WTLC (WOMEN'S TRANSITIONAL LIVING CENTER) (2) -2013

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M CERTIFICATE OF LIABILITY INSURANCE 04 /05 ✓2013' PRODUCER 310.393.9477 FAX 310.393.7186 White & Company Insurance Inc. P O 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 ]ACY14111 ange, CA 92863 - /%.� —U2, n / - C/ INSURERA: Philadelphia Ins Co A INSURER B: GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ®OCCUR INSURER C: 04/04/2013 INSURER D: EACHOCCURRENCE INSURER E: DAMAGET -RENTED •. a L:.: 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 NDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION JOGUYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ®OCCUR PHPKI002647 04/04/2013 04/04/2014 EACHOCCURRENCE $ 1,000,00 DAMAGET -RENTED $ 1 000 00 MED EXP (Any one person) $ 2® Og PERSONAL & ADV INJURY $____1U000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO JECT LOC PRODUCTS - COMP /OP AGO $ 1,000,00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHPK1002647 r 04/04/2013 Zn"ye� " L1�A �, rJ 04/04/2014 i p �OW {�- .} . "'° ®RCK }� tOrneV COMBINED SINGLE LIMIT (Ea accident) $ 1.000,000 INJURY (Per person) $ X X BODILY -Per accident) $ X PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITV ANY AUTO {i SBt /} j( AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ $ A EXCESS/UMBRELLALIABILITY OCCUR ❑CLAIMS MADE DEDUCTIBLE X RETENTION $ 10,00 PHUB416911 04/04/2013 04/04/2014 EACH OCCURRENCE $ S10001000 AGGREGATE $ S,000,00 $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORrPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? S IEC tla PRO antler SPECIAL PROVISIONS below WC 5TATU- YLI E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE. POLICY LIMIT $ OTHER DESCRIPTI NOF OPERATIONS /LgCATIONS EHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ity o Santa Ana, tts of/fiicers, 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 policy 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 Atti Frank Hernandez P.O. Box 1988 M -2S Santa Ana, CA 92702 Annwngsrgnni/ i FAX: 714.647. 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 AUTHORIZED REPRESENTATIVE