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~~ <br />ACOR,~M CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER 626) 599-8830 FAX (626) 599-8831 THIS CERTIFICATE IS ISSUED AS A MAT <br />( ONLY AND CONFERS NO RIGHTS UPON <br />Pacific General Insurance Services pLOTER THE COVERAGE AFFORDED BY <br />405 E. Santa Clara Street <br />Suite 100 INSURERS AFFORDING COVERAGE <br />DATE I!Allu9D/YYYY <br />os/z7/zoos <br />NAIC p <br />Arcad,a, CA 91006 INSURER A. Philadel hia Indemnity Insurance Company <br />~NSURED Mexican American Opportunity Foun ation P <br />401 N. Garfield Avenue INSURERS <br />CA 90640 INSURERG <br />Mo n rebel 1 o e q.2008-149 INSURER 0'. <br />INSURER E. <br />rnVFRAG ES ..~,. nonvc cnP THE POI ICY PERIOD INDICATED. NOTWITHSTANDING <br />TH E PO <br />RE LICIES OF INSURANCE LISTED BEL <br />TERM OR CONDITION <br />QUIREMENT OW rwvc oco. i~~~~~ ~ ~- •• •-.. <br />OF ANY CONTRACT OR OTHER D --~-- - <br />OCUMENT WITH RE <br />SUBJECT <br />SPECT TO WHICH <br />TO ALL THE TERM <br />TH <br />S, EXCLUSIONS AND CON <br /> <br />DITIONS OF SUCH <br />AN <br />NIA Y <br />Y PE , <br />THE INSURANCE AFFORDED <br />RTAIN BY THE POLICIES DESCRIBED HE REIN IS <br /> , <br />EGATE LIMITS SHOWN MA Y HAVE BEEN REDUCED BY PAID as l <br />PO LICIE S. AGGR ice EFFECTIVE POLICY EXPIRaTON LIMITS <br />INSR OD' TYPE OFINSURANCE POLICY NUMBER <br />PHPK289283 <br />01/30/2008 <br />01/30/2009 <br />EACH OCCURRENCE <br />S 1,000, DDD <br /> GENERAL LIABILnY DAMAGE TO RENTED S lOO s OOO <br /> X COMMERCIAL GENERAL LIABILITY MED EXP(My one personl 8 $,DDD <br /> CLAIlAS MADE ^X OCCUR <br />PERSONAL 6 ADV INJURY <br />S 1, DDD , OOO <br />A X GENERAL AGGREGATE S 3, DDD, DDD <br /> PRODUCTS-COMPIOPAGG $ 3,000sDOO <br /> GENT. AGGREGATE LIMB APPLIES PER'. <br /> X POLICY JEGT LOC <br />283 <br />01/30/2008 <br />Dl/3D/2DD9 <br />COMBINED SINGLE LIMIT <br /> PHPK289 $ <br /> AUTOMOBILE LIABIUtt (Ea acntlenll 1, OOO, 000 <br /> X ANY AUTO <br /> ALL OWNED 0.UT05 - BODILY INJURY <br />(Per person) g <br /> SCHEDULED AUTOS <br />A X 00DILY INJVRY g <br /> MREO AUTOS (Per acciaanU <br /> NON-OWNED AlIT05 <br /> PROPERTY DAMAGE g <br /> (POlamtlernl <br /> <br /> AUTO ONLY-E0. ACCIDENT S <br /> GA RAGE UABILItt EA ACC <br />OTHER THPN $ <br /> ANV AUTO pUTO ONLY qGG S <br /> EACH OCCURRENCE $ <br /> E%CESSIUMBRELLA LIABILITY <br />AGGREGATE <br />5 <br /> OCCUR ~ CLAIMS MADE <br />g <br /> S <br /> DEDUCTIBLE <br />5 <br /> RETENTION $ WC STATU- OTH- <br /> WORRERS COMPENB0.11ON 0.ND <br />RS' LIABILITY <br />E L EACH ACCIDENT <br />g <br /> EMPLOYE <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L DISEASE-Ea EMPLOYE 4 <br /> OFFICERIMEMBER E%CLUDE09 <br />LIMIT <br />$ <br /> If yes, tlesaiUa unCer E L DISEASE -POLICY <br /> SPECIAL PROVISIONS below <br />PK289283 <br />01/30/2008 <br />01/30/2009 See B elow <br /> oTyER <br />rime PH <br />PHPK289283 01/30/2008 01/30/2009 $1,000,000 Occ/53,000,000 Agg <br />A rof. Liab. <br />DESCRIPTION OF OPERAnON51 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENOORSEMENi I SPECIAL PROVISIONS <br />n and the c,ty of Santa Ana and their respective officers, <br />ti <br />o <br />he Santa Ana Empowerment Corpora <br />are named as Additional Insureds with regard to <br />i <br />ves <br />mployees, agents, volunteers and representat <br />iability only as a funding source. <br />TEN OAY NOTICE OF CANCELLATION SHALL APPLY FOR NON-PAYMENT OF PREMIUM. <br />CA C ELATION <br /> C RTIFICATE LDE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION GATE THEREOF, THE ISSUING INSURER W ILL ~~ MAIL <br /> The Santa Ana Empowerment Corp. and the 3Q pAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FT, <br /> A <br /> na <br />City of Santa <br /> 20 Civic Center Plaza <br /> P.O. Box 1988 <br />CA 92702 <br />Santa Ana AUTHORIZE R RE N <br /> , i i ~ <br />ACORD 25 (2001!08) / ` L9awrcu wrcr~nn. ,.+,. ~.~- <br />i~~~-~G~ /~Z V <br />