WTLC (WOMEN'STRANSITIONAL LIVING CENTER) -2013

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r )• _ I ® ''� ° CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 3/28/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Brown S HLOWn Insurance Services of CA, Inc. 2401 E. Katella Ave. Smite 550 Anaheim CA 92806 CONT NAMEACT Marlene Valencia PHONE (714)221 -1800 A19 .(714)221 -4196 E-MAIL .mvalencia @bbsocal. com INSURERS AFFORDING COVERAGE NAIC9 INSURERA:NeW York Marine and General 16608 INSURED WOmenls Transitional Living Center PO Box 6103 Orange CA 92863 INSURERS: .. INSURER C: INSURERD: $ INSU0.ER E $ INSURER F: COMMERCIAL GENERAL LIABILITY rnsrco Ar•- -cc CERTIFICATE NUMBPQ -2013 -2014 REVISION NUMBER: V THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLISUBIR POLICY NUMBER MMIDDYEPY MMIDDPOLICY IYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea oaunence $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one arson) 3 CLAIMS -MADE F-1 OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS . COMPIOP AGO 3 $ POLICY PHI- LOC IECT COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea ac immtl BODILY INJURY (Pe, pamcn) $ ANY AUTO BODILY INJURY (P. ecc d,ni) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PRg P�Rd�DAMAGE $ E UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS uAB CIAIMSWADE DED I I RETENTION$ $ A WORKERS COMPENSATION ITMOR STATU- OTH- EL EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORPARTNERIEXECUTIVE❑ E1 DISEASE -EA EMPLOYEE E 1,000,000 OFFICER/MEN EXCWDE07 (Mandatory In NH) NIA C201300003382. /28/2013 /28/2011 E. L. DISEASE - POLICY LIMIT E 1 000 000 it M. describe wMe, DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AfUch ACORD 101, Additional Romano Schedule, If more space Is required) City ESG Attn: P.O. Sant of Santa Ana - CDBG M -25 an Frank Herndez Box 1988 -M -25 Santa Ana, CA 92702 ACORD 25 (2010105) INS025 (201005).01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Iscott Murphy /MVALEN ZS— ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD