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<br />\ <br /> <br />ACORD~ CERTIFICA TI!"bF LIABILITY INSURANeE I DATE <br />11/26/2002 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />All-Cal Insurance Agency/916 784-9070 PHONE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />420 Folsom Road, Suite #C ALTER THE COVERAGE AFFORDED 8Y THE POLICIES 8ELOW. <br />ATTN: BEVERLY INSURERS AFFORDING COVERAGE <br />Roseville CA 95678- <br />INSURED INSURER A' NON-PROFITS INS . ALLIANCE OF CALIFORNIA <br />VIETNAMESE COMMUNITY OF ORANGE COUNTY INSURERBEXECUTIVE RISK INDEMNITY <br />1618 W. FIRST STREET INSURERCFIDELITY & DEPOSIT COMPANY OF MARYLAND <br /> INSURER D <br />SANTA ANA CA 92703- INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITliSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Ir~ TYPE OF INSURANCE POLICY NUMBeR P~,N~~~~~ POLICr,~PI~N LIMITS <br /> DATE MMIU <br />A GENERAL LIABILITY / / / / EACH OCCURRENCE $ 1,000,000 <br />- <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anv one firel $ 50,000 <br /> I CLAIMS MADE ~ OCCUR 2002-04575 10/04/2002 10/04/2003 MEO EXP (Anyone person) $ 5,000 <br /> c-!- PROFESSIONAL LIAS. PERSONAL & ADV INJURY $ 1,000,000 <br /> ~ IMPROPER SEXUAL CON. / / / / GENERAL AGGREGATE $ 1,000,000 <br /> Iil'L AGG~EnE ~~~ ~ PER: PRODUCTS. COMPIOP AGG $ 1,000,000 <br /> X POLICY JEer LOG / / / / <br />A ~UTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT <br /> ~ ANY AUTO (Eaaccident) $ 1,000,000 <br /> '-- All O\o\oNED AUTOS 2002-04575 10/04/2002 10/04/2003 <br /> BODILY INJURY <br /> - SCHEDULED AUTOS (Per person} $ <br /> ...!.. HIRED AUTOS / / / / BODILY INJURY <br /> c-!-- NON-OWNED AUTOS (Per accident) . <br /> I-- / / / / PROPERTY DAMAGE <br /> (Per accident) . <br /> RRAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG . <br />B EXCESS LIABILITY DIRECTORS & OFFICERS 10/04/2002 10/04/2003 EACH OCCURRENCE . <br /> :J~CCUR ~ CLAIMS MAOE AGGREGATE $ <br /> PER CLAIM $ 1,000,000 <br /> R DEDUCTIBLE 8166-9427 / / / / , <br /> RETENTION $ AC' I orA . <br /> WORKERS COMPENSATION AND n.r> / / / / TT&$Lr,"w~1 IU~,\'. <br /> EMPLOYERS' LIABILITY \..J?) <br /> ~p~ ~ J E.L. EACH ACCIOENT $ <br /> Lk~eedY , / / EL DISEASE - EA EMPLOYEE $ <br /> I E.L. DISEASE. POLICY LIMIT . <br /> OTHER Deputy City Attorn<N <br />C EMPLOYEE DISHONESTY CCP 0049129-01 10/04/2002 10/04/2003 LIMITS 75,000 <br /> FORGERY/ALTERATION D&DUC'l'IBLE 500 <br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSlONSADDEO BY ENDORSEMENT/SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA , ITS OFFICIALS, OFFICERS, AGENTS, EMPLOYEES I AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED <br />AS RESPECTS THEIR INTEREST IN CONNECTION WITH THE NAMED INSURED. <br />CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL )V\l~X~<< MAIL <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,I!iQfO(X <br /> CITY OF SANTA ANA/CDBG ~)fll~il<~~lIlllilllllllX~l!M:ll)(lI:lA1IlOtllX>llllolQll~ltME <br /> COMM.DEV.AGY./L.FLORES X1M~1l1610ill_)(*~ <br /> P.O. BOX 1988/M-25 AUT't'\R~O RE~TATIVE ~..? <br /> SANTA ANA CA 92702- ./ .A I1A <br />ACORD 26-5 (7/97) ELECTRONIC LASER FORMS, lfe. . (600)327.Q545 (I ~v @ACORD CORPORATION 1988 <br />~m.INS026S (9910).01 Page1d2 <br />