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OP IDPC <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE MERCY -z <br />DATE IMMJDD/1'1'YV( <br />05109108 <br />SHOULD ANY OF THE ASOK DESCRIBEC POLICIES SE CAN ID KFDRE THE EXPoRATION <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Chapman s Associates <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0522024 <br />A -2008- 068 -06 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />- r,... ,. .. <br />� ✓,LPoSI HD OBUOATON OR IIAbUTY OF ANYNIMD UPON THE INSURER.In AGEN150R <br />P. O. Box 5455 <br />Pasadena CA 91117 -0455 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />Phone: 626- 405 -8031 Fax: 626- 405 -0585 <br />I <br />LTR TYPE <br />IMSVRED <br />NSUPBTA _,FNI Pl1. lu.. M4 <br />INSUPeTB Everest Rational <br />GENERAL UASIL <br />05/0 2/08 05/02/09 <br />', <br />RE= <br />INLSAGETOMED <br />INxJReTC <br />I <br />Mercy House <br />P.O. Box 1905 <br />I <br />INSUnEnD _. __ <br />C!AAIIL6AAOE R <br />Santa Ana CA 92702 <br />i IF6UPERE <br />COVEHAW:b <br />CITYSAN <br />SHOULD ANY OF THE ASOK DESCRIBEC POLICIES SE CAN ID KFDRE THE EXPoRATION <br />THE PoLGES OF INSURANCE USTm BaOw 1lAVE SEEN ISSLED TOT11E INEUR[fl NAMED ABOVE POR TFE PIXJCV PERIOD I1dCATEO. NOTWITMSTANDNG <br />DATE THEREOF. THE ISSUING INSURFA— ENDEAVOR TO MAIL 30 DAYS —IS. <br />ANY PfDUIPB.(EM. TENA OA CONDITION OF AM' ODNTMGT OR Ol'HER DODIMEM VATH R6PELT TO VANCM TH6 CERIIRCATE MAV BE ISSIED aR <br />NOTICE TO THE CE —CATS HOLDER NAMED TO THE LEFT, SAT FAILURE TO DO SO SHALL <br />MAY PERTAIN Tf INSUMNtP AFFORDED BY TI1E POIJDIEB 06GRIBED HETiE1N 6 SlA1ECT TO ALL TFE TEINS. EACLl61ON5 AI.D Cd�ITCF60F SUCH <br />- r,... ,. .. <br />� ✓,LPoSI HD OBUOATON OR IIAbUTY OF ANYNIMD UPON THE INSURER.In AGEN150R <br />PgJOSS AIZ'. GAMLIMMSSI NMAYIMVEBEENREDUCEDWRQDCLAM <br />�. <br />- <br />MR IADDL POUCYEFFECTVE � ROUCY EXPIRATION <br />11680 OF INSURANCE POLICY NUMBER DATE (MIAOD(YY) DAM(MmD/Y'!) <br />U.. <br />REPRE1EHTATIYES. <br />LTR TYPE <br />I EACH CCCIfNiE <br />s 1,000,000 <br />GENERAL UASIL <br />05/0 2/08 05/02/09 <br />', <br />RE= <br />INLSAGETOMED <br />- <br />10O [_ O -_ <br />A X X COMALGENERALUABIUTY PHPK309978 <br />- .._i I I <br />_ <br />__ - <br />t <br />I 50 <br />C!AAIIL6AAOE R <br />M ED EXP (MyI•+PM 1 __ <br />,00 <br />PrOSaJ.LaAwlwvry <br />s 1,000,000_ <br />X 'PJ:oiessionai <br />12mil <br />CE 6LLAGiFGAE <br />s 2,000,000 <br />agg /lmil occ <br />-- I <br />�PROOUCTS • COLPN°AGG <br />s 2,000,000 <br />- WE OGREGATEUM'TAPRJES <br />ROUCY .ECT <br />AUTOMOBILE UABILRY, ! <br />caMar�BINDI>=LJNNr <br />S 1000000 <br />05/02/08 05/02/09 <br />u. aMa <br />A AN_0 PHPK309978 <br />iuL av1J®AUr� i <br />I eopLYlwuRr <br />c� PSI <br />f <br />SCFIEDIILEDAUTOS <br />R NHEO NITC6 <br />BOMY INJURY <br />S <br />, I <br />(PM wENq <br />X <br />IPa A:NBNO <br />CAN— IABEJTY <br />D <br />AUTO d1V -EA ACGEw <br />i <br />! ANY AUTO <br />' <br />I <br />! <br />I <br />I <br />OTHei THAN FA ACC <br />AUT00J1Y' <br />f <br />I <br />EXCESSNMBRELLA UA &CITY 'I I <br />EAG1OCGlIIRENCE <br />f <br />- <br />f <br />OCCUR CUNe 1MDE <br />I <br />RETENnON f <br />f <br />MORNERS- INPENSATION-D <br />STATU� OTM <br />.TONYUANTS ER <br />. <br />EWLOYERS'LIABXJTY <br />B 6600000730071 10/01/07 10 /01 /08 <br />EL EAwACODENT <br />f 1000000 <br />PNY Pf>GIPWETOWPAiiTFER4NCWTIVE <br />EL.DSEA - EABY <br />S SOOOOOO <br />OF N RE%CLWED+ <br />-.. <br />I <br />SPECIFL J+ROJ6XN6 Oebw <br />GL. DSEASE - P YUNT <br />s 1000000 <br />OTHER <br />A Sexual Abuse PHPK309978 i 05/02/08 05/02/09 <br />Aggregate <br />30U,000 <br />ea Abuse <br />100,000 <br />DESCPoPTON OF OPEMTNJNS I LOCATONS I VEMCLES / EXCLUSIONS ADDED BY ENDORSEMENT lSPFLAL PROVISIONS <br />Re: CDBG and ESG grants. City of Santa Ana, its officers, employees, agents, <br />volunteers and representatives are named additional insureds with respect <br />to the operations of the named insured a this policy is primary per the <br />attached endorsement. Workes compensation coverage excluded, evidence only. <br />10 days notice of cancellation for non - payment of premium. <br />c1^A OF INCO GONCCLLY I NUN <br />ACORD 25 (2001/08) <br />Vy <br />CITYSAN <br />SHOULD ANY OF THE ASOK DESCRIBEC POLICIES SE CAN ID KFDRE THE EXPoRATION <br />DATE THEREOF. THE ISSUING INSURFA— ENDEAVOR TO MAIL 30 DAYS —IS. <br />City of Santa Ana <br />NOTICE TO THE CE —CATS HOLDER NAMED TO THE LEFT, SAT FAILURE TO DO SO SHALL <br />Frank Hernandez,, -. <br />- r,... ,. .. <br />� ✓,LPoSI HD OBUOATON OR IIAbUTY OF ANYNIMD UPON THE INSURER.In AGEN150R <br />20 Civic Center Plaza <br />- - <br />P.O. Box 1988 <br />REPRE1EHTATIYES. <br />w ED RE rwrnE <br />— <br />Santa Ana CA 92702 ' -� OQ/ <br />I - _ — �, ZA-_1 <br />ACORD 25 (2001/08) <br />Vy <br />