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ACORD CERTIFICATE OF LIABILITY INSURANCE <br />711812008Y' <br />PRODUCER (800) 995-7525 FAX: (800) 995-7521 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Church & Casualty Insurance Agency Inc <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3440 Irvine Ave Suite 150 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ne ort Beach CA 92660 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURERA: Church Mutual Insurance <br />18767 <br />SECOND BAPTIST CHURCH OF SANTA ANA <br />INSURERB: <br />4300 WESTMINSTER AVE <br />INSURERC: <br />INSURER D: <br />SANTA ANA CA 92703 <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 ANY <br />REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AG 3REGATE LIMITSWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ADD'L <br />INSRDI <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DDIYY <br />POLICY EXPIRATION <br />DATE MM/DD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE RRENTEDn e <br />$ <br />X COMMERCIAL GENERAL LIABILITY <br />A <br />X <br />CLAIMS MADE FX OCCUR <br />0091927-02-641154 <br />4/l/2006 <br />4/l/2009 <br />MEDEXP (Any oneperson) <br />$ 10,000 <br />PERSONAL DV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER, <br />PRODUCTS MP PA <br />$ 1,0001000 <br />POLICY IE PRO LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Ea accident) <br />$ <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />$ <br />BODILY INJURY <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY -.EA ACCIDENT <br />$ <br />I ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />_ <br />$ <br />AUTO ONLY. AGG <br />EXCESWUMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />/> <br />$ <br />RETENTION <br />- <br />$ <br />WORKERS COMPENSATION AND <br />WC STATU- OTH- <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OP ERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />The City of Santa Ana, its Officers, Agents, Employees and Volunteers are named as additional insured as respects to <br />their interst in connection with the named insured (relating to a grant provided to the insured) <br />(,tKIItIGAIt HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City Of Santa Ana - CDBG M-25 EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL X46&) MXXMAIL <br />Community Development Agency 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />ATTN: Lucy Flores �X�XAUjX�� <br />XkX <br />Santa <br />Box M- <br />Santa Anaa,, 92 CA 702 <br />AUTHORIZED REPRESENTATIVE <br />— j— uvo/ © ACORD CORPORATION 1988 <br />INS025lo1oat.o8a Page 1 of 2 <br />