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<br /> , A -lOn -fl l( - os <br />ACORD. C'ER~i( ]C~'" OF LIABILITY [SU-t NCE; OPID P' CATE (MMlCOfYY) - <br />OMEN - 3 OS/23/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ISU Ins Srv - Fullerton Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1150 E Orangethorpe Ave,#10l ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Placentia CA 92870 <br />Phone:714-577-5800 Fax: 714-577 -5888 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: PHILADELPHIA INDEMNITY INS. CO <br /> INSURER B: <br /> Womenls Transitional Living INSURER c: <br /> Center <br /> P.O. Box 6103 INSURER 0: <br /> Orange CA 92863 <br /> I INSURER E: <br /> <br />~ <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABove FOR THE POLICY PERIOD INDICATED. NOT'NITHSTANOING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE Issueo OR <br />t.lA Y PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES OESCRlBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGA iE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />tNSR TYPE OF INSURANCE POLICY NUMBER ~~ElMMJOD~YE I P~l'tE '/MMfDorfYrN LIMITS <br />LTR <br /> GENERAL lIABILITY EACH OCCURRENCE $1,000,000 <br /> - <br />A X COMMERCIAL GENERAL LIABILITY PHPK022342 04/04/02 04/04/03 FIRE DAMAGE (Anyone fire) $100,000 <br /> I CLAIMS MADE [!] OCCUR MED EXP (Any Or'le person} $ 5,000 <br /> X See below PERSONAL & AOV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGG:EnE LIMIT APrlS PER: PROOUCTS.COM~OPAGG $1,000,000 <br /> I. PRO. <br /> POLICY JEcr Loe <br /> ~TOMOBILE lIABILITY COMBINED SINGLE LIMIT $1,000,000 <br />A ANY AUTO PHPK022342 04/04/02 04/04/03 IEaaccidenl) <br />- <br /> - ALL OWNED AUTOS BODILY INJURY <br /> SCHEOULED AUTOS {Per person) $ <br /> - <br /> ~ HIRED AUTOS BOOIl Y INJURY <br /> $ <br /> ~ NON-OWNED AUTOS (Peraccidentl <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> ==rGE LIABILITY AUTO ONLY - EA ACCIOENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY; AGG $ <br /> EXCESS LIABILITY AP~JE] AS TO F >RM EACH OCCURRENCE $ <br /> ~-OCCUR 0 CLAIMS MADE i2. / /z. AGGREGATE $ <br /> .-:;~ ~ ~ $ <br /> =j ~EOUCTIBLE i(aufi( Sheedy ( $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND " IrORY L1MrrS I IU J~' <br /> EMPLOYERS' LIABILITY <br /> ~.~. EACH ACCIDENT $ <br /> E,L. DISEASE - EA EMPLOYEE $ <br /> E.L. DISEASE - POLICY LIMIT S <br /> OTHER <br /> *10 DAY CANCELLATION <br /> 1'Oll NON PAYMlN'1' l'llJ:KItJ'K <br />DESCRIPTION OF OPERATIONSILOCATIONsIVEH1CLESfEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents employees and volunteers are named <br />as additional insured as respects to their interest in connection with the <br />named insured. Addit'l insured as respects to general liability per form <br />attached to pol. This pol is primary &: is not additional to or contributing <br />w/ any other insurance *except for gross negligence and willful misconduct. <br />CERTIFICATE HOLDER T y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> CISANBE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATior <br /> DATE THEREOF, THE ISSUING INSURER WILL MAlL ..3JL!. DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ,. <br /> City of Santa Ana-CDBG M-25 .~_ ~A "'.... <br /> Community Development Agency /I, <br /> P.O. Box 1988 M-25 - <br /> Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE ~ I, (j . YI, I ~ -lViVi <br /> I Leslie A. McCarthv ,;'/>; J 0 <br />ACORD 25.S (7197) (/1 @ACO'RD CORI ORATION 1988 <br />