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ACO,RD. CERTIFICAT9 OF <br />DATE (MMIDDIYY <br />LIABILITY INSURANCE <br />03/25/2003) <br />PRODUCER (949)709-8800 FAX (S;,-.a)709-1668 THIS CERTIFICATE IS I__JED AS A MATTER OF INFORMATION <br />Comprehen.4ive Insurance Services <br />22342 Avenida Empresa <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 200 <br />RSM, CA 92688 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER A: NONPROFITS' INSURANCE ALLIANCE <br />Friendship Shelter, Inc. <br />INSURERS: <br />P.O. Box 4252 <br />INSURER C: 2 002 04 3-03 <br />.. . . .. . ....... ......... <br />Laguna Beach, CA 92652 <br />INSURER D: <br />INSURER E: <br />I 1*1f1Tj:Izf_1TCi:R <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />fffffj'VEP_0Uff <br />PD0ALTCEYFFFMM1,D1YY) <br />EXPIRATION <br />DATE (MM/DDfYY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE AI OCCUR <br />2003-03294-NPO <br />03/22/2003 <br />03/22/2004 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />FIRE DAMAGE (Any one fire) <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JPECROLOG <br />I j _X] <br />--GENERAL <br />PRODUCTS - COMPICIP AGG <br />$ 2,000,000 <br />- <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />2003-03294-NPO <br />03/22/2003 <br />03/22/2004 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />11000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER. THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />A <br />EXCESS LIABILITY <br />OCCUR F___1CLAIMS MADE <br />FDEDUCTIBLE <br />x1RETENTION $ 10, 00C <br />2003-03294-UMB-NPO <br />03/22/2003 <br />03/22/2004 <br />EACH OCCURRENCE <br />$ 11000,000 <br />AGGREGATE <br />$ 1,000,000 <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />IOTH- <br />j ER <br />E.L.- EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L.DISEASE -POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATiONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTiSPECIAL PROVISIONS <br />CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER ATTACHED CITY ENDORSMENT" <br />"EXCEPT 10 DAYS FOR NON-PAYMENT <br />ze, <br />L,r-M I WAWA I r- MULUMM ADDITIONAL INSURED; INSURER LETTER: tAN1,t:LLA I 1UN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL 10=%-X0ft MAIL <br />CITY OF SANTA ANA - CDBG M-25 *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />COMMUNITY DEVELOPMENT AGENCY <br />P.O. BOX 1988 M-25 K"t*X*XXDkKK*MY4X"N)@WM)WJWJKXKMMXLVMX XXXXX XX <br />SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE <br />IPaul Weeniq, CIC/JEREMY <br />