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C.L. <br />ACORD_CERTIFICATE OF LIABILITY INSURANCE oPIDXD <br />°'',702'' <br />THOMA 1 <br />to0oz/o7 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />NSRD <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Huntington Pacific ins. Agency <br />A'Z�0$-�s8-� 2 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />18672 Florida St. Ste. 302D <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Huntington Beach CA 92648 <br />Phone: 714-841-6283 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Thomas House Temporary Shelter <br />WSURERA: areae A.AriaaP iaaurama tb. <br />INSURERS: <br />INSURER C: <br />P.O. Box 2737 <br />X coMMIERCLALGENERALLIABLm <br />Garden Grove CA 92842-2737 <br />INSURER D: <br />INSURERE: <br />COV <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 POLICES DESCRIBED HEREIN IS SL W ECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />NSRD <br />TYPE OF INSURANCE <br />POLICY WAGNER <br />POLICY EFFECTIVE <br />DATE DMUDDRLj <br />POUCYEPIRATON <br />DATE <br />Ll1ETS <br />GENERAL LNBIJTY <br />EACH OCCURRENCE f 1,000,000 <br />A <br />X <br />X coMMIERCLALGENERALLIABLm <br />PAC5603738 <br />10/03/07 <br />10/03/08 <br />DAMAGE TO RENTED <br />PREMISEs(E. 100,000 <br />MEDEIP If, ane Pxtm) i 5,000 <br />CWM6 MADE $❑OLCUfi <br />A <br />X Sexual Misconduct <br />PACS603738 <br />10/03/07 <br />10/03/08 <br />PERSONALaADVINIURY s 1,000,000 <br />GENERALAGGREGATE f 2,000,000 <br />GENL AGGREGATE LIMIT APPLES PER, <br />PRODUCTS-COMPIOPAGG S 1,000,000 <br />X POLICY :E—. LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINEDSINGLE LIMIT <br />ANY AUTO <br />S <br />(Ea RtlaFNI <br />ALL OWNED ALRDS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />f <br />(Par qnm) <br />NREO AUTOS <br />BCOILY INJURY S <br />MON.AUTOS <br />(Paraa:itlenll <br />PROPERTY DAMAGE <br />i <br />i <br />(Para¢M,nll <br />GARAOf I)ABLLITY <br />AUTO ONLY -EA ACCIDENT i <br />OTHER TPNH EA ACC f <br />ANYAUTO <br />AUTO ONLY: <br />AGG f <br />E( LIABIITY <br />`OCCUR <br />EACH OCCURRENCE f <br />❑ CLA616 WADE <br />1 <br />_ _ <br />AGGREGATE f <br />S <br />" <br />DEDUCTIBLE <br />f <br />RETENTION f <br />WORKERS COMPENSATION ARD <br />WGSTAZ OTIL <br />R9IPLOYERYLWMY <br />TORY UMffS ER <br />GL. EACH ACCIDENT f <br />ANY PROPRIETO"ARTHERE%ECUTRVE <br />OFFICERAIEMSER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE f <br />If <br />E.L. DISEASE• POLICY LIMIT f <br />SPECLLL PROVLSIONS IYew <br />—7 <br />OTHER <br />DESCRIPTION of OPERATIONS ILOCATIONSI VEHICLES 1 EKCIAMONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />The City of Santa Ana; it's officers,employees,agenta,volunteers,and <br />representatives are named as additional insured in respects to the general <br />liability.This insurance is Primary and noncontributory per endorsement CO <br />82 24(ED.12/01)XS.This certificate supercedes any & all prior certificates <br />*10 Day Notice of Cancellation for non-payment of premium <br />CERTIFI <br />CATS HOLDER r_AurFl i ATMnW <br />City of Santa Ana <br />Community Development Agency <br />Att: Frank Hernandez <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />25 <br />CITYSAN SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CA/ICRLLRD BEFORE TNR EIPNATION <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAL 30 DAYS W7BTTEN <br />ROME TO THE CERTIFICATE VOIDER NAMED TO THE LST. BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LNBAITY OF ANY KIND RIPON THE INSLIREt, 98 AGENTS OR <br />REPRESENTATIVES. <br />