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04-21-'09 09:09 FROM-A11-Cal Insur,AgencV <br />T-"41 FOOli'00Z F-641 <br />AC R M CERTIFICATE OF LIABILITY INSURANCE <br />ai200 2"" ONY ) <br />PRODUCER (916)184-9070 FAX, (916)704-0158 <br />All -Cal Insurance Agency <br />505 Vernon Strut <br />Roseville CA 95678 <br />THE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THI3 CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Southwest Community Cent" <br />1601 west 2nd Street <br />Santa Ana CA 92703 <br />INSURER A: Nonprofits Ins Alliance <br />mmRm&N*vth American Elite Ins <br />INSURI=RC: <br />INSURER D: <br />INSURERE: <br />HE�POLI�GI�ES OF IN$U13A VCZ LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTMWTHSTANDW5 ANY <br />REQUIREMENT; TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIMED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. <br />.kTFjjMff5 SHOVMYHA N C AIII 1 S <br />iSR AWL POLICYEFFECTNE pDUGYEXPiRA710N <br />TYPE OFiNSURANCE POLICY NUNmR DATE DATE Y LIMITS <br />GENERALL"LITY iO ()RENCR a 11000100C <br />P,000,000/1,000,000 <br />COMMERCIAL GENERAL LIABILITY P T) RIEa ON O Y Soo, OOC <br />.A xCLAIM$ MADE 1K OCCUR 2009-02312ZM 3/25/2009 3/25/2010 MED F (P ,,=am Wan( 3 20, OOC <br />OIRR88I0ML LIA13. E ONAL 8 v i 11000,00 <br />GEN RAI.Anf9IR TE s 2,000,00C <br />GENL AGGREGATE LIMIT APPLIES PCR I PRODUCTS - COMPA)P ACG S 2 , 00O , OOC <br />A <br />AUTOMOf91A <br />LIAIM70TY <br />ANYAUTQ <br />ALL 0WNE0AUTO$ <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />NONAWNEp AUTOS <br />2009-02312NPO <br />3/25/2009 <br />3/25/2010 <br />COMBINED SINGLE LIMIT <br />(E8 amideN <br />3 a. ,000,000 <br />IaoolLvuwL/Rv <br />(P« Wow) <br />3 <br />X <br />X <br />BODILY INJURY <br />(Pff yccioPnq <br />a <br />X <br />PROPERTY DAMAGE <br />d <br />GARAGE LIA9KITY <br />ANY AUTO <br />w Gam' <br />Yf # <br />/``� <br />AUTO Nov - EAAGCIOEN7 <br />S <br />AUTO ONLY —N FA <br />r <br />OCCUR CI.AIMe MADE <br />DEM)CTISLE <br />` CJi1�ot�gU <br />t ��Twy <br />WORKERSOOMPENSATWNAND 1A1V" ern' <br />EMPLOYER& UABRM <br />ANY PROPRMTORIPARYNERIEXECUTIVE EL• CHA�;Ct NT 3 <br />OFFtCrPjWMWA EXCLUDE07 E.L DISEASE • EA EMPLOY E <br />if Yes, describe unoer <br />. PI!(4A 310 E.L.DISFASC-POIJOYLIMIT S <br />J$ OTHER i3M LOYSE a=SH0=STY aft 0000 295-07 02312 3/25/2009 3/25/2010 1,naTs 10,000 <br />FORGERY/ALTERATION bxDl>C'>;x1V1F.8 I 000 <br />OE$CRTIPTION OF OPERATIONS? LOCALMONSNOKLME=LUSiONS ApOSp BY ENDORSEME"SPECIAL PROVISIONS <br />THE CITY OF SAWA RNA, XTS OrFICERS, AGENTS, OFFICTAL8, ZMPWT 98, AM VOLXRrZF = ARE NAMED ADDITIONAL INSURzD A$ A <br />151=1NG SOURCE. FORM CC 20 26 APVLXIS. <br />*10 DAY NOTICE OF CANCELLATION FOR NON-PAYN=ft Or PRPbaUbd <br />CERTIFICATE HOLDER CANCELLATION <br />(714) 647-6549 SHOULD ANY Of YNL ABOVE DESCRIBED POLICIES OE CANCELLED BEFORQ Tf1E <br />CITY OF SANTA AM EXPIRATION DATE THEREOF, THE ISSUING INSURER 1NILL AtMAXxx AIL <br />20 CIVIC CENTER PLAZA, M-25 *30 OAYS WRIVEN NOTICE TO THE CERTIMATE NOL RR !LAMED TO THE LErT, <br />SMTA ANA, CA 92701 1GTlYY]I�GYY�TGYY.1txJ[�Y.7tt[vltv�t�rvyv�c�ry�cvx.vvvvvvvvv <br />AGORD 25 (2001108) 11+ACORD CORPO 10 998s <br />INS025 mtosmia // Paw I of 2 <br />