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I i:r:AAin_n4 GARI i ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 8/3/2009 PRODUCER (805) 965-0071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 1469 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Barbara, CA 93102-1469 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Legal Aid Society of Orange County INSURERA: Philadelphia Insurance_ Company 2101 No. Tustin Ave., INSURERB: - Santa Ana, CA 92705 INSURERC: INSURER D: [K�19 tl:7eTN�-'i THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSH LTR ADD1PDOUCYEFFECTIVE NSR POLICY NUMBER POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X X COMMERCIAL GENERAL LIABlLItY CLAIMS MADE OCCUR PHPK439182 7/1/2009 7/1/2010 DAMAGE TO RENTED Ea oecurence $ 100,00 _PREMISES MED EXP (Any one person) $ 5,00 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GENLAGGREGATE LIMIT APPLIES PER.. PRODUCTS-COMPIOPAGG $ 2,000,00 X POLICY PRO- LOC Abuse & Molestation 1,000,00 A AUTOMOBILE LIABILITY ANY AUTO PHPK439182 7/1/2009 7/1/2010 COMBINED SINGLE LIMIT (Esacdden!) $ 1,000,00 ALLOWNEDAUTOS SCHEDULED AUTOS BOD)LYINJURY (Per person) $ X X HIREDAUTOS NON-OWNEDAUTOS APPROVED 1 1 AS TO FORM BODILY INJURY (Perecddent) $ DAMAGE AUTO ONLY• EA ACCIDENT $ $ ,.PROPERTY GARAGE LIABILITY (_.i4 !ra Stitt S ed F1ANYAUTO «tiSIS aDt C;stY ttol neY OTHERTHAN EA ACC $ $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMSMADE PHUB277031 7/1/2009 7/1/2010 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 $ $ DEDUCTIBLE T $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC S7A7U- OTH- T I R EEL E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? HYas desuibeunder SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ OTHER A Abuse & Molestation PHPK439182 7/1/2009 7/1/2010 Per Occurrence 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS 10 Days Notice of Cancellation In the Event of Non -Payment of Premium Excess Policy drops down over the Abuse & Moelstation coverage HIS CERTIFICATE SUPERSEDES AND REVISES THE PREVIOUS CERTIFICATE ISSUED. Certificate Holder & Its Officers, Agents, Employees are Included as Aditional Insured(s) under the General Liability per the attached PI-GLD-HS 04107) form -- \a/11Y liCLLM 11U1V SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana - CDBG M-DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Community Development Age P.O. Box 1988 M-15 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Santa Ana, CA 92702- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE `.- K%'Wrcu ca kcuu-uua) ©ACORD CORPORATION 1988