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A-2008-069-01 <br />AC RD CERTIFICATE OF LIABILITY INSURANCE PEOPIDCOs <br />18 0 <br />PR=GM <br />(WC) Heffernan Insurance Brkrs <br />1350 Carlback Ave, Suite 200 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <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 POLICIES BELOW <br />TYPEOFWSURANCE <br />Walnut Creek CA 94596 <br />Phone: 925-934-8500 Fax: 925-934-8278 <br />INSURERS AFFORDING COVERAGE MAIC 9 <br />WSUREC <br />People for Irvin® Community <br />Health <br />dba 2-1-1 O;ane County <br />ExecutiveDxredtor <br />P.O. Box 10425 <br />Costa Mesa CA 92627 <br />INSURER A: NON PROFITS MMURARCIt A*-T—MM= <br />INSUR626: tiort7l Ames+^an Elite Ins. Co. <br />INSURERG <br />INSURERD <br />INSURER E <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTV HSTANDING <br />ANY REQU*MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. <br />TR <br />L% <br />DATE THEREOF, THE ISSUING INSURER WILL ENwAVoltT0 MAB. 30* DAYS WPRIEN <br />TYPEOFWSURANCE <br />POLICY NUMBER <br />DATE DUCYM FFE <br />n <br />L"TS <br />Santa Ana, CA 92702 <br />GENERAL LIABILITY <br />EACHOCCURRENCE 51 000,000 <br />PREMISES Eaooauence S 100 000 <br />A <br />X <br />X COMA9RCIALGENERALLIASILTY <br />200803104HPO <br />02/01/08 <br />02/01/09 <br />MED EXP (Anyone person) $ 10000 <br />CLAIMS MADE OCCUR <br />PERSONAL BAWWLVtY $1,000,000 <br />X IriCj110r/$1M <br />GENERALAGGAEGATE s2,000,000 <br />GENT. AGGREGATE LIMIT APPLIES PER <br />PRoDUCTB-ODMPjDPAGO $2,000,000 <br />POLICY 7 YER LOC <br />A <br />AUTOMOBILE <br />LIABILTTY <br />ANYAUTO <br />200803104NPO <br />02/01/08 <br />02/01/09 <br />COMBWEO SINGLE LIMIT <br />CE"`'d°"I) x1,000,000 <br />BODS.Y INJURY <br />(PerPomon) $ <br />ALLOW NEO AUTOS <br />SCHEDLIIEOAUTOS <br />d�i� x <br />I <br />X <br />X <br />HIREDAUTOS <br />NON-0WNEOAUTOS <br />(PRC�TYOnMAC.E f <br />GARAGE LWBIJ7Y <br />AUTO ONLY-EAACCIDENT S <br />OTHERTHAN EAACC S <br />AUTO ONLY: AGG s <br />ANYAUTO <br />EXCESSNSNIIZe <e UAW I Y <br />EACH OCCURRENCE s 2, 000 000 <br />A <br />X I OCCUR ❑cwMSMADE <br />2008031040MNP0 <br />02/01/08 <br />02/01/09 <br />AGGREGATE 52,000,000 <br />5 <br />s <br />DEwanE .E <br />s <br />R RETENTION 5 <br />WORKERS COMPENSATION ANO <br />EMPLOYMW LIABnm <br />ANY PR.OPRIETOR(PARTNETUEXECUThM <br />O*XERNEMSER EMLUDEDi <br />TORYLIMITS I ER <br />E.L. EACH ACCIDENT <br />EL DWME - EA EMPLOYEE S <br />n tlesaibeunder <br />SPEC IAL PROVISIONS WIow <br />EL DISEASE -POLICY LIMIT <br />8 <br />OTHER <br />Property Section <br />CWB00026080103108 <br />02/01/08 <br />02/01/09 <br />$250,000 Ded $500 <br />B <br />Crime <br />CWB00026080103108 <br />02/01/08 <br />02/DI/ODI <br />4250,000 Ded $500 <br />DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES I EXCWSMS ADDED BYENDORSEMENTf SPECIAL PROVISIONS <br />Project:Santa Ana CDBG 08-09. City of Santa Ana, 20 Civic Center Plaza, <br />Santa Ana, CA 92701, its officers, employees, agents, volunteers S <br />representatives are named as additional insured with regard to liability & <br />defense of suits arising from the operations & uses performed by or on <br />behalf of the named insure*Except 10.days notice for non-payment of premium. <br />r-FRTIFICATF Rol. nFR CANCFI 1 ATITIN <br />SANTAM <br />SNOUM ANY OF THE ABOVE DESCRIBED POLICIES as CANCELLED BEFORE7HE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENwAVoltT0 MAB. 30* DAYS WPRIEN <br />City Of Santa Ana <br />Community Development Agency <br />Attn: Contract Manager <br />NOTICE TO 7M CERTIFICATEHOLIER NAMED TO THE LEFT, BUTFALURETO DO SO SHALL <br />IMPOSE NO ODLIGADON OR LIABIUTY OF ANY MIND UPON THEWSWUP, ITS AGENTS OR <br />20 Civic Center Plaza, M25 <br />RFPRESENTATTI <br />AUTHOR ATN6 <br />Santa Ana, CA 92702 <br />HGVKLJ AD (LUU7/U*) l .- <br />11q ... <br />whC.VSW VVRrvISNI I%JN-i <br />