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+v 10�393CERTIFICATE-9477 L6ABILITYIsNSIURAINCEDASAMATTER <br />DATE (MM/DD/YYYY) <br />04/03/2008 <br />PRODUCER FAX )OF7 <br />White & Company Insurance Inc <br />P 0 Box 70 <br />Santa Monica, CA 90406-0070 <br />FICATE 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 POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Women's Transitional Living Center <br />PO Box 6103 <br />Orange, CA 9Z863 A-2008-068-14 <br />INSURERA: Philadelphia Ins Co <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <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 <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 PAID CLAIMS. <br />_NSR <br />_LM <br />DD' <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />04/04/2009 <br />LIMITS <br />GENERAL LIABILITY <br />PHPK302718 <br />04/04/2008 <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED $ 100,000 <br />CLAIMS MADE a OCCUR <br />MED EXP <br />(Any one person) $ 15,000 <br />A <br />PERSONAL & ADV INJURY $ 1,0 0,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 1,000,000 <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />PHPK302718 <br />04/04/2008 <br />04/04/2009 <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />11000,000 <br />ALL OWNED AUTOS <br />A <br />X <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />X <br />HIREDAUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />PROPERTYDAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />F1 <br />OTHER THAN EA ACC $ <br />__ <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />PHUB236049 <br />04/04/2008 <br />04/04/2009 <br />EACH OCCURRENCE $ 2,000,000 <br />X OCCUR 7 CLAIMS MADE <br />AGGREGATE $ 2,000,00 <br />A <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 10, 00C <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />�a-1 _ <br />r <br />igV4'FIR <br />l <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERlMEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYE $ <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />_... % .._ <br />._.. <br />E.L. DISEASE - POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />ity of Santa Ana, its officers, <br />agents, employees, and volunteers are additional insureds as per form <br />I -NP -003 (9/03) Item M - Funding Source and Primary Insurance as per form C000 01 1204, both <br />attached to the general liability policy and accompanying this certificate. <br />=--Except for 10 days written notice of cancellation for non-payment of premium. <br />City of Santa Ana - CDBG M-25 <br />ESG <br />Attn: Frank Hernandez <br />P.O. Box 1988 M-25 <br />Santa Ana, CA 92702 <br />nrl�[fn n =AV /91 A\c�� <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />��I - `�'�'� �'�' OACORD CORPORATION 1988 <br />