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0~711F,~ 048 16:41 FA}f 6192969119 Harborside Insurance 04421443 <br />A-2008-069-30 <br />ACORDr~ CERTIFICATE OF LIABILITY INSURANCE TAC GATE <br />uOUC 07-16-2008 <br />>~rr°°wER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />JPL INSURANCE GROUP~PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />165142 P: (966)467-8730 F: (877)905-057 ALTER THE COVERAGEAFFOADE66YTHEPOLICIE$BELOW. <br />PQ BOX 33015 <br />SAN ANTONIO TX '1826_5 IN$LIRERS AFFORDING COVERAGE <br />AM1°~D IN5URERA Hartford Casualty Ins Co _ _ __ _ <br />INRIIRFR R~ <br />GRACE FAMILY RESOURCE CENTE~tS INSURER G. <br />11752 GARDEN GROVE BLVD- $TF. 210 INeuwnrr <br />r_npnr~T,T r_nnv~ ra o70n7 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIIfl IN$UR6D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT DR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, 'THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN f5 5U8JECT TO ALL THE TERMS, E)(CLUSIONS AND CONDITIONS OF SUCH <br />POLICIES- AGCiREGATF I IMITS SHAWN lJAV HAVE RFFN RFTII1c Fn RY GAIn CI AIMR <br />LNSR TYPE OFd116i1RAAIf.E POL/CY AItNIRiER ADL/OY EfiEC1lVF POLICY EXPLMTIOAf <br />LA11I75 <br /> GENERAL GANllTY hACH OGGURHENGC s 1 G O O , G O O <br />A COMMERCIAL GENERAL UnBILi (Y 7 2 S BM TV 3 S 3 7 10 / 12 / 0 7 10 / 12 ~ 0 8 FINK UAMnGE InnY olw fuel : 3 0 0 <br />, <br />0 0 0 <br /> 1'.1 AIM`: MA111 n rl(;1~I111 Ml'll CkP IAnY nrvl INrMrri // <br />~~ <br />B 1 O V <br /> x General Liab PERSONALtlrAUVINJUIiY al 000 000 <br /> <br /> __ ___.-.__ _ _ GLN[MLnGGREGnrE S21 Q~Q., OQO_ <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPlOP AGG 82 U O O O O O <br /> POLICY PRO X LUC <br /> AUT TIMOE/Lf [LABILITY ... - ..'-'--- <br /> COMBINED SINGLE LIMI1 <br /> ANV AUTO IE~ accl0ontl <br /> ALL UWNLU AU IUS BODILY INJLMV <br /> <br />SCHEDULED AU I O5 <br />I I'tr oNrNUrJ 9 <br /> IRRCO Avros <br /> - BODILY INJURY a <br /> NON~OWNlO AUTOS IPOr a. cloont} <br /> <br /> PROPER I Y On MAGC g <br /> I Per accrtlentl <br /> fia21OE L/A6ILITY AUTO ONLY EA AGCIUENI <br /> ANY AUTO OT IfR THAN EA Af,C B <br /> <br />_.. _, - '`~ <br />-~+ AUTO DNLV. <br />lVrCa <br /> EXCESSUAB/L/TY '- - _ CnCIIOCCURRENC,E <br />- 8 <br /> OGGUR CLAIMS MADE _ <br />_ - ..... <br />AGGREGATE __ <br />~ - <br /> r' _ 6 <br /> <br />ULpUI nnl l <br />~ /'~ _ <br />~ ... <br /> RETENTION • - ~~ <br /> <br />HIDRRER3GLJMPFRSAYMNAND <br />_ ~~ r <br />_ WC STATU. U111- <br />r <br /> <br /> E L kACI I nCClpEF1T R <br /> E L. 019EASE - EA EMPLOYEE ~ <br /> E.L. DISEASE VCLICY LIMIT e <br /> _ <br />OTNL'H _ _ <br />uesr.~nrrnrr ur urrnl rnnrvcur.'A rrUNa/vEMLLES+EJCRU370NS AUDEO !-' ENDQTSlEi ILNT/SYFGLAI IND VJ90WS <br />Th~sP usual to the lnsuredls Uperations. City of Santa Ana, it.s officers, <br />agents, employees and volunteers are named as Additional znsured per the <br />Business Liability Coverage form SS0008. <br />CERTIFICATE HOLDER IX Ao~wnGHatxILSVREO:mswrERL£TT>E~c• ,g, <br />The City Of Santa Ana CDBG M-25 <br />Community De.vPlopement Agency <br />Pa gox l9ee <br />jSANTA ANA, CA, 92702 <br />SHQUI O ANY DF THE ABOVE DESCRIBED POLICIES BE CANCCLLLD BCFORE THE <br />'7(PIRATION DATE THEREOF, THE ISSUING INSl1RFR WII 1 ENDEAVOR TU MAIL <br />f0 DAYS WRITTEN NOTICE 110 DAYS FQR NON•PAYMENTI TO THE CEHIIFICA 1 E <br />iULUEH NAMEU I'O THE LEFT, BUT FAILURC TD DO SD bHALL IMPOSE NO <br />>BLIGA710N OR LIABILITY OF ANY KIND UPON THE INSURER, I I S AGENTS OR <br />IEPRESENTATIVES. <br />CANCELLATION <br />:(NTA71v! <br />_ ~}~=err= - <br />ACORD 25-5 17/97) <br />s ACORD CORPORATION 198fi <br />