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<br />ACORDru <br /> <br />C,.y <br /> <br />Client#: 21346 <br /> <br />SOCIEPAU <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />PRODUCER <br />USI Northern California <br />50 California Street, Suite 650 <br />Sa,n Francisco, CA 94111 <br />415273-8700 <br /> <br />DATE (MMlDDIYYYY) <br />01/12/07 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUqlES BELOW. <br /> <br />INSURED. <br /> <br />Council of Orange County Society of <br />St. Vincent De Paul (A Non-Profit Corp) <br />422 W. Almond Avenue <br />Orange, CA 92666 <br /> <br />COVERAGES <br /> <br />INSURERS AFFORDING COveRAGE NAIC # <br />INSURER A: Commerce and Industry Insurance Comp 19410 <br />INSURER s: <br />INSURER C: <br />INSURER 0: <br />INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING <br />A~ REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 /> TYPE OF INSURANCE POUCY NUIIBER POLICY EFFECTIVE ~(~ uurrs <br />LTR NSR DA <br /> ~ERAL LlABIUTY EACH OCCURRENCE $ <br /> ~ERCIAL GENERAL UABILITY DAMAGE TO RENTEO $ <br /> - CLAlMS MADE D OCCUR <br /> - MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> ~III1..AGGREnE LIMIT APnS PER: PRODUCTS - COMPIOP AGG $ <br /> POUCY P,~ LOC <br /> ~UTOMOBlLE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> - <br /> - ALL OWNED AUTOS BODtL Y INJURY' <br /> . $ <br /> SCHEOULEO AUTOS . .. (Per person) <br /> ~ <br /> - HIREO AUTOS BOOlL Y INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> - PROPERlY DAMAGE $ <br /> (Per accident) <br /> RGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> I'J'lY AUTO OTHER THI'J'l EA ACe $ <br /> AUTO ONLY: AGG $ <br /> OESSJUMBRELLA. LIABILITY EACH OCCURRENCE $ <br /> OCCUR D CLAlMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br />A WORKERS COMPENSATION AND 3424145 01/01/07 01/01/08 X WCSTATU- I 10J~ <br /> EMPLOYERS' LIABlLJTY $1,000,000 <br /> ANY PROPRJETORIPARTNERlEXECUTIVE E.L EACH ACCIDENT <br /> OFFICERlMEMBER EXCLUOED? E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> ~c.t.~~1~s baIow E.L. DISEASE - POLICY UMIT $1,000,000 <br /> OTHER <br />DESCRIPTION OF ClI'ERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL ~ i ...... ." .; <br />In the event of non payment of premium, 10 days notice of cancellation may be9tv~/ ." .;..;" .,~.~. /. .., '. <br /> " -. , <br /> .. <br />RE: Cold Weather Shelter. ~ <br /> . ~._- ...._.,._,~- <br /> ... -.-..-----..-...- <br /> .......... l. ~ ': <br /> A.s....;:,;{':' -!" '. "':'./ <br /> .- <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana, Community <br />Development Agency <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE OESCRIIIED POUCIES BE CANCELLED BEFORE THE EXPlRA110N <br />DATE THEREOF, THE I.SSUING INSURER WILL ENDEAVOR TO MAIL -30..- DAYS WRITTEN <br />NOTICE TO THE cEImRc.o.TE HOLDER NAMED TO THE LEFT,III1T FAILURE TO 00 SO SHALL <br />IIIPOSE NO OBUGATION OR LIABlUTY OF ANY KIND UPON TIE INSURER, rrs AGENTS OR <br />REPRESENTATNES. <br />AUTHORIZED REPRESENTA <br /> <br />ACORD 25 (2001108) 1 of 2 <br /> <br />#S898841M89878 <br /> <br />