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CORD_ CERTIFICATE OF LIABILITY INSURANCE CSR DH DATE (MM DDM) <br />A <br />RCY-1 06/04/03 <br />vacs! c_e'R - THIS CERTIFICATL >SUED AS A MATTER OF INFORMATION <br />ONLY AND CONFEKs NO RIGHTS UPON THE CERTIFICATE <br />Huntington Pacific Ins. Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />18672 Florida St. Ste. 302D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Huntington Beach CA 92648 <br />Phone: 714-841-6283 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Great American Insurance Co. <br />INSURER B: <br />Mercy House Transitional <br />Living Center ETAL INSURER C: <br />P.O. BOX 1905 INSURER D: <br />Santa Ana CA 92702 <br />INSURER E: <br />,.vv,cKAGES <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 />- <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.POLICY <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE <br />DATE MM/DD/YY <br />POLICY EXPIRATION <br />DATE MM/DDIYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ❑X OCCUR <br />PAC6536218 <br />05/02/03 <br />05/02/04 <br />EACH OCCURRENCE <br />$1,000 000 <br />FIREDAMAGE (Anyonefire) <br />s200,000 <br />MED EXP(Any one person) <br />$10,000 <br />PERSONAL B AOV INJURY <br />$1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- n LOC <br />JECT <br />SENiRAL AGGREGI c <br />S i , "L , CV,.-) <br />PRODUCTS -COMPIOP AGG <br />$1,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PAC6536218 <br />05/02/03 <br />05/02/04 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />S11000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Par accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />APPROVED <br />AS Tv irU <br />AUTO ONLY - EA ACCIDENT <br />$ <br />EA ACC <br />OTHER THAN <br />AUTO ONLY: AGO <br />$ <br />$ <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />Lau i Shc: dy <br />Deputy City Al <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />l7TR y <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />TWO AV ER <br />RV <br />E.L. EACH ACCIDENT <br />E <br />E.L. DISEASE -E.. -'�I. <br />E.L. DISEASE -POLICY LIMIT <br />S <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />With respects to the additional insureds, this insurance shall not be <br />cancelled or materially reduced in coverage or limits except after (30) days <br />written notice has been given to the City of Santa Ana. <br />CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />City of Santa Ana, Community <br />Development Agency M-25 <br />Att: John Maloney <br />P.O. Box 1988 <br />Santa Ana CA 92702-1988 <br />SANTANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />CANCELLED BEFORE THE EXPIK I lun <br />DATE THEREOF, THE ISSUING INSURER WILL *y"bolE' MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />WekSfRc(PdAIJ�/�N918� r IyeL�ng�1�4jkl�A�E19/cs141i <br />