LATINO HEALTH ACCESS (3) - 2008 - Laserfiche WebLink

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, ~~~~ DATE (M _' Y) - tk sS~~kk ~ ~~ t H~tr4T . __.- ..r_.,..~ 3.. ~~ ~ -..d- ~...,__~. r. _~ ~ ~ ~ R L s R1. . _o---~ ...-. ._:. 05/232008 PRODCCER Senal# 100198 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BLAKEMORE & ASSOCIATES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 7737 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I SAN DIEGO, CA 92167 N , ZCTb b J , ~~ _ __ COMPANIES AFFORDING COVERAGE 619-222-4458 coM=ANY PHILADELPHIA INDEMNITY INSURANCE CO A INSURED OCMPANY LATINO HEALTH ACCESS B t701 N. MAIN ST. - - --- - SANTA ANA, CA 92706 ~ CCMPANr C COMPANY D py' , ! si'- a 7 T Y L 3' T -o-a t:+1a .!~%~E?RA~SY ~;.': ... 4.:x.1 Pf-r41M: ir+- 44-~P w% rfy}~M. Y3 }R~' a I F-., ~~ Eyf # ,..:Y ..~ "~- M.. ...y:.91-43- SP1 (; ~,~r9~a~#'~~i Yi~YS~f{ ~ ..e r't- I THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDE D B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAV - E SEEN REDUCED BY PAID CLATAS CO T POLICY EFFECTIVE POLICY EX%RATION I LTR TYPE OF INBURANCE POLICY NUMBER '. DATE (MMf00M/t DATE (MMfODMy) LIMITS ' GENERAL Uaewrv '''PHPK314291 0520/08 05!20/09 GEnERAL AGGREGATE s 7000000 A X vOMMERLIALGENERAL LIABILRY ~ PRODUCTS-COMPIOP AGG 5 7DDODOD CLAIMSldADE ~ OCOJR PERSOFAL6AJVINJURY 5 7D000OO .OWNER'S&CCNTRALTORS PROT ~ EACH OCCURRENCE $ 7DOODOO '. ~ -~ FiRE DAMAGE (Any ane fire) E 1GODOO ~ ~ AUTOM08ILE LIABILITY ~pHPK314291 /{ rX ANY AUTO 05l20lD8 MEO EXP (Any ane pexon) 0520!09 GOMB'NED SINGLE LIMIT - E SDDO S 1000000 ALL OW NED AUTOS ~ I - '. BODILY INJURY I8 ' _ SCHEDI.LED AUTOS ~ fPer pexonl I X I HIRED AUTOS ~ ggOLILr INJURY Iver ac ia E I X '. NON-OWNED AUTOS '~. c enry '-, --'-'--- PROPERtt DAMAGE '',g GARAGE LIABILITY ' AJTO ONLY EA ACCIDENT ''S ,ANY AUTO OTHER THAV AUTOOnLV _-- ~, ~ i _ - I EACH ACCIDENT 5 j AGGREGATE E I EXCESS LNleIL1TV EACH OCCURRENCE 5 ' UMBRELLA FORM __ _ _ AGGREGATE 5 OTHER THAN UMBRE-LA FORK . '-r aq ";f y`yyy 5 WORKER'SCOMPENSATION ANO ~ i ~ ' I~ ' NC SrRTLL oiw TORY LIMITS ER 'EMPLCYERS'LIABILITY __ ~' ! cAJIACCIDENT EL- $ ~ THE PncPalE rov INCL ~~~ P4RiNERYc%EC~NF - ~`~yT,L~ ~ ~ EL DISEASE-.. --_ 'LIGY LIMIT _. _. _._.______. $ oEFICERS ARE EXLL - '~ EL DISEASE-EA EMPLOYEE 8 ~' OTHER i ,,,,_ I DESCRIPTION OF OPERATIONSILOCATIONSNEHIOLESISPECIAL ITEMS I CITY OF SANTA ANA ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS IS NAMED ADDITIONAL INSURED PER ATTACHED EXHIBIT B - CER7IFICYITE310L'DER` - , ~~ :'-~ ' 3 ~ rd*~ ~=11T$~[ -` ~ ':.. 1 ~ :IZ ~x b e+. - '.: E " y :, ._ .. ,. -. , ~ x - .- .... :. r, .+ ~'~^ri __ e i Prr _. v--Ra ...f_.,:rA -a,9a5~:# 3as.-~I'-'L vfii 4 F n SHOULD ANV OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE CITY CF SANTA ANA EXPIRATION GATE THEREOF. THE ISSUING COMPANY WILL ENB§461tofb MAIL 20 CIVIC CENTER PLAZA, M-2t 3D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SANTA ANA, CA 92707 I ' AUTHORIZED REPl~~I/V~EJBQUIK~~/AC~CIATES ~ ~ GI f~ _... ...... _ .i. _ r r.. ~.; d... Y~_ .~. 8 a ..~ k dF Y.3 :.a'. Iw'ki e, __ _ _ __ _ _ ~Q~i , C'IFMPROICERTPROS LAT:NOHEALTHACCESS FPS'