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<br />.IACOR'D.. <br /> <br /> <br />CERTIFICA\.,.... JF LIABILITY INSU.:: ~~M3';2~ <br /> <br />Serialtl B1221 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> <br />"""""""" <br />MAGUIRE INSURANCE AGENCY <br />Lie 1\10377545 <br />26300 LA ALAMEDA, SUITE 470 <br />MISSION VIEJO, CA 92691 <br />INSUlIED FEEDBACK FOUNDATION <br />1200 N. KNOLLWOOD CIRCLE <br />ANAHEIM, CA 92801 <br /> <br />INSURERS AFFORDtNG COVERAGE <br />PHILADELPHIA INDEMNITY INSURANCE COMPANY <br /> <br />INSUReR A:. <br />IHStIREA 8: <br />INSURER c~ <br />INSURER D: <br />INSURER E: <br /> <br />COVERAGES <br /> <br />nE POUClES Of INSURANCE USTEO IlEI.OW HAVE BEEN ISSUEOTO THE INSLl'lED~ Mt::NE FOR THE POlICY PERIOD INlICATED, NOlVI1THSTANDlNG <br />NN FleQlJREMENT, TERM OR CONOmON Of NN CONTRACT OR OTHER DOCUMENT v.rni REsPECT TO lfI+lICH lHlS Cl;RTIFICA TE MAY BE ISSUEO OR <br />MAY PERTAIN. THE INSlJRANOE AFFOAOeD BY THe POUOIES llESORlBEO HEREIN IS SUBJECT TO,lJ.L mE TERMs, EXClUSIONS AND CONtllTlONS OF SUCH <br />POlJClES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO~, _.' <br />m TYPEOF~ POUCYNUMUm ~ EFFECl' POUOYmcAlUt11ON LIMITS. <br />~ENEfUL llA8l.tTY EACH OCCI.JRftt:rCE S <br />A X COMMERCINoDeNORAlUNllUlY PHPK052307 711,u3 711104 """""""'DElAny......'. <br />I CLAIMS MADe [K] OCCUR NEO EX? (Any DM ":".-":::.'L $. <br />X PROFESSIONAL LIAS. I'fMONAl. & lorN INJUllY . <br />2,000,000 AGG GENERAl. """""""TE . <br />PROOUCT"S. COMP,QP AGG t <br /> <br />I T'O.rr lIMITS I IO;\." <br />ELEACHACCIOEHT S <br />E.L otSEASf; a EA eJPlOyg: $ <br />E"~.POlICYUtM . <br />BUILDING $1.247.200 <br />EMPLOYEE DISHONESTY $100,000 <br />THEFT INIOUT $1.000 <br /> <br />GEN'LAGG~UMIT~PI!A: <br />Xl POlK:Y I I ~ I I LOO <br /> <br />~OMOH..l; LlADlUTV <br />A .15. AN'fAUTO <br />_ All~eoAU1'OS . <br />""7"7' .seHf!tlUl.Er>AVTOS <br />~ H1AEll AUTOS <br />~ """.Q>M<ED AUTOS <br /> <br />7/1103 <br /> <br />COMBINED S1NGLElMIT <br />(Eo_ <br /> <br />7/1m4 <br /> <br />PHPK052307 <br /> <br />BOOIlY I~ <br />(1'0<...-1 <br /> <br />I!OCIlLY~ <br />t'hr~O <br /> <br />PIlOPEflT" 0_ <br />tp.,.- <br /> <br />~~ LIA8UTY <br />-1 AfoN AUTO <br /> <br />AUTO ONLY . EA AcaceNT <br /> <br />~~ LIA_ITY <br />A 2SJOOCUfl OClAlMSMADI! <br /> <br />'I DEOOeTIIlLI' <br />--I RETENTION I <br />WOAKEM c:ot/i"EN.1AllON~"" <br />&MPl.QYEIitS' L1AlIlUTV <br /> <br />EN;H 0CCUIIflENCE <br />AGGREGATIi <br /> <br />s <br />S <br />MO' <br />. <br /> <br />OTHER THN\I <br />AUTO ONt Y: <br /> <br />E'KX <br /> <br />PHua019670 <br />APPROVED AS <br />V 9J. HAI/" <br /> <br />711103 <br />o FORM <br /> <br />711104 <br /> <br />Laura Sheedy . ( <br />Deputy City Al1orl1ey <br /> <br />A ant... <br />PROPERTY <br />CRIME <br /> <br />PHPK052307 <br /> <br />7/1104 <br /> <br />711103 <br /> <br />1,000,000 <br />100,000 <br />5,000 <br />1,000,000 <br />2,000,000'" <br />2.000,000 <br /> <br />. <br /> <br />, ,000,000 <br /> <br />. <br /> <br />-._- <br /> <br />. <br /> <br />. <br /> <br />. <br />. <br />. <br />. <br /> <br />1.000,000 <br /> <br />..- <br /> <br />onauPTJON OF ~TlOfiIIu..OCATfOtiN'.1IC1.E:tIE)((::IllitOHiADtEDBY &~ PROWION6 <br />ADDITIONAL INSURED WITH RESPECT TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES PERFORMED BY OR ON BEHALF <br />OF THE NAMED INSURED, SUCH INSURANCE AS IS AFFORDED BY THIS POI.ICY IS PRIMARY AND IS NOT ADDITIONAL TO OR <br />CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL INSUREDS. WITH THE <br />EXCEPTION OF SOLE NELlGENC~ OR WILLFUl MISCONDUCT BY THE CITY OF SANTA ANA. <br /> <br />CANCEl'LATON EXCEPTION: 10 DAY NOTICE FOR NON.PAYMENT OF PREMIUM. <br /> <br />CERTIFICATE HOLDeR I X 1_1NSM""...,....LETTSt CANCELLATION <br /> <br />HOLDER NAME " AOCREBS <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />ATTN: CARLA THOMPKINS <br />P.O. BOX 1888 <br />,SANTA ANA, CA 92702 <br />ACORD 25-9 (7/97) <br />O:If'MPROICfiRTPROS.FF'5 <br /> <br />~o AWf OF 111EAeove CESCRIBEI) POUCE:sBE CAHCB..LED DEFORE; THE EXPIRATlON <br />MTE THIlR!OF. THE lSSUlHG "SI.IREII WILL 30 MY$ WRITTEN <br />NO'l'ICE:: TO THeCBRTlFtCAT'E HOLDeR NAMED TO THI:; LEFT <br />U1 .~ ..- - 1 - <br />- <br />AUrttORIza>_ATM"~~ <br />V iDACORJ,CORPORATION 1968 <br /> <br />~ <br />