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<br />) <br /> <br />I ACORD. CERTIFICAT~ OF LIABILITY INSURANt'a: OP 10 1~ DATE (MMIDDNYYY) <br />r WJ:SEPL1 12/27/05 <br /> PRdoUCER THIS CERTIFICATE., ._ ..iUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Advanced Insurance Marketing HOLDER. THIS CERTIFICATE DOES NOT AlIENO. EXTEND OR <br /> P.O. Box 4459 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Orange CA 92863-4459 <br /> Phone: 714-997-B100 INSURERS AFFORDING COVERAGE HAlC. <br /> INSURED INSURER A: Philadelphia I-.J.ty In.. Co. <br /> INSURER B: <br /> Wiseplace, a Ca Corp INSURER c: <br /> Kath1 Bowman <br /> 1411 H. Broadwa~ INSURER D: <br /> Santa Ana CA 92 06 <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 />AHY REQUIREMENT. TERM OR CONDITION OF AN"f CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE 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 CLANS. <br />LTR ~ TYPE OF INSURANCE POlJCY NUIIt8ER DATEI~ DATE IUIIIDDIYYl LIMITS <br /> GENERAL LIABIlITY EACH OCCURRENCE $ 1,000,000 <br /> f-- 01/01/06 01/01/07 =~s lea ocanncel <br />A X X COMMERCIAL GENERAL LlABIU1Y PHPK146446 $100,000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5,000 <br /> PERSONAL & NJV INJURY $ 1,000,000 <br /> GENERAL AGGfiE~TE s2,OOO,OO-O <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 <br /> I POLICY n ~8i n LOC <br /> AUTOMOBILE UABII..JTY COMBINED SINGlE LIMIT <br /> - $ <br />A X ANY AUTO PHPK146446 01/01/06 01/01/07 (Ea accidenI) <br /> - <br /> AlL OWNED AUTOS 800IL Y INJURY $ 1,000,000 <br /> - <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> HIRED AUTOS BODILY INJURY <br /> - $ <br /> NON-OWNED AUTOS (Per accidenl) <br /> f-- <br /> t-- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGELIABIU1Y AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONlY: AGG $ <br /> EXCESSlUMBRELLA UABlUTY EACH OCCURRENCE $1,000,000 <br />A ~ OCCUR o ClAIMS MADE PHUB054785 01/01/06 01/01/07 AGGREGATE s 1,000,000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $10,000 $ <br /> WORKERS COMPENSATION AHD IrORY LIMITS I IOJ~ <br /> EMPLOYERS' UABII..JTY E.L EACH ACCIDENT $ <br /> AN"f PROPRlETORIPARTNERlEXECUTIVE API'R.O '} .ED AS ;T'() t-- () l ~:~ft/1 <br /> OFFICERlUEUBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ <br /> ~. describe under ~ 1- E.L. DISEASE - POLICY LIMIT. $ <br /> ECIAL PROVISIONS below <br /> OTHER .___J___.L./ --!._ 1LL_t?---.__ <br /> LtliCa SUt ~ L....c.Jj <br /> A~~l;)laat Citv i\tlOL(:\, <br />DESCRIPTION OF OPERATIONS I LOCATIOHS/VEHlCl.ESI EXCLUSlONSADOED BY ENDORSEIIENT I SPECW.. PROVISIONS <br />RE: Insured received (BUD) Community Development Block Grant Funding & <br />Emergency Shelter Grant Funding to support their shelter program. for <br />homeless women. The City of Santa Ana, it's officers. agents, employees, and <br />volunteers are named as additional insured per attached CG2026(1185) form. <br />In the event of nonpayment of premium a 10 day HOC may be issued. xxx <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SANTAAN SHOULD AN"f OF THE ABOVE DESCRIBED POUClES BE CANCEllED BEFORE THE EXPIRAlJON <br /> DATE THEREOF, THE ISSUING INSURER WILL I!ICc.OIl..6R 'l'e MAIL 30 DAYS WRITTEN <br />CITY OF SANTA ANA COMMUNITY NOTICE TO THE CERTIFICATE HOlDER NAMED TO THE LEFT, BW pM "DC TO 'Y' fQ GI~"" <br />DEVELOPMENT AGENCY M-25 .'ooel~8BU8JcTIOU 0... UA1SILJY. 01' AH. Jm-m tJPON IHL.II.J3t,~" ff8!1.SSA'E OR <br />MICHAEL GARCIA <br />P.O. BOX 1988 R[PI\~etlf~U <br />SANTA ANA CA 92702-1988 AUTtIO AT/VE <br /> ~~ ~ <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION1988 <br />