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LEGAAID-01 DESU <br />ACORO,, CERTIFICATE OF LIABILITY INSURANCE <br />TE <br />DA 5/16/2008 <br />—F—TATE <br />PRODUCER (805) 965-0071 <br />Brawn & Brown Insurance A.2008-069'41 <br />P.O. Box 1469 <br />Santa Barbara, CA 93102-1469 <br />IS ISSUED AS A MATT ER OF <br />ONLY AND CONFERS NO RIGHTS UPON HE CERTIFICATEION <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 Legal Aid Society of Orange County <br />2101 No. Tustin Ave., <br />Santa Ana, CA 92705 <br />INSURER A: Travelers Property Casualty Co of Americ <br />INSURER B: Lloyds of London <br />INSURERC: - <br />INSURER D' <br />INSURER E: <br />COVERAGES <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 />MAV 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 />or arc <br />NSR DD' <br />City of Santa Ana - CDBG M-25 - '�' =' <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICYEXPIRATION <br />LIMITS <br />T <br />A <br />X <br />GENERAL LIABILITY <br />X COMMERML GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />16603825KS78TILDG <br />5!3/2008 <br />513/2009 <br />EACH OCCURRENCE $ 1'000'00 <br />PREMISES Ea occerence § 100,00 <br />MED EXP (Airy one person) $ 5,09 <br />PERSONAL ADV INJURY $ 1'000'00 <br />GENERAL AGGREGATE $ 2'990'00 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMPIOPAGG § 2'OOD,DD <br />X POLICY 1. Pft0. LOL <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />16603825KB78TIL06 <br />51312008 <br />5/3/2009 <br />COMBINED SINGLE LIMB $ 1,000,09 <br />(Ea aeedarn) <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />tPer penton) <br />]XX <br />SCHEOULEDAUTOS <br />BODILY INJURY $ <br />(Peracodwt) <br />HIRED AUTOS <br />NON-0WNEO AUTOS <br />PROPERTY DAMAGE $ <br />(Per accieen[) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGO $ <br />ANY AUTO <br />A <br />EXCESSNMBRELLA LIABILITY <br />X OCCUR CLAIMSMADE <br />ISFCUP3685YB07TIL06 <br />5/312DOB <br />513/2009 <br />EACH OCCURRENCE $ 1'000,00 <br />AGGREGATE S 1,000,00 <br />$ <br />$ <br />DEDUCTIBLE <br />.. <br />S <br />RETENTION S <br />WORKERS COMPENSATION AND <br />WC OTH- <br />LIMITMIT R ' <br />E.L. EACH ACCIDENT $ <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/ ECUTIVE <br />OFFICEWMEMBER EXCLUDED? <br />E.L. DISEASE -EA EMPLO § <br />E.L. DISEASE -POLICY LIMIT 1 $ <br />N desuihe order <br />SPECIAL PROVISIONS hebw <br />OTHER <br />B <br />Abuse & Molestation <br />439186 <br />7/1/2007 <br />7J112008 <br />1,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCW SIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />10 Days Notice for Non -Payment of Premium <br />Certificate Holder is Included as Additional Insured under the General Liability per the attached form CG D1 05 04194. This certificate revises <br />and supersedes the certificate issued on 519108. <br />HOLDER CAMQFI I. ATION <br />ACORD 25 (2001/08) 1 U° ACORD CORPORATION moa <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana - CDBG M-25 - '�' =' <br />DATE THEREOF, THE ISSUING INSURER VALLENDEAVOR TO MAIL 30 DAYS WRITTEN <br />Community Development Agency <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />-15 <br />P.O. Box 1988 M-15 <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE A <br />ACORD 25 (2001/08) 1 U° ACORD CORPORATION moa <br />