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<br />ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATE <br />- ,. 04/27/2006 <br />PRODUCER Schweickert & Company THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 15 Peters Canyon Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Irvine CA 92606-1402 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br />INSURED Mercy House INSURER A: Great American Insurance ComDany <br /> P.O. Box 1905 INSURER B: <br /> Santa Ana CA 92702 INSURER c: <br /> INSURER 0; <br />~ 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. NOTWITHSTANDING <br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 />I~~: TYPE OF INSURANCE POlICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />A GENERAL UABJUTY PAC5373885 05/02/2006 05/02/2007 EACH OCCURRENCE $ 1,000,000 <br /> ~MMERClAl GENERAL LIABILITY Sex Abuse Aggregate Limit is FIRE DAMAGE (MV one fire) $ 100,000 <br /> CLAIMS MADE 00 OCCUR $ I ,000,000 MED EXP (Anv one D9fSon) $ 5,000 <br /> X Professional Liability PERSONAL & ADV INJURY $ 1,000,000 <br /> ! ~ Abuse & Molestation GENERAL AGGREGATE $ 2,000,000 <br /> tlfl'l AGGilllMrr APflS PER, PRODUCTS-COM~OPAGG $ 1,000,000 <br /> I X POLICY ~f,9T LOC <br />A ~TOMOBJLEUABJlny PAC5373885 05/02/2006 05/02/2007 COMBINED SINGLE LIMIT <br /> $ 1,000,000 <br /> ~ __ _J ANY AUTO (Ea accident) <br /> : J ALL OWNED AUTOS BODILY INJURY <br /> I .- (Per person) $ <br /> I_._~ ; SCHEDULED AUTOS <br /> i -~J HIRED AUTOS BODILY INJURY $ <br /> l20 NON-QWNED AUTOS (P9faccidenl) <br /> i J PROPERTY DAMAGE . <br /> I (Pefaccldenl) <br /> L GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> r==l AP'N AUTO OTHER THAN EA ACC $ <br /> , i AUTO ONLY: AGG $ <br /> i EXCESS LIABILITY i\ 'rl~jn, 'I ;) EACH OCCURRENCE $ <br /> r----'l o CLAIMS MADE '" . ~, . ) ~:) TO FOF M <br /> I_~ OCCUR AGGREGATE $ <br /> I -----~~~ (JL~)_ $ <br /> f-~ <br /> !__,~ DEDUCTIBLE $ <br /> I j RETENTION $ -- $ <br /> ! WORKERS COMPENSATION AND A,::'~l~tdnt CJ Y Attorney I we STATU-, I 10,!~' <br /> i EMPLOYERS' LIABILITY <br /> I E.l. EACH ACCIDENT $ <br /> i E.l. DISEASE - EA EMPLOYEE $ <br /> E.l. DISEASE - POLICY LIMIT . <br /> , OTHEFMisc. Equipment- PAC5373885 05/02/2006 05/02/2007 $100,000 special form <br />A iRented & Property of othr $],000 deductible <br /> , <br />DESCRIPTION OF OPERA TlONSJLOCATlONSlVEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />The City of Santa Ana, its officials, employees, representatives, and volunteers are hereby named as Additional Insureds as <br />respects the operations of or on behalf on Mercy House Transitional Living Center, performed under contract with The City of <br />Santa Ana. <br />CERTIFICATE HOLDER I X I ADDITIONAL INSURED- INSURER LETTER: A CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELlED BEFORE THE EXPIRATION <br /> City of Santa Ana DATE THEREOF, THE ISSUING INSURER WlLt:1!N~,.O MAIL ~ DAYS WRITTEN <br /> Frank Hernandez Fx#647-6549 NOTICE TO THE CERnRCATE HOLDER NAMED TO THE LEF1';1!t:t'r'1"lltll.t:IM!-TO"ro-se-MtAt.L <br /> PO Box 1988 -1M~-NO'OBt.1GA7ION"'Oft"'t:fA!lIl.1TY"0F'*I'I"r-KIfII" tIP'ON-THE"tNSttfteft; ITS'~ OR <br /> -ftePftI!SENT1llTI'iI!S: <br /> Santa Ana CA 92702 AUTHORIZED REPRESENTATlVE~ ~ <br /> I ',LUIfL . <br /> <br />ACORD 25-S (7/97) <br /> <br />e. fl- , <br /> <br />@ACORD CORPORATION 1988 <br />