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

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r AII Ftv CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDNYYY) 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 Ilea of such endorsee t(s). PRODUCER Brown & Brown Insurance Services of CA, Inc. 2401 E~ Katella Ave. Suite 550 Anaheim CA 92806 CONTACT Marlene Valencia _ NAME: PHONE (°J1 ®)221 ^1800 PAC .(114)221 -4196 E-MAIL tayalenci8 0bb30cal. LORI ADGRESSr INSURERS AFFORDING CO, dERAGE NAICN INSURERA:NGW York Marine and General 16608 INSURED Womenos Transitional Living Center PO Box 6103 Orange CA 92863 INSURER B: ,. INSURER C: _.. EACH OCCURRENCE INSURER D: R I , mum a INSURER E: _ INSURER F: .-Gran Ar- -EC CERTIFICATE NUMECR•2013 -2014 REVISION NUMBER: M 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. IN SR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFY POIppY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ R I , mum a $ COMMERCIAL GENERAL LWSILITY MED EXP An one e1e00) $ CLAIMS -MADE ❑ OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO 8 $ POLICY PRO- LOC IFCT COM81NEp SINGLE IMIT AUTOMOBILE LIABILITY To aC ant BODILY INJURY (P., pelsan) S ANY AUTO BODILY INJURY(Por 8m1een0 $ ALL OWNED 77 SCHEDULED AUTOS AUTOS NC HIRED AUTOS AUTOS PROPERTY DAMAGE e e M $ $ UMBRELIALIAa OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAe CLAIMS -MADE DE I I RETENTIONS Is A. WORK ERSCOMPENSATION WC STATU- OTH- EACH ACCIDENT $ 1 000 000 AND EMPLOYERS' UABIuW ANY PROPRIETORIPARTNEMXECUTIVE� !EE.L. . DISEASE -EA EMPLOYE $ 1 000 000 OFFICEWMEMBER EXCWDEOi (Mandatory In NM) NIA C201300003382. /22/2013 /29/2014 L. DISEASE - POLICY LIMIT $ 1 000 000 IP YYes, deaulbe untlet DESCRIPTION OP O ERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO 101, Additional Ramarka Schedule, If mere apace le roqulred) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, City of Santa Ana - CDBG M -25 ESG Attn: Frank Hernandez AUTHORIZED REPRESENTATIVE P.O. Box 1988 -M -25 Santa Ana, CA 92702 Scott Murphy /MVALEN ACORD 26 (2010105) Q 7988.2010 ACl INS025(2aicowdi The ACORD name and logo are registered marks of ACORD RD CORPORATION, All rights reserv(