WOMEN'S TRANSITIONAL LIVING CENTER (WTLC) (2)-2015

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'?,;C°R�'® CERTIFICATE OF LIABILITY INSURANCE D /28/I0011'3 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(S), 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($). PRODUCER Brown & Brown Insurance Services of CA, Inc. 2401 E. Katella Ave. Suite 550 Anaheim CA 92806 ON ACT Marlene Valencia NAME: _........ _.. -..__ ._�__.._.__ -.�... PHONE (714) 221 -1800 JA C No: (919)221 -9196 EMAIL mvalencia @bbsocal. com INSURERtS)AFFORDING COVERAGE NAM INSURERA:New York Marine and General 16608 INSURED Women's Transitional Living Center PO Box 916 Fullerton GA 92632 INSURER a: INSURER C: INSURER D: INSURER E : $ INSURER F: COMMERCIAL GENERAL LIABILITY cnV RR AG FS CERTIFICATE NUMSER:2013 -2014 REVISION NUMBER: 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 ADOL SUBR POLICY NUMBER PO ICY fFF POLICY EXP MMIODA, LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISESE. occcnenca $ CLAIMS-MDE F-1 OCCUR MED EXP (MY one person $ PERSONAL &ADV INJURY It WY4 GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S $ POLICY PRO- LOG AUTOMOBILE LIABILITY COMBINED SIN. LELMI ad_idd $ BODILY INJURY (Per parson) $ ANY AUTO BODILY INJURY (Per accident) $ ALL O'NNE^ (— :+�.riF; :.:!'D AUTOG AUTOS NON -OWNED HIRED AUTOS AUf05 Pere eo'entOAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB (Z-AIMS-MADE OED I I RETENTION$ $ A: WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERIEXECUTIVE� X I WCSTAMIT' OERI' TORY E, L. EACH ACCIDENT $ 1,000,000 OFFICEWMEMaER EXCLUDED? (Mandatory in NH) NIA m201400005491 3/2B/2014 3/28/2015 E.L. DISEASE. EAEMPLOYE $ 1 000 000 E.L. DISEASE - POLICY LIMIT S 1�n000 000 r pre,deeorioeunder DESCRIPTION OF OPERATIONS babw TOO TO DESCRIPTION OF OPERATIONS I I.00ATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is requlred�d G�sA �. cSy °A�ornev PSSXs��n{ City of Santa Ana - CDBG M -25 ESG Attn: Frank Hernandez P.O. Box 1988 -M -25 Santa .Ana, CA 92702 ACORD 25 (201 SHOO Lb 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 Murphy /MVAI.LN �,� � ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 (zoleoJill The ACORD name and logo are registered marks of ACORD