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<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMICDIYYVY) <br /> 07/24/2008 <br />PROOltCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> MARGARITA RODRIUEZ LIC#OE88350 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2510 N GRAND AVE. STE 100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />~ SANTA ANA, CA 92705 ; <br />~~~... INSURERS AFFORDING COVERAGE NAIC# <br /> .--- n._ .-._--,_...._..~._-- -" ---, <br />INSURED ~ A~ S_~~!_F..rm fire and Casualty Company 25143 <br />MADISON PARK NEIGHBORHOOD ASSOCIATION ..-" <br />INSURER B: <br />1120 E. OXFORD ST. A. .2-COs. - \ \Sec INSURER C: <br />SANTA ANA, CA 92707 .. <br /> INSURER D: <br /> I INSURER E: <br /> <br />THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEOABOVE FOR THE POliCY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF MY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER11FlCATE 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 />~~GGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />INSR D" I POLlCYNlJMBIfR I POL.ICY EffECTIVE I POLICY EXPIRATION LIMITS <br />A X ~"RA'''AB'''TY .!92oBFoY619.6 107/2412008 107/24/2009 EACH OCCURRENCE I, 1 000,000.00 <br /> I ~ p"~RC~l G'N'~ClIABIUTY I ' PREMIS aoecurence I, 300,000.00 <br /> I -- W'"' "AO€ lZJ OCCUR I MED EXP (Anyone pBl"5On) I, 5,000.00 <br /> PERSOAAL & AOV INJURY , <br /> I - --I GENERAL AGGREGATE , 2,000,000.00 <br /> i r-~ 2,000,000.00 <br /> ~'LAGG:enE ~~Mrr APf4S,PER: I PRODUCTS - COMPiOF> AGG , <br /> X POliCY I ~~R; \ LOC! i <br /> D~MOBILE LI"BIUTY COMBINED SINGLE LIM:T <br /> I (Eaaocident) , <br /> f.- ANY AUTO <br /> I ~ ALL OWNED AUTOS BOOILY INJURY <br /> 6 'CHEOUCEO AC TOS {Per person) I' <br /> I HJREDAUTO$ BODIl.Y INJURY <br /> NON-OWNED AUTOS (Per acdderd) is <br /> ~ ._- PROPERTY DAMAGE. I' <br /> , i (Peraccir:lenl, <br /> RRAcn...""... , c ~ AUTO ON\.. Y " EA ACCIDENT I s <br />I I EAACC 1 S <br /> ANY AUTO ~ OTHER THAN <br />i AUTO ONLY: AGe I <br />I I EXCESS/UMBREL.L.A L.IABiLlTY "y. EACH OCCURRENCE , <br />I ~ OCCUR o CLAIMS MADE ',.., ,.. AGGREGATE , <br />I <br />I r , <br /> ~ OEDUCTIBLE -::::-:; , <br /> RETENTION , , <br />I WORKERSCOMPENSAnON "NO l...lIfP S!!:1N-;.1 IOJ~' <br /> EMPLOYER$.' LlABfLITY <br /> ANY P~OPRIE1'ORJPAATNERlEXECUTIVE E.L EACK ACCIDENT , <br /> QfFICERiMtMtlER EXCLUOl;lH S.L. DISEASE - EA EMPLOYEE S <br /> ~E~~5~~V'ffi1O'NS blltow ! E.L. DISEASE. POLlCY LlMIT . <br /> OTHER <br />OUCRlPT10N OF OPERAnoN5 I LOCA1lONS I VEHICLES I EX(:LU9l0NSAODED BY ENDORSEMENT / SPECIAl. PROVISIONS <br />NEIGHBORHOOD ASSOCIATIONI NON-PROFIT <br /> <br />CERTIFICATE HOLDER <br /> <br />MADISON PARK NEIGHBORHOOD ASSOCIATION <br />1120 E. OXFORD ST. <br />SANTA ANA, CA 92707 <br /> <br />CANCELLATION <br /> <br />COVERAGES <br /> <br />SHOULD ANY OF THe: ASOVIE DESCRIBED POUCIES BE CANCELLED IIEFORE THE EXPIRATION <br />DA.TE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO NAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOUJER NAMED TO THE LEFT, BUT FAlLUR'E TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR UASIUTY OF ANY KINO UPON THE INSURER. ITS AGENTS OR <br /> <br />ACORD 25 (2001/0S) <br /> <br /> <br />.---< <br />@ACORDCORPORATlON 1968 <br />