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CERTIFICATE OF LIABILITY INSURANCE <br />Pacific General Insurance Services <br />405 E. Santa Clara Street <br />Suite 100 <br />Arcadia, CA 91006 <br />ty Foundat' <br />401 N. Garfield Avenue Fr0 <br />Montebello, CA 90640 <br />J vy <br />INSURERS AFFORDING COVERAGE <br />�» f <br />URER B: <br />URECURER D: <br />URER E: <br />GATE (MM/DD/WYYI <br />01/31/2006 <br />VFORMATION <br />'.TIFICATE - <br />EXTEND OR <br />CIES BELOW. <br />NAIC # <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />NDD <br />SR <br />TYPEOFINSURANCE <br />POLICYNUMBER <br />DATE MN9DO <br />MLIGY EXPIRATION <br />DATE MM/DD <br />LIMITS <br />GENERALLIAMLITY <br />PHPKI56499 <br />01/30/2006 <br />01/30/2007 <br />EACHOCCURRENCE <br />S 1,000,000 <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />)( CO <br />T100 <br />CLAIMS MADE OCCUR <br />onc <br />PREMISES Ee,. e <br />$ 000 <br />MED EXP(Any one parson) <br />S 5,000 <br />PERSONAL&ADVINJURY <br />$ 1,000,00 <br />GENERAL AGGREGATE <br />$ 3,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO- LOC <br />X POLICY JECT <br />PRODUCTS-COMP/OP AGG <br />3 3,000,00 <br />A <br />X <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PHPKIS6499 <br />01/30/2006 <br />01/30/2007 <br />COMBINED$ NGLE LIMIT <br />(Ea acUdenU <br />$ <br />1,000,00 <br />X <br />BODILYINJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Peraccident) <br />$ <br />PROPERTY DAMAGE <br />§ <br />L <br />GARAGE LIABILITY <br />y� <br />AUTO ONLY -EA ACCIDENT <br />S <br />ANYAUTO8®Y� <br />pY � <br />EAACC <br />AUTO ONLY: <br />AUTO ONLY: AGG <br />S <br />S <br />EXCE UMBRELLA LIABILITY <br />OCCUR ❑ CLAIMS MADE <br />�. <br />,.1SA Cj G(t <br />f <br />PttOY ey <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />§ <br />DEDUCTIBLE <br />I <br />/ <br />S <br />RETENTION $ <br />5 <br />WORKERS COMPENSATION AND <br />EMPLOVERS'LU\BILITY <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />5 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDEDV <br />If yes tlescnbe intle <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -EA EMPLOYE <br />S <br />ELDISEASE-POLICY LIMIT <br />3 <br />A <br />OTHER <br />rime Coveragerofessional Liability <br />PHPKIS6499 <br />PUPKIS6499 <br />01/30/2006 <br />01/30/2006 <br />Ol 30/2007 <br />01/30/2007 <br />See Below <br />$1,000,000 OCC/$3,000,000 OCC <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PRDVISIONS <br />City of Santa Ana, its officers, agents and employees are named as additional insureds with <br />respects to all operations by the named insured for general liability only as a funding source. <br />ten day notice of cancellation shall be given in the event of non-payment of premium <br />r eeoriv.n w-.w <br />SHOULD ANY OF THE ABOVE OESCRMEO POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL Q" MAIL <br />City of Santa Ana/Fez Daisy Wheel Network Santa Ana Work Center 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Attn: Bea Gonzalez �tDOPIFX(AfKH4(X91iC+%N7iN9FX�XJF17XX9(9C9pXXq(.76@XXXXX <br />1000 E. Santa Ana, Suite 200 )g9(MX9plp1("K 9®@FR9fXA XKMXXPB&FNMMMXXXXX)MX <br />Santa Ana, CA 92701 AUTHIPJILCIFL) REFRESSNTA71VE r <br />ACORD 25(2001108) FAX: (714)565-2602 <br />