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CERTIFICAT` PPODUCER HOLBERT INSURANCE AGENCY P.O. BOX 1208 SAN CLEMENTE, CA 92674-1208 (949) 492-6138 FAX (949) 361 4079 � INSURANCE ISSUE DATE o3n sr2oos Cert# 6576 THIS CERTIFICATE IS ISSUED AS n MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE ICOMPANY A TRAVELERS INDEMNITY CO OF IL INSURED COMPANY WOMEN HELPING WOMEN /}-- CFI'9 5T-! !COMPANY Q78--04t j COMPANY - - 711 W. 17TH STREET, #A-10 C COSTA MESA, CA 92627 I COMPANY D !COVERAGES I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. GO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS LTR DATE EFFECTIVE ) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE LE 2,000,000 X TI COMMERCIAL GENERAL LIABILITY 680-466P105-A OCT 28 04 OCT 28 0.5 1 FRODUCTS-COMP/OP AGG. r S 21000,000 A , jCLA1MS MADE X OCCUR. PERSOAAL 8 ALP,' INJURY - ; 1,000,000 X ,OWNER'S BCONTRACTOR'S PROT. - r.J EACH OCCURRENCE E 1,000,000 I- FIRE DAMAGE((nyyOn. Fire)- IE 300.000 MED One ADTOMOwNEDnuATOSLITY !COMBINED SINGLE LIMITe son S 5,000 ILE - I E 1,000,000 ANY AUTO ALL BODILY INJURY E SCHEDULED AUTOS (Per Person) A X 1HIRED AUTOS - -- -_-- - BODILY INJURY X NON -OWNED AUTOS 'E (Per AcridenO APPRO Y F-D A TQ FORA PROPERTY DAMAGE E 11 GARAGE LIABILITY iAUTO ONLY - EA ACCIDENT !S ANY AUTO OTHER I HAN AUTO ONLY G !' Laura Stilt S d ney - - �'i EACH ACCIDENT E 11 Aslant 11)' AGGREGATE E EXCESS LIABILITY - _ - - EACH OCCURRENCE �b UMBRELLA FORM - - - - --- AGGREGATE b H OTHER THAN UMBRELLA FORM - - i WORKER'S COMPENSATION AND r STATUTORY LIMITS I THE PRO YET Y I EACH ACCIDENT E GEMPEOYRS RRS LIABILITr NCL DISEASE POLICY LIMIT 'E PARTNERS/EXECUTIVE I 1 C EXCL I - DISEASE -EACH EMPLOYEE IS OTHER - DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS - OPERATIONS OF THE NAMED INSURED {_CERTIFICATE HOLDER AS ADDITIONAL INSURED CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY PO BOX 1988 SANTA ANA, CA 92702 CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS I WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT I 10-DAY NOTICE OF CANCELLATION APPLIES FORNOR PAYMENT OF PR NM AUTHORIZED R