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Rug 22 2008 8:088M COMMUNITY#SENIORSERV 7148167397 <br />p.2 <br />naTE BAtuoorm <br />ACORD CERTIFICATE OF LIABILITY INSURANct o6r26r2DO8 <br />�ROWcea $BrISI N 100239 ON THISCERTIFICATECOTE RIGHTS UPONA 1111L R HE�CERTMATION <br />IFICATE <br />UE INSURANCE AGENCY <br />HOLDER THE CERTIFlCATE DOE! NOT AMEND, EXTEND OR <br />MAG IR ENS REAL SURE 200 ALTER THE COVERAGRDBY THE POLICIES BELOW. <br />MAGIRE AFFOED <br />MISSION ERTA CA 92881 COMPANIES AFFORDING COVERAGE <br />COMPANY PHILADELPHIA INDEMNITY INSURANCE CO <br />A _. <br />---_ - �- COMPANY <br />COMMUNITY SENIORSERV, INC <br />1200 N KNOLLROAD CO2 cDMPANv <br />ANAHEIM. CA 92801---_- <br />D011PANY _ __----___.— <br />D <br />COVERAGES _j HAVE SEEN ISSUED THE <br />LICY PERIOD <br />INDICATED.HISIS TO CERTIFY <br />THAT THE POLICIES <br />ONG ANY O F INSURANCE <br />NSU ANCTERMLISTED <br />CONDITION OF ANY CONTRACTOOR OITHERRDOCUUMENF� RESPECT TO WHr.H THS <br />CERTIFICATE MAX BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,- <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS_ <br />--I-. -- POLICY EFFECTIVE POLICY ISIMULATION LIMITS <br />TYPE OF INSURANCE POLICY NUMBER DATE RMOPOAY I MN <br />LTR' GENERAL AGCAEGATKul <br />3,000,000 <br />GENERAL LIABILITY iPHPK325277 711108 711 ro9 _ <br />PaoeuCTS -coMPADPERsoNAL&ADV'.NJ1,000,000 <br />EAa+occuRREr+cB.1,000,000 <br />OVMER'S 6 TgxTAACTOP'B PROT <br />� FIFE DAMAGE (MY -1-0000-0 <br />LA_.) PROF LIAB _ — I _MED ENP 4�T meFFAon) jt 5,000 <br />A X UMBRELLA FORM I _--� - I$ <br />1- J OTHERTHANUMERELLAFORM H' <br />TORY LYATB <br />NORICERE COM►ETMATNRI AMD I EL EACH ACCD@a T <br />EMPLOYEFW UAIKITY <br />ELUSEASE. POLICY LIMIT t <br />INCL <br />IPM �AEGIRJE HE%LL' EL DISEASEEA EMPLOYEEi— -- -- <br />DNmcws AW <br />OTHER PHPK325277 7(1/08 711109 BLDG LIMIT $1,297,000 <br />(EMPLOYEE DISHONESTY $200,000 <br />((PROPERTY I I jTHEFTINIOUT$2,000/$2,000 <br />NOPEUTMSROGI PECYLL IIEY/ <br />NAL INSURED WITH RESPECTS TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES PERFORMED BY OR ON <br />F THE NAMED INSURED, SUCH INSURANCE IS AFFORDED BY THIS POLICY IS PRIMARY AND IS NOT ADDITIONAL TO OR <br />O <br />OTING WITH ANY OTHER INSURANCE CARRIER BY OR FOR THE BENEFIT OF THE ADDITIONAL INSUREDS WITH THE <br />ION OF THE SOLE NEGLIGENCE OR WILLFUL MISCONDUCT BY THE CIT OF SANTA ANA <br />:ATE HOLDER . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCal:O BEFORE THE <br />MRATNIN GATE THEREOF. TIE NSMNO COMPANY WILL ENDEAVOR TO MAR, <br />DAYS fMIITMN NOTICE TO TME CERlFKATE HOLDER MANED TO THE LEFT. <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 30Y FMLURETOMARBUCH NOTICE SMALL IMPOSE NOOBLIGATION ORUA*IUTV <br />ATTN: CARLA THOMPKINS OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESEMATNES. <br />P O BOX 1988 SENTATRa <br />SANTA ANA, CA 82702 <br />I V ACORD CORPORATION 1981 <br />PHPK325277 <br />7/1108 <br />711109 <br />COMMNED SINGLE LINA <br />s 1,000,000 <br />IAUTOMOBILELMEMLTY <br />A X ANY AUTO <br />ALL OWNED AUTOS <br />IBOOPNJURY <br />!t <br />___---- <br />` SCHEDULED AUTOS <br />'.�'P,- /43 <br />170 11 <br />HIRED AUTOS <br />I <br />• <br />(W n9 . Jt1F!Y <br />f <br />NON-OWNEDAUTOS <br />a // <br />-- -- . <br />^-^ <br />PROPERTY DAMAGE <br />Is <br />/ <br />I, <br />'AUTO ONLY - EA ACCIDENT <br />GARAGE LIABILITY <br />Y <br />At, <br />I <br />OTHER THAN AJTO ONLY: <br />EACH ACCIDENT <br />t <br />ANY AUTO <br />I <br />AGGREGATE <br />j$ <br />-__ <br />PHUB243423 <br />EAcHOCOJRRENcF <br />IS 1,000.000 <br />s _ _1,000,DOD <br />!EYCESS IJABIUTY <br />A X UMBRELLA FORM I _--� - I$ <br />1- J OTHERTHANUMERELLAFORM H' <br />TORY LYATB <br />NORICERE COM►ETMATNRI AMD I EL EACH ACCD@a T <br />EMPLOYEFW UAIKITY <br />ELUSEASE. POLICY LIMIT t <br />INCL <br />IPM �AEGIRJE HE%LL' EL DISEASEEA EMPLOYEEi— -- -- <br />DNmcws AW <br />OTHER PHPK325277 7(1/08 711109 BLDG LIMIT $1,297,000 <br />(EMPLOYEE DISHONESTY $200,000 <br />((PROPERTY I I jTHEFTINIOUT$2,000/$2,000 <br />NOPEUTMSROGI PECYLL IIEY/ <br />NAL INSURED WITH RESPECTS TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES PERFORMED BY OR ON <br />F THE NAMED INSURED, SUCH INSURANCE IS AFFORDED BY THIS POLICY IS PRIMARY AND IS NOT ADDITIONAL TO OR <br />O <br />OTING WITH ANY OTHER INSURANCE CARRIER BY OR FOR THE BENEFIT OF THE ADDITIONAL INSUREDS WITH THE <br />ION OF THE SOLE NEGLIGENCE OR WILLFUL MISCONDUCT BY THE CIT OF SANTA ANA <br />:ATE HOLDER . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCal:O BEFORE THE <br />MRATNIN GATE THEREOF. TIE NSMNO COMPANY WILL ENDEAVOR TO MAR, <br />DAYS fMIITMN NOTICE TO TME CERlFKATE HOLDER MANED TO THE LEFT. <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 30Y FMLURETOMARBUCH NOTICE SMALL IMPOSE NOOBLIGATION ORUA*IUTV <br />ATTN: CARLA THOMPKINS OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESEMATNES. <br />P O BOX 1988 SENTATRa <br />SANTA ANA, CA 82702 <br />I V ACORD CORPORATION 1981 <br />