|
<br />ACORD", CERTIFICAU OF LIABILITY INSURA.."CE I """' (MMtODIYY)
<br />0612312003
<br />I'I<<lDU<:ER Serial # B1221 THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION
<br />MAGUIRE INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />LIC 1\f0317645 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW_
<br />26300 LA ALAMEDA, SUITE 470 INSURERS AFFORDING COVERAGE
<br />MISSION VIEJO, CA 92691
<br />........, FEEDBACK FOUNDA nON IHSUReR A:. PHILADELPHIA INDEMNITY INSURANCE COMPANY
<br /> 1200 N_ KNOLLWOOD CIRCLE INSlJRER B:
<br /> ANAHEIM, CA 92801 INSUAERC: ,.
<br /> INSURER 0: .. -_.
<br /> I tNSIJRER E:
<br />
<br />COVJ:RAGJ:S
<br />
<br />'floE POLICIES Of INSUWICE USTED BeLOW HAVE BeN ISSUED TO 1HE INSle!DNAMEO ABOIIE FOR T1-lE F'OUCY PERIOOIN:ll~TEO_ NOlWlTHSTANOING
<br />NN RIOQlIREMENT, TERM OR CONOmON OF NN CONTRACT OR OTHER [)(lCl.U;NT 1MTH RESF>ECT TO VHCH THIS camFI~TE MAY BE ISSUED OR
<br />MAY PERTIIIN, THE INSURANCE AFFOACEO BY THE POLICIES DESCRIIlED HEREIN IS SUBJECT TO ^ll THE TERMs, EXClUSIONS mo CONDITIONS OF SUCH
<br />POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS.
<br />Ir:t TlPEOF~ POUCYNUII8SR .~~EffE011VE POUOVEXPI ~ -'." lllVTa
<br />GENERAL llA8IUTY EACH occl...lMeNCE $
<br />A rx COMME,qClN.Ce....I<.L""'1UTY PHPK052307 7/1oU3 7/1104 RRECAMAGE(.....,....In) ,
<br />JOI.AlMSMAOe [KJOCCUR MeD_("",..._':."~,t '
<br />X PROFESSIONAL L1AB_ PSlSONAL & AD'i I/WRY I
<br />2,000,000 AGG GENERAL AGGREGATE I
<br />PROOUcTs. COMP,op;.GG $;
<br />
<br />7/1104 COMQINED SINGLE LNIT I 1,000,000
<br /> (Ea._
<br /> BOOILV 1f'UJRY I
<br /> (1'0<,.,...,.,
<br /> -~-
<br /> SOOOLY INJURY I
<br /> 1Pw_
<br /> PIlOPERTYOMlNJl; I
<br /> (Pw oodden1)
<br /> AUTO OM. y. Er'I ACClOIiNT I
<br /> <mER T""" EAM:;C I
<br /> AlITO ONlY: M~ I
<br /> eJCH oect.llReNCE S
<br />
<br />I
<br />.
<br />$
<br />I
<br />- H-
<br />I rCiflYliMi'fitL 1-...
<br />EL.EACHACCID9IT S
<br />E.LDl~.EAEMPl.DY5Ii S
<br />~~~-~~u~r I
<br />BUILDING $1,247,200
<br />EMPLOYEE DISHONESTY $100,000
<br />THEFT INIOUT $1,000
<br />
<br />GEH'l AGGR~ UMlT APPlies PeA;
<br />"Xl POlICY..Li~ n LOC
<br />AUTOMOAU L1ACIlUTY
<br />A X A""AurO
<br />- All Ol/oNeo AUTOS .
<br />- &CHeDULEDAVTOS
<br />X HlREDAUTOS
<br />X NON-OI'oINED,.".O&
<br />l-
<br />t-
<br />
<br />PHPK052307
<br />
<br />111m
<br />
<br />GARAGE lMIUTY
<br />R AfoN AUTO
<br />
<br />EXCIiSSLIAIIflITY
<br />A 1J"=tAl 0 OI.AlMS MAtE
<br />
<br />"I DEDUeTIet.E
<br />--, RETENTlON I
<br />WOAKEM CClMf"B'.JATJQflI AND
<br />EMPLOYERS'LIAEItUT'f
<br />
<br />PHUS01S670
<br />APPROVED AS
<br />VU ,,,I,
<br />
<br />7/1103
<br />o FORM
<br />
<br />711104
<br />
<br />AGGREGATi'
<br />
<br />Laura Sheedy I
<br />Deputy City A tlorney
<br />
<br />A ""'..
<br />PROPERTY
<br />CRIME
<br />
<br />PHPK052307
<br />
<br />7/1oU3
<br />
<br />7/1104
<br />
<br />1,000,000
<br />100,000
<br />5,000
<br />1,000,000
<br />2,000, oo~(r'
<br />2,000,000
<br />
<br />1,000,000
<br />
<br />.-
<br />
<br />IlOIClI11'TIOOlCF""""ATIONOL_~~"'IlOED/JYENIlDR~I'IIO\""_
<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 POLICY IS PRIMARy AND IS NOT ADDITIONAL TO OR
<br />CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADOITIONAL INSURffiS, WITH THE
<br />EXCEPTION OF SOLE NELlGENCE OR WlLlf'Ul MISCONDUCT BY THE CITY OF SANTA ANA.
<br />
<br />CANCELtATON EXCEPTION, 10 DAY NOTrCE FOR NON-PAYMENT OF PREMIUM_
<br />
<br />CJ:RTIFICATE HOLDER -.l X-.lADOlTlOl/Al. IN_INSURER LIfmiJl: CANCELLATION
<br />
<br />HOl.DER NAME & ADDRESS
<br />CITY OF SANTA ANA
<br />COMMUNITY DEVELOPMENT AGENCY M-25
<br />AnN: CARLA THOMPKINS
<br />P,O. BOX lil86
<br />..J.SANT A AN!\, CA 9Z702
<br />ACORD 2,.a (7197)
<br />O:\fMPROICERTPROS.FPS
<br />
<br />~AHYOF1M!!Al!IOVI!~lK- 'T POUOIEsBeCAHCB..UnDEFORI; THESfoARATlOH
<br />MTE 1llIIRtOI'. THE ISSWNO _ WILl. 30 MYS WRlTWI
<br />NOrIa'::ro THEClRt1F1OAT'G HOLDER trlAMED TO THI!LEFT ~U
<br />II "U I _
<br />~
<br />AUTHOR_~"'TlvE~ ,. -.;r'dttf
<br />
<br />. v qpACOR......ORPORATION 1983
<br />
<br />~
<br />
|