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<br />16/26/2684
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<br />83'';8
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<br />5652682
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<br />WORK CENTER
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<br />PAGE
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<br />85
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<br />~. ..AC:.~. CËRTIFICA?"1Ë- r LIABILITY INSUDA&JC~ I ~~h~=1
<br />.ROOUO'. (626) 599-8830 FAX .l j2m->99-aa31 . THIS CERTIFICAT!.1,,:'ISSlIt:fJ AS A MATTER Of INrORMATlON
<br /> . . . ONLY AND CONFERS NO RIGHTS UPON THI! CI!RTIFICATI:1
<br />Pac. fl c GQn"~al r"$u~~nc" S"1'V1C"S HOLCER. THIS éEIHII'ICATI! DOES NOT AMEND, EXTI!ND DR
<br />405 E. Santa Clara Strl!<!t ALTERTHECOVI! RDEDBYTHI!POLlCIESBli:LOW.
<br />Suit" 100
<br />Arcadia. CA 91006 INSURERS AFFORDING COVgRAGE NAlCII
<br />IN5URIO Mexican Am"rican Opportunity Foundation rN!5UIIQ!"A! P~1la~elphia Insurance Company
<br /> 401 N. Garfield Avenue 1N'$U1'I.at:r.:
<br /> Montabal1o, CA ~0640 I'\ISURfR c:
<br /> INSUReR g:
<br /> --
<br /> N$UPl~A E:
<br />cnv S
<br />THE POllCl~$ OF ìNSlJRANC~ LISTED BELOW HAve !EEN ISSUED TO rH~ INSURED NAMED ABOVE FOR THE POLICY PERI01J INDICATED. NOTWITHSTANOIN'
<br />ANY REQUIR~MENT, TERM OR CONDITION OF ~y CONTRACT OR OTN!R DOCUMENT WITH R!~PECT TO WHICH THIS CERTIFICATe MAY B! rSSU~D OR
<br />MAY PERTAIN. THE INSURANCE N'JOORDED BY THo POllCIIi:. DESCRIBeD HEREIN IS SuaJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AG(;1REGAT! LIMITS SHOWN MAY ,lAVE BEEN REDucer.> BY PAID CLAIM3.
<br />I'~": ~~"r -.. PO CY ;~J:';CTIYIi: POI.ICV DfPlll4MN
<br /> TV". ð l ~SUtlU.Ne! POl"Içy HUMD!Pt LiMrrs
<br /> GE~EIii:At.I.I^e UTY PHPI(071751 0~nOn1)04 01/30n005 iIICH OCÇUIV'~NCI!! . 1 ODO,OO~
<br /> X COMMiACIAI. i:.\f.iNF.RAllJA~llITY OAMAG! TO ,qI!N~L~"" 100 OO~
<br /> IM-
<br /> I ClA¡~ ~""DE. 0 OCCUR llAê;p e;M;P (My ~ ~on) ' 5 000
<br />A X - F'EFUJONAL & Ar!JV iNJURY ' 1,ooo,00C
<br /> ~
<br /> fo.N'l ^..'~Q^.e l'M" A.r~,.¡.' a~N~RAt.AGG~ECAT! I 3,000,OOC
<br /> ~ROOUeTS.COM~~Þ~CG . 3,OOO,OOC
<br /> h ,n-pllO- --
<br /> POllCv JE[;T 1,Q-C;
<br /> ""''f'OMOBILE LlA.8IU,.V PHPK0717>l 01/30/Z004 01/30/2005 CO~I!!IIN¡;D S:INGL.E LIMIT
<br /> X IEotDCCidcntl S 1. 000 000
<br /> ANV AUTO
<br /> -
<br /> ALL OWN'D IIUTDS eODIt..'fINJU""
<br /> - .
<br /> X SCHIiiCUI..I!O ,IL;)TO! (Þtlrp.tlon)
<br />A -- -.-
<br /> I1IRED AUTOS rtOOIl Y INJURY
<br /> - NONoOWNED AUTOS IP"å.:d.nl) .
<br /> -
<br /> ~ PROPI!;t1'Y DNMGE .
<br /> ( IIeraeCil!ll!lnl)
<br /> R""" "'",UTV ^uro ONt"'. fA ACCIDeIIT .
<br /> Þ,NVAIJTO t;rr~ePt'niAN EAA"" S
<br /> ---
<br /> AUTO ONLY: AG. S
<br /> pESgruNeftELLA l,Jr'"'I,,ITV ~H ~CURR1iHCE S
<br /> OCCUR 0 CLÞ.IMS MAD!; "-
<br /> AGG~=IMTe '
<br /> -
<br /> , , .
<br /> 1,DliDIJCTrBle .. .. -
<br /> It? J <~.. -. .
<br /> .I'le.TENTION . J) J., J I
<br /> WORK!::""' CDM~iiNSAT1ON AND f- I T~i~¡tJ.~~ I 10J".
<br /> IMPLcn"3' lIA~rLITY
<br /> ANY PROPRIETOI'W'ARTNERfiX iCI) nVE E.L. ¡;;AC~ AeelDl!!!NT I ....-
<br /> OJ:~IC'RlMËMBER ¡XCLUDGb? "'\' -' .' 1-..'
<br /> IfteS,d.lli:.:rlb"Undef la. t1ISEASEi. "-'\ '"",,,LOYEr: .
<br /> 8 EGII\i.. PROVISIONS b.IQW I:.l. D !;I!f\.S'. POLICY LIMIT I
<br /> ,.~TI:I¡R ÞIIPK0717H 01nO/2004 OI/30nOOS limit Sl,OOo.OOO/$l,OOO Ded
<br /> ~r'l!1Q (Overage
<br />A rofessional Li..bility PHPk071751 01/30/2004 01/30/200S 51.000,000 OCC/S3,OOO,Ooo Dee
<br />. - ~
<br />g¡;¡~(;RIPTIOH QP' CP'F:ftATlONSJ lOCATlO~$ ¡ V&:.HIf.1.'P I ~CUJ:lJO"'8 ^6t1i1:c -y EI1DOflII8M~NT 1:5PECJ...LPROVl310N!i
<br />rhe City of Santa Ana, ,ts o'f,cQrs, employ~~s, ~gent$. volunteers and repr~sQn~åtivQs a~ê na~d as
<br />,ddi~iQnal insured as resp"ct, to claims ari$in9 out of th~ op"rations and uses performed by or Qn
<br />,,,half of t~e named insured.
<br />\ ten day NotiçQ of Cancellation shall be given in the êVe"~ of non.payment of premîum.
<br />
<br />CERTIFICA TE ~IOLD"B
<br />
<br />CAN
<br />
<br />ON
<br />
<br />City of SQnta An~
<br />Community Development Ag"ncy (M-ZS)
<br />Attn: Carl.. Thompkins- Hngt. Aide
<br />P.O. BD' 1988
<br />Sant~ Ana, CA ~270Z-1988
<br />
<br />t3Þ10UlD ANY OF TH'E ABOVE OESCRIBlõD ÞOUCII:5:S I; CANCELLED aEFOft!: THi:
<br />~X"'RAnON CATI! nl~¡¡CI:, THE IS!1UING INSURCA w,L,I,. ~~ MAJL
<br />-,~ DA.YS WRITTI!N "OTIC' TD THE CERTIPlc:,a,Te HOt.ell!!" tiflME~ TO TI1E lEFT.
<br />~~I!i(~~ (~ ~¡C¡¡J6UIIXBj(XX
<br />~ {¡(~IIi (Jt~XUlt ( II( (~~XXXXXXXX
<br />AUTHORI%ED III!PAI:hNT nv .
<br />
<br />
<br />/lCORD 25 (2CC1/0~J
<br />
<br />"ichul Martin
<br />
<br />~ACORo CORPORATION 1988
<br />fr\~" ..
<br />
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