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<br /> <br />PRODUCEti <br />Aon Risk Services ,Inc. of washington, D.C./ Hunt <br />1120 20th Street NW <br />washington DC 20036 USA <br /> <br />DATE (MM/OD/YYYY) <br />03/~7 /f-007 <br /> <br />TillS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TillS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PHONE. 866 283-7122 <br /> <br />FAX- 847 953-5390 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC # <br />10172 <br /> <br />... <br />.. <br />I;; <br />:;: <br />= <br />.. <br />'t:l <br />- <br />... <br />.. <br />'t:l <br />"0 <br />== <br /> <br />INSURED <br />Rebuilding Together Orange County <br />625 S. Cypress <br />Santa Ana CA 92701 USA <br /> <br />~SURERA: westchester Surplus Lines Ins Co <br />~SURERB: <br /> <br />INSURER C: <br /> <br />INSURER 0: <br /> <br />LJ{(\\ ~tfI:!01~_T~=~- ___~~~- :--.: ~_oL~IID!E2;f~e:-=-! ._.~~-"f~n~'-~:'=""':n;;"k"-::&tI~,,,,,"~]]~lll:~l~" ~~:~C:~~ ~o._~~::_L ~,l~i1"'~~d~~ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWlTHST ANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY <br />PERTAIN, 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 />INSR ADD'I POLICY EFFECTIVl POLICY EXPIRATION <br />LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM\DDIYY) DATE(MM\DDlYY) LIMITS <br />A ~~u~'= G2203974AOOl 03/15/07 03/15/08 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED SlOO,OOO <br /> CLAIMS MADE [!] OCCUR PREMISES (Ea occurence) <br /> MED EXP (Any ODe penon) ~ <br /> PERSONAL & ADV ~JURY $1,000,000 <br /> GENERAL AGGREGATE S2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> ~ POLICY o ;::;; 0 LOC PRODUCTS. COMPIOP AGG S2,OOO,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - ANY AUTO (Ea accident) <br /> - ALL OWNED AUTOS <br /> - BODILY INJURY <br /> SCHEDULED AUTOS (PeT person) <br /> - HlRED AUTOS <br /> - BODILY INJURY <br /> NON OWNED AUTOS (peT accident) <br /> - <br /> PROPERTY DAMAGE <br /> - (Per accident) <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT <br /> B ANY AUTO OTHER THAN EA ACC <br /> AUTO ONLY : <br /> AGG <br />A EXCESS /UMBRELLA LIABILITY G21980201002 03/15/07 03/15/08 EACH OCCURRENCE S5.000,OOO <br /> ~ OCCUR D CLAlMS MADE AGGREGATE SS,OOO,OOO <br /> E1DEDUCfIBLE <br /> RETENTION ,1\ ',SD) (' <br /> .. - .L' .i! :'-,' <br /> WORKERS COMPENSATION AND c-f L, /~ /2 ~,;ov ~~'I I~~' <br /> EMPLOYERS' LIABILITY .k:..i2 '1 O-'~" / <br /> -.....-. H_ E.L. EACH ACCIDENT <br /> ANY PROPRIETOR I PARTNER I EXECUTIVE - Sf: -~- -- 'l ... <br /> OFFICERJMEMBER EXCLUDED? t ~:: E.L. DISEASE-EA EMPLOYEE <br /> If yes, describe UIlder SPECIAL PROVISIONS '.. It Ci y ft., EL. DISEASE-POLICY LIMIT <br /> below <br /> OTHER <br />DESCRlmON OF OPERATIONSlLOCA TlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPEClAL PROVISIONS <br />City of Santa Ana is included as Additional Insured with respect to the General Liability policy. See Attached <br />Additional Insured Endorsement. <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Attn: Frank Hernandez DATE THEREOF, THE ISSU~G INSURER WILL ENDEAVOR TO MAIL <br /> 20 Civic Center Dr. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br /> community Development Agency BUT FAILURE TO DO SO SHAll IMPOSE NO OBLIGATION OR LIABILITY <br /> Santa Ana CA 92702 USA OF ANY KIND UPON THE ~SURER, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORlZED REPRESENTATIVE ~M.i.0.6-~~, -/<H..A",,~_ liiJ.'<it <br /> <br />~SURER E: <br /> <br />o <br />m <br />a- <br />N <br />..... <br />0.0 <br />M <br />N <br />o <br />o <br />..... <br />Vl <br /> <br />o <br />Z <br />.. <br />... <br />~ <br /><J <br />I;; <br />:;: <br />.. <br />.. <br />U <br /> <br />- <br />~ <br />~ <br />t-: <br />~ <br />~ <br />~ <br />~ <br />--=- <br />~ <br />t!I <br />~ <br />.-..;, <br />~ <br />~ <br />- <br /> <br />