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Rug 22 2008 8:08RM COMMUNITY#SEMIORSERV 7148167397 <br />p.2 <br />DATE IMWOMM <br />osns/zoo6 <br />ACORD CERTIFICATE OF L:AB2ILITYTE <br />THI9 INSURACERTFICATE IS NCE <br />39 A NATTER OF INFORMATION <br />NO 'ROOUclR HNOLDER. T}7rg Fl(ER <br />DOES NOERB NO RIGHTS T AMEND, p( ENTHE D <br />MAGUIRE INSURANCE AGENCY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />27101 PUERTA REAL SUITE 200 COMPANIES AFFORDING COVERAGE _. <br />MISSION VIEJO, CA 92681 <br />COMPANY <br />PHILADELPHIA INDEMNITY INSURANCE CO <br />--- <br />- - <br />-_ _. COMPANY <br />INSURED 8 <br />COMMUNfTY SENIORSERV. INC ---- ----- <br />1200 N AL 2801 CKt COMPANY <br />ANAHEIM,NAHEIM,CCA-- --.— _ - _ - -- <br />COMPANY <br />D <br />:OVERAGES _ - .... . <br />OF ANY CSONTRACTT OR OITHERDOCUMENTED NWED � RESPECT ToWHICHE FOR THE POLICY TMS <br />TERMS, <br />I- To HEREIN <br />CNOTWfTHSTPNDINONNY REQUIREMENT, TERM OR CONDITION <br />I5 SUBJECT TO ALL THE <br />NDIGATEDIOD <br />ITHIS <br />SUCH PZTAIN OLJCIES,E LIMITS 9 SHOWN MACE Y HAVE BEEN REDUCED By PAID CLAIMS <br />MAY BE ISSUED OR MAY PEFAND <br />- <br />EXCLUSIONS CONDITIONS OF -- <br />_. YEXPIRATION <br />POMMY ER�CIIVE , POLICY <br />LIMITS <br />X3I TYPE OF INSURANCE POLICY NUMBER W7!lMtlIDOIYYI DATE IMMONVYI <br />3,OOD,000 <br />T0. 7/1109 711/09 <br />GENERAL AGGREGATE __ i <br />3.DOD,OC4 <br />GENERAL LIABILITY PHPK325277 <br />PROOUCTS-COMPCPAGG $ - <br />A 51COMMERm GENERALLIAMITY <br />PERnBµAL SADVINJURY 3 1,000,0 <br />EACH OCCUIBiENCE .1 1,000,000 <br />_,CLAMASMADELXJOCCUR <br />~ OMHER'S 6 CONTRACTOR'5 MT <br />PRE OAMAGE Vx,, we*.) 3 100'000 <br />X PROF UAB _-_ <br />MED EKE(Anva PsWn) 1 5,000 <br />711106 1 711/09 <br />AUTOMOBILE LU.BILTTY <br />COMBMIEOS4GLEuuIT 3 1000,000 <br />IPHPK325277 <br />A . X ANY AUTO <br />SCO'LY,NJ m 3 <br />ALL OWNED AUTOS IPNiO^I <br />_ <br />Y - SCHEDULED AUTOS To <br />HIRED AUTOS <br />80DILY IJ RY 3 - <br />.__.NGN-OWNED AUT03 <br />PROPERTY 'A" DAMAGE 'S <br />'At TOONLY-EA ACCDENT S <br />II LIABLITY •.:'I; S' Ai.. <br />GTHER THAN ALTO ONLY:__ <br />-GARAGE <br />ANY AUTO I <br />EACH AOCIOENi 1 ___ <br />— <br />AGGREGATE ;7 <br />7/1/09 711109 <br />EACHOCOuwe+CE s 1,000.DOO_ <br />_ _ _1,�,�D <br />EXCESS LIABILITY PHU824D423 <br />AGTaREGATE <br />LLA <br />A 'UMSREFORM I <br />S <br />OTHM THAN UM STELLA FORM <br />WORKERS COMPBMATIDN AND <br />LEEACHACCDET'NT <br />EMPLOYER! LMERITYELDISEASE-POLICY <br />'.... I <br />LIMIT :3 _ <br />TH!glCnlEfaL �IINCL <br />--- <br />ELp PLOYEE 3 <br />pglLBts NE�cUTNe <br />�L <br />VIM 7/1109 <br />IBLDG LIMIT $1,297,000 <br />OTHER <br />EMPLOYEE DISHONESTY $200,000 <br />iPHPK325277 <br />IiDDnaFRTV I I <br />!THEFT IN/0UT$2,C00/$2,000 <br />N oPERATIOIMILOC1 PECML REME <br />NAL INSURED WfTH RESPECTS TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES PERFORMED BY OR ON <br />BOF EU IN W M11 ANY EDINSURED.SU <br />HER INSURANCE CANCEISNRRIER 8Y ORFFORDFOR THE BENEFIIT OF THE ED BY THIS POLICY IS IADDITIONAL SUREDS WITH THE MARY AND IS NOT ADDITIONAL TO OR <br />ION OF THE SOLE NEGLIGENCE OR WILLFUL MISCONDUCT By THECITY OF SANTA ANA - <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M45 <br />ATTN: CARLA THOMPKINS <br />P O BOX 1988 <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF TIE ABoVE DELK:MBLL POLICIES BE CANCELED MEFORE THE <br />EMMMTION DATE THERFOP. THIS MEWING COMPANY WILL ENDEAVOR TO MAR <br />_ DAYS VMMTTEN NOTICE TO THE CZMW"TE HOLDER NAMED TO THE LEFT. <br />3W FAILURE TD IML MICA NOTICE SHALL IMPOSE NO OSUOATION OR LIABILITY <br />of ANY KIND IRON THE COMPANY, ITS AGENTS OR REPRESEMATNES. <br />