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,ACORD ur-K i irmpiA "' 'r j_tKDiu i i iniouri w eC <br />01/31/2003 <br />RDDUCG.R (626)S99-8830 — F)599-8831 CATS L...iA57{lpfATTEAU F'OA19fKTfON'— <br />Pacific General Insurance Services ONLYAMDCONFE&RIGHTSUPONTHECERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />40S E. Santa Clara Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 100 <br />Arcadia, CA 91006 INSURERS AFFORDING COVERAGE <br />N UREO Mexican American Opportunity Foundation <br />INSURER A: Philadelphia Insurance Company <br />401 N. Garfield Avenue <br />INSURER B: <br />Montebello, CA 90640 <br />INSURER C: <br />ry <br />O <br />INSURER D: <br />INSURERE: Amended 02/07/03 <br />-COVERAGES <br />THE POUCIES 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 OESCRIBEO 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 />j TR <br />TYPEOFINSURANCE <br />POLICYNUMBER <br />DATE(UwDorm <br />DATE IMMIDDIYYI <br />LIMITS <br />GENERAL LIABILITY <br />PHPK041S78 <br />01/30/2003 <br />01/30/2004 <br />EACH OCCURRENCE <br />5 1,000,00C <br />X COMMERCNLGENERALLIFBILITY <br />FIRE DAMAGE(Any ene5n) <br />5 100,000 <br />CLAIMS MADE a OCCUR <br />- <br />MEDEXP(Anyo eOetwl <br />5 S'000 <br />PERSONAL&ADVINJURY <br />S 1,000,000 <br />1 A <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GEM AGGREGATE LIMIT APPLIES PER <br />PRODUCTS-COMP/OPAGG <br />5 2.000,000 <br />POLICY jE LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />PHPK041578 <br />01/30/2003 <br />01/30/2004 <br />COMBINED SINGLE LIMIT <br />(Es ecodenll <br />5 <br />1,000,00 <br />X <br />BODILY INJURY <br />(Per Wrson) <br />5 <br />A <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />NIREOAUTOS <br />NON-OWNEOAUTOS <br />X <br />X <br />BODILY INJURY <br />(Pa•cadet) <br />5 <br />X <br />PROPERTY DAMAGE <br />(Per.r Lent) <br />S <br />GARAGE LIABILITY <br />AUTOONLY. EA ACCIDENT <br />S <br />ANYAUTO <br />OTHER THAN EA ACC <br />AUTO ONLY: AGO <br />5 <br />5 <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />APP OV <br />/" <br />EACH OCCURRENCE <br />f <br />AGGREGATE <br />3 <br />5 <br />DEDUCTIBLE <br />RETENTION S <br />1.Eur11 Shecdy <br />S <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />-' - <br />TORY LIMITS ER <br />El, EACH ACCIDENT <br />5 <br />EL. DISEASE - EA EMPLOYEE <br />S <br />EL DISEASE -POLICY LIMIT <br />S <br />OTHER <br />LOCATIONS/VEMICLEYEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVMIONS <br />Additional <br />ddti PER Insured <br />s Additional Insured <br />ity of Santa Ana, its Officers, Agents, Representatives, Employees & Volunteers are <br />amed as Additional Insured with respects to a $2,000 grant that was awarded from the <br />ommunity Development Agency. <br />tent day Notice of Cancellation shall be given in the event of non-payment of premium. <br />CERTIFICATE HOLDER X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br />SHOULD ANYOF THE ABOVE DESCRIBED POUCIRS BE CANCELLED BEFORE THE <br />City Of Santa Ana <br />Community Development Agency - <br />M-25 <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLpoopopM MAIL <br />�_ DAYS MITTEN NOTICE 70 THE CERTIFICATE HOLDER NAMEDTO THE LEFT. <br />K9P7fkKI(�K119010EX9P1(Na0(7AffXlVHk1(9(919Q7AMAM(-7A'Q%)0(XX <br />P.O. Box 193 <br />XfA*JD(91MPXKWA pMMrAKXC MXXMM"P 00FMXXXXXXXXX <br />Santa Ana-, CA 92702 , <br />ADTnowzED RePR TATWE -- <br />Michael Martin <br />