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06/29/2012 16:55 9497091668 CI6 <br />ACORAa CERTIFICATE OF LIABILITY. INSURANCE <br />PAGE 05/07 <br />THIS CERTIFICATE f9 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG14TO UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CON$TnVM A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPOKTANT: If mho certifl holder Is an ADDITIONAL INSURED, fife PODO Ies) must be andorsod. If SUBROGATION 1 WAIVED, subject to <br />the terms end conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsamant(s). <br />PRODUCER TAM <br />Ca rahensive Insurance Services m- .949.709.8800 <br />22342 Avenida Empress MC Ne):949.709.1666 <br />&WIL <br />ACDRM"s <br />Su I Ce 250 IRSURER(S APFUROING COVBRAOr: NAIL* <br />Reho Sta. Margarita, CA 92688 WOURkRAI NONPROFITS' INSURANCE ALLIANCE <br />uRpn randma's House of Hope. ?' _ rNOURRBI <br />174 W, Lincoln Ave. #f541 INSURER C I <br />Anaheim, CA 92805 INSURER D : <br />REMSION NUMBER: <br />into to l v t.Cn t Ir T 1 tThi 1 I Ile POLICIES OF INSURANCI LISTED BELOW HAVE BEEN ISSUED M-TH€N R D NAMED R THE 9 OL C PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORI]J;n RY r Lr oni Ir!IFR naQP-Dinars manwiri IQ et in is rr rn At i rue TeoAac <br />LAULLISIUN5 ANO CONDITIONS OF SUCH <br />L TYPEOPINBURANCE POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />wVV POLICY NUMBER heM p LIMITS <br /> GENERAL LIABILITY 2012-27514-NP 0312412012 03124/2013 EACHQGCURRENCE 8 1,000,00 <br /> X COMMERCIAL GENERAL LIABILITY AM 3E9 EaEoacu_rlenogi_.., 500200 <br /> CLAIMS-MADE rX? OCCUR MED EXP ikr/ cm Pnt21 ` S 201.00 <br />_- <br />A x PBRSO <br />&AOVINJURY 1 <br />000 <br />00 <br />1 <br /> _ <br />©ENERALA00REGATE , <br />, <br />i 2 000 <br />00 <br /> GERL A=REGATE LIMIT APPLIES PHR: PRODUCTS, COrdPIOP AGO , <br />9 2 ODO 00 <br /> POLICY PRO. X LOO S <br /> AUTOMOBILEUABRM 2012-27S14-N 0312412012 0312412013 M.4 , X 000L 00 <br /> ANY AUTO <br />ALLOWNCD SCHEDU BODILY INJURY (Per person) t <br />A <br />AUTOS LED <br />AUTOS <br />O F <br />BODILYINJURY (Per awwnq <br />S __ <br /> X HIRED AUTOS AUTOS N Per d _? <br /> 3 <br /> UMBRELLAUAB OCCUR A GyC EACHOOCURRENCEa S <br /> EXCE99LIAB H CLAIM84AVE L <br />5 <br />* R <br />0 <br />tOC ACiOREGATB S <br /> ORETENTIONS 2x, <br />C' <br />skl Pt _ S <br /> WORKERSCOMPEMSATION <br />ANA EMPL*YnW LIAsuff YIN <br />PSg?S <br />s^) <br />I 1 - A <br /> ANY PROPRIETORMARTHERIEXRC <br />OFFIGERIMEMBEREiXCLUDEDi <br />"Two <br />NIA J 6,4,EACNAGGIpENT ¢ <br /> (fdstorY in NH) <br />yess <br />dssalba uneor L.L. DISHAaE- SA EMPLOYEE S <br /> Dr <br />d <br />DE3 <br />RIPTION OF OPERATIONS bnlaw E.L. 013EASE - POLICY LIMIT } <br /> <br />A SERVICES <br />PROFESSIONAL LIABILITY 2012-27514-N 03124/2012 03124/2013 S2,000,000 AGGREGATE LIMIT <br />$1,000,000 OCCURRENCE LIMIT <br />..a4,...? • n..n yr vrcnnrwna r w:nr iunir r venn r s+a IRT1AOn acunu ?uv, aOtnUOneI RMnANSn iGr10tlU10, rFmero tgee is requl" <br />a`TY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUTEERS AND REPRESENTATIVES ARE ADDITIONAL INSURED <br />)ER THE ATTACHED CG2026(07/04) INSURED. INSURANCE IS PRIMARY PER POLIOM FORM. <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />ACORD 25 (8010105) <br />SHOULD ANY OF THIS ABOVE DESCRIBED POLICIW 8E CANCELLED BEFORE <br />THE EXPIRATION DATE THORROF, NOYICa WILL At 08LMERED IN <br />ACCORDANCE WITH THE PBUOY IPROVMNS. <br />AUTHORIZED REPREBEHTAT012 -- „y, n -? <br />The ACORD name and logo are regiatered marks of ACORD