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<br />ACD.BQ.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDllIYYYY) <br />04/18/2007 <br />OOUCER (310)393-9477 FAX (310)393-7186 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />hite & Company Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />I 0 Box 70 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />ianta Monica, CA 90406-0070 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />WRED Women's Transltlonal Llvlng Center INSURER A:. Philadelphia Ins Co <br />PO Box 6103 INSURER B: <br />Orange, CA 92863 A-2007 -105-046 INSURE~ C: <br /> INSURER D: <br /> INSURER E: <br /> <br />::>VERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />I\NY 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 EXPIRAllON UMrrs <br />GENERAL LIABILITY PHPK225850 04/04/2007 04/04/2008 EACH OCCURRENCE $ 1,000,00(J <br />X COMMERCIAl GENERAl lIABILITY DAMAGE TO RENTED $ 300.00(J <br /> I ClAIMS MADE 00 OCCUR MED EXP (Any one person) $ 5 , (}()I <br /> PERSONAl & ADV INJURY $ 1,000,001 <br />--- <br /> GENERAl AGGREGATE $ 2,000,OO( <br />--- 1,OOO,00(J <br />GEN'l AGGREGATE lIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br />h POLICY n m~?r n lOC <br />AUTOMOBILE UABlLITY PHPK225850 04/04/2007 04/04/2008 COMBINED SINGLE LIMIT <br />--- lEa accidenI) $ l,OOO,OO(J <br /> AtfYAUTO <br />--- <br /> All OWNED AUTOS BODilY INJURY <br />'-- IPer person) $ <br />X SCHEDULED AUTOS <br />X HIRED AUTOS 60Dll Y INJURY <br />X $ <br />NON-OWNED AUTOS (Per accident) <br />- <br />- PROPERlY DAMAGE $ <br /> (Par accidant) <br />GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br />R AtfY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br />EXCESSlUMBRELLA LIABILITY PHUB082672 04/04/2007 04/04/2008 EACH OCCURRENCE $ 2,OOO,OO(J <br />t:!J OCCUR D CLAIMS MADE AGGREGATE $ 2.000,00(j <br /> $ <br />_ q DED.UCTlBlE $ <br /> RETENTION $ APPROVED S Tn ......~- $ <br />WORKERS COMPENSAllON AND r'-'''' Il/,g~T~W-;, I IO~ <br />EMPlOYERS'LlABlLITY /)// <br />AtfY PROPRIETORIPARTNERlEXECUTIVE 7L:/ .... ~ 1// <- E.l. EACH ACCIDENT $ <br />OFFICERlMEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $ <br />If yes, describe under ~aUra Sti t Sk{cdy r <br />SPECIAl PROVISIONS below ^ ..-. -. E.l. DISEASE - POLICY LIMIT $ <br />OTHER oL.LL. '--'~I .t-\.lLOrney <br />lCRlPTlON OF OPERAllONS IlOCAllONS I VEHIClES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />:y of Santa Ana, its officers, agents, employees, and volunteers are additional insureds as per form <br />.NP-003 (9/03) Item M - Funding Source and Primary Insurance as per form CGOO 01 1204, both <br />:ached to the general liability policy and accompanying this certificate. <br />xcept for 10 days written notice of cancellation for non-payment of premium. <br /> <br />City of Santa Ana - CDBG M-25 <br />Attn: Frank Hernandez <br />P.O. Box 1988 M-25 <br />Santa Ana, CA 92702 <br /> <br />N <br />SHOULD AIf'f OF THE ABOVE DESCRIBED POUClES BE CANCaLED BEFORE THE <br />EXPIRAllON DAJE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30* DAYS WRITTEN NOllCE TO THE CERTlfICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOllCE SHALL IMPOSE NO OBUGAllON OR UABllITY <br />OF AtfY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Kathleen Benner <br /> <br /> <br />ORD 25 (2001/08) FAX: (714)647-6549 <br /> <br />@ACORD CORPORATION 1988 <br />