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From: Lisz Wong At: Everest Insurance FaxID: 714-569-0807 To: Carla <br />5 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER <br />j Everest Insurance Services Inc THIS CERTIFICATE IS IS <br />P. O. Box 10788 ONLY AND CONFERS NO <br />1651 E Fourth St., Suite 150 HOLDER. THIS CERTIFI <br />ALTER THE COVERAGE <br />Santa Ana CA 92701 <br />Phone: 714-569-0800 Fax:714-569 <br />Date: 3/5/04 03:18 PM Page 2 of <br />OP ID L7 DATE IMM/DD/YYYYI <br />RIGHTS UPON <br />CATE DOES NOT <br />AFFORDED BY- <br />AIN <br />-0807 INSURERS AFFORDING COVERAGE <br />INSURED _ NAIL 7i <br />msuRERA. Philadelphia Indemnity — -- <br />INSURER B. - - -- — - <br />14arl2OSa Women' S Center INSURER C - - - <br />812 Town and Country Road <br />Ox2n9Q CA 9266E INSURER D.. _—_'--------- <br />INSIWER E-------- <br />COVERAGES --- <br />THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED <br />TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />OR <br />HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED <br />BY PAID CLAME. <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />--- '----------------- <br />GENERAL LIABILTiI' <br />DATE MMAxI <br />DATE MM/D M <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />PHPK041864 <br />02/01/04 <br />02/01/05 <br />Ef L �.E f 1000000 <br />�Tr- <br />CLAIMS MODE XO OCCUR <br />Pjj <br />F nn - 100000 <br />X Professional Liab <br />- <br />It E.F ,.<� E000 <br />-- `5 <br />PE '_ <br />_.__ _ <br />f f 1000000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER. <br />'E <br />— "EI P L —. ---_ _Ji, <br />_ <br />2000000 <br />Poucr JECT LOU <br />2000000 <br />AUTOMOBILE <br />LIABILITY <br />MY ALTO <br />-u:BMED 61oIGLE E. f.IIT <br />ALL OWNED AUTOS <br />IEs a!, nfi <br />IT--_ _—_ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJUPT <br />iPar carsonl <br />L <br />NON -OWNED AUTOS <br />BODILY IUJUR'r <br />IPsr acnllpnij <br />T <br />PR-.EfI} D.W—E <br />(Pe•xndaoll <br />T - <br />GARAGE LIABILITY <br />lN_.E EPoc <br />ANV AUTO <br />D u <br />A <br />EXCESSNMBRELLA LIASILRY <br />I <br />OCCUR CLAIMS MADE <br />Ea � �IiFIE4 E I f <br />DEDUCTIBLE <br />RETENTION <br />WORKERS <br />COMPENSATION AND <br />i <br />EMPLOYERS' <br />LIABILITY <br />.. <br />ATI O µ, <br />T INIT �EG� <br />ANY PROPRIETOR/PARTNEWEXECUTIVE <br />— - ---- — -- <br />OFFICER/MEMDEREXCLUDED? <br />L O •.11 CJ EU I <br />_ <br />E1u es. <br />ECI <br />J..IIIe vnaeF <br />AL PROWS"NS bel?w <br />�. -- --- <br />E ' _ -r/�I ; <br />OTHER <br />I <br />--------•-••��=.,ce�wa�rvs ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />*10 DAYS NOTICE OF CANCELLATION WILL BE GIVEN FOR NON-PAYMENT OF PREMIUM. <br />CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS PER FOR #CG20261185 <br />ON FILE WITH THE INSURANCE CARRIER. <br />SANTA A SHOULD ANYOF THE ABOVE DESCRIBED PCLICIES BE CANCELLED BEFORE THE EXPIRATo I: <br />CITY OF SANTA ANA-CDBG M-25 DATE THEREOF, THE ISSUI-C IfuURER WILL + COMMUNITY DEVELOPMENT AGENCY DIAIL ? 0 DAYS WRITT1I. <br />Attn : Carla NoncE TG THE CERTIFICATE HOLDER NAMEDTo THE LEFT <br />P.O. BOX 1988 M-25 <br />SANTA ANA CA 92705 <br />TION 1999 <br />— AAAQ/ <br />