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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MNUDD/YYYY) <br />10/13/2009 <br />PRODUCER (949)70D-8800 FAX (949) 709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Em resa <br />P THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 255 <br />RSM, CA 92688 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED INSURERA: PHILADELPHIA INSURANCE COMPANY <br />Laura's House INSURER B: <br />999 Corporate Drive Ste. 225 INSURER C. <br />Ladera Ranch, Ca 92694 INSURERD. <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 <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 />ILTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMR)D I LIMITS <br /> GENERAL LIABILITY PHPK483251 10/11/2009 10/11/2010 EACHOCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S 100 , 000 <br /> CLAIMS MADE FKOCCUR IAED EXP (Any one person) S 5,000 <br />A PERSONAL& AOV INJURY S 1,000,00 <br />0 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPUP AGG S 3,000,000 <br /> POLICY JEC- X LOC <br /> AUT OMOBILE LIABILITY PHPK483251 10/11/2009 10/11/20 <br />1 <br />0 COMBINED SINGLE LIMIT <br /> X ANY ALTO ?? <br />?x{ <br />I?C)Ttr+ <br />. (E .cadent) S 11-000,000 <br /> ALL OWNED AUTOS ?fQ <br />? O <br />/ •BODILY INJURY <br />er <br />r $ <br />A SCHEDULEDAUTOS ? y a+ Pe <br />son) <br /> HIRED AUTOS <br />` <br />T? <br />Da <br />INJURY <br />$ <br /> NON•OVVVED AUTOS ^ e OR <br />j <br />ne`1 ac de <br />Pe <br /> P <br />F A??D I <br /> 15 <br />C1? PRO R <br />DAMAGE <br /> nt <br />X <br />a d $ <br /> e <br /> GARAGE LOLUILITY t AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO ? <br />L OTHER TRAN EAACC S <br /> AUTOONLY: AGO $ <br /> EXCESS I UMBRELLA LIABILITY PHUB287380 10/11/2009 10/11/2010 EACH OCCURRENCE $ 1,000,000 <br /> X OCCUR F] CLAIMSMADE AGGREGATE S 1,000,000 <br />A $ <br /> DEDUCTIBLE $ <br /> X RETENTION S 10,000 $ <br /> WORKERS COMPENSATION <br /> AND E6IPLOYERS' LIABILITY TORY UTAITS . <br /> YIN <br />ANY PROPRIETORIPARTNBVEXECUTIVE[::] E. L. EACH AOCI DENT $ <br /> OFFICERA.IEMBER EXCLUDED? <br />(Ma ndatory In NH) <br />- <br />E.L. DISEASE- EA EMPLOYE <br />$ <br /> be under <br />R ms dew <br />e <br /> S <br />1AL PROVISIONS b.1w, E.L. DISEASE - POLICY LIMIT S <br /> PRFSNL LIABILITY PHPK483251 10/11/2009 10/11/2010 13,000,000 AGG/11,000,000 OCC <br />A MPROPER SEXUAL COND PHPK483251 10/11/2009 10/11/2010 $1,000,000 AGG/$1,000,000 OCC <br />DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />ERTIFICATE HOLDERS ARE NAMED AS ADDITIONAL INSURED PER ATTACHED EXHIBIT B <br />ND DELUXE ENDORSEMENT <br />EXCEPT 10 DAYS FOR NON-PAYMENT <br />IFUNDING <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA ITS OFFICERS, AGENTS, <br />EMPLOYEES AND VOLUNTEERS <br />CDBG M-25 <br />COMMUNITY DEVELOPMENT AGENCY <br />P.O. BOX 1988 M-25 <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL KXXXXMN MAIL *30 DAYS WRITTEN <br />r7tXIXIXrbXIk?ASX?1tKdIX <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />?(?3(?'{iJ6Xr?XJ4XffdGX?GXdtl4.X?r?X1(?1(JLIfD(IYraf>XJfKdfxutXT?(X?Wb1EtY#)6kX <br />D(&OU W&")(MKXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />AUTHORIZED REPRESENTATIVE <br />H r. <br />Richard Evnon, CIC/JEREMY rf%'?? `•{>r,`"•, <br />©1988-2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD