDENT S <br /> I ANY AUTO OTHER THAN I EA ACC S <br /> AUTO ONLY: <br /> r . -'- , I AGG S <br /> EXCess UABlUTY EACH OCCURRENC S <br /> OCCUR I I ClAIMS MADE AGGREGATE S <br /> $ <br /> DEDUCTiBlE $ <br /> RETENTION <br /> WORKERS' COMPENSATION AND I WCSTATU- f XT OTH. <br /> EMPLOYERS LIABILITY TORY LIMITS ER <br />A NPU-WCGOO.2oo7 1/1/07 1/1108 E.L. EACH ACCIDENT S 500,000 <br /> E.l. DISEASE - EA EMPLOYEE S 500,000 <br /> E.l. DISEASE - POUCY LIMIT S 500,000 <br /> OTHER <br />B Excess Worker's Compensation SF-IF81-CA 1/1/07 111/08 $25, 000,000 x $500,000 we <br />DESCRIPTION OF OPERATIONSIl.OCATIONSlVEHlClESlEXCLUSIONS ADDED BY ENPORSEIllENTISPECIAUPROVISIONS $500,000 xs $500,000 EL <br />Evidence of Workers' Compensation Coverage <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED' INSURER LETTER: CANCELLATION <br /> SHOUlD ANY Of THE AIIOIIE DESCRIBED POLICIES BE CANCeuED BEFORE THE EXPIRATION <br /> NPU-CAOC.OO6 DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIl-.aL. DAYS WRmEN NOTICE <br />City of Santa Ana TO TIlE CERTIFICATE HOLDER NAIlED TO TIlE LEFT, BUT FAILURE TO DO so SHAlL IMPOSE NO <br />Community Development Agency, P.O. Box 1988 OBUGATION OR LIASIL/fY OF ~Y KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92702 REPRESENTATIVES. ..~ - I -.-"\ <br />A TTN: Frank Hernandez AUTHORIZED REPRESIj cT7i~l-\~ <br /> M . .) l..: .. <br />ACORD 25-5 (7197) ....". <br /> <br />TO:ICSGIDOCIMAsTERSlCenillcate ofl.i&bility 1Jwunn.. ACORD2S-S.1 <br /> <br /> <br />@ACORD CORPORATION 1988 <br />e.)., <br />