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I <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER <br />Chapman <br />License #0522024 <br />P. 0. Box 5455 <br />Pasadena CA 91117 -0455 <br />Phonet626- 405 -8031 Faxt626 -405 -0585 <br />AIDS Services Foundation <br />Orange Count <br />17982 SkyparC Circle, Ste. s <br />Irvine CA 92614 <br />COVERAGES <br />OP ID PC I DATE (MMlDO/YYY1r) <br />AIDSS -3 n7 /2a ma <br />TER THE COVERAGE AFFORDED BY <br />INSURERS AFFORDING COVERAGE tA NAtC # <br />INSURER A: Philadelphia insurance Company <br />INSURER B: Everest National <br />INSURER C. <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />7_y_1poUCyF <br />TYPE OF INSURANI POLICY NUMBER CYEXPIT7101 <br />DATE MrDD DATE dMjDU LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1 GOO, 000 <br />X C064MERCL4LGENERAL pHPK451557 MAGETORENTE <br />07/29/09 07/29/10 PREMISES Eaoccurence) S 100,000 <br />CLAIMS MADE __..... <br />MEO EXP (Any one person) $51000 <br />-" PERSONAL &ADV INJURY $1,000,000 <br />— GENERALAGGREGATE $3,000,000 <br />G£NL AGGREGATE LIMIT APPLIES PER: <br />1 <br />PR4 PRODUCT - W.,IP/OPAGG $3,000,000 <br />JECT LOG <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEOULEDAUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS APPRO V <br />GARAGE LIABILITY <br />I ANYAUTO <br />EXCESSNMBRELLA LIABILITY <br />OCCUR I .-] CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />tB ORKERS COMPENSATION AND <br />PLOYERS'UABILITY <br />YP IOPMETOR,IPARTNERIEXECUTNE <br />FICERAIEMBER EXCLUDED? <br />Yes, deserbs under <br />SPECIAL PROVISIONS L ebw <br />AjProperty Section <br />La tl ra <br />AS 1.0 <br />Sheedy <br />COhIBINEDSINGLELIMIT S <br />BODILYINJURY $ <br />(Per person) <br />BODILYINJURY $ <br />(Per atddenl) <br />PROPERTY DAMAGE <br />(Per aWdent) $ <br />=ONLY. <br />EACH OCCURRENCE S <br />_ .... <br />AGGREGATE S <br />_.- .._...._ <br />$ <br />-� <br />S <br />6600000996091 A <br />01/01/09 01 /01 /10 E.L. EAC HACCIDENT $ 1000000 <br />E.LDISEASE•EAEh14PLOYE 1000000 <br />_. - <br />ELDISEASE- POLIC1000000 <br />PHPK451557 07/29/09 07/29/10 Rental $5,283.70 <br />Certificate holder is named additional insured with respect to the <br />operations of the named insured per the attached CG 2026 endorsement, such <br />insurance is primary and non - contributory. Workers Compensation coverage <br />excluded, evidence only. 10 days notice of cancellation for non - payment of <br />premium. <br />CANCELLATION <br />CITYSAT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEE(PIRATI( <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />City 25 Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHELEFT,BUTFAILURETODO$0SMALL <br />CDA —M25 <br />Attn: Frank Hernandez IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Drive REPRESENTATIVES. <br />Santa Ana, CA 92702 A)!(FTDR�ED RESENTATIVE <br />25 (2001/08) <br />0 ACID ID CORPORATION 1 <br />