WTLC (WOMEN'STRANSITIONAL LIVING CENTER) -2013

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ACORQM CERTIFICATE OF LIABILITY INSURANCE 04 /05 /2013 PRODUCER 310.393.9477 FAX 310.393. 7186 White & Company Insurance Inc. P 0 Box 70 Santa Monica, CA 90406 -0070 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Women's Transitional Living Center PO Box 6103 Orange, CA 92863 ) 7�% /� '7 L e; J—C //� —66' [i INSURERA: Philadelphia Ins Co A INSURER B: GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR NSURERC: 04/04/2013 INSURERD EACH OCCURRENCE INSURERS DAMAGE TO RENTED PFFMIqRq IF, r, proo) COVERA 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR kDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMI POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR PHPK1002647 04/04/2013 04/04/2014 EACH OCCURRENCE IS 1,000,00 DAMAGE TO RENTED PFFMIqRq IF, r, proo) $ 1,000,00 MED EXP (Any one Person) $ 20,000 PERSONAL &ADV INJURY IS 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO- JECT OC PRODUCTS - COMP /OP AGG $ 11000,00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHPKI002647 App 04/04/2013 0�1ED AS t(SAE S ti 04/04/2014 yyV�x9�p TO ?OwA L ORCK 4 A tOYney COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 URY (Per person) $ X X BODILY INJURY eraccident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO {\SSt ^ S AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ S A EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE X RETENTION IS 10,00 PHUB416811 04/04/2013 04/04/2014 EACH OCCURRENCE IS 5,000,00 AGGREGATE $ 5,000,00 IS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICENMEMBER EXCLUDED? If yes, describe under PRO VISIOISIO SPECIAL PROVISIONS below I WC STATU- OTH- YLI E.L. EACH ACCIDENT — $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ity of Santa Ana, its officers, agents, employees, and volunteers are additional insureds as per form G 20 26 07 04 and Primary Insurance as per form CG 00 01 1207, both attached to the general liability olicy and accompanying this certificate. *Except for 10 days written notice of cancellation for non - payment of premium. City of Santa Ana - CDBG M -25 ESG Attn: Frank Hernandez P.O. Box 1988 M -25 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30° DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE / ACORD 25 (2001/08) Ii 114.64/.6549 ®ACORD CORPORATION 1988