Laserfiche WebLink
/ OP -t4-'08 15:28 FROM- A-2008-068-10 T -379 P001/002 F-397 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />5/14/2008 <br />PRODUCER (915) 784-9070 FAX., (916) 784-0158 <br />All -Cal Insuzange A an <br />9 �y <br />801 Riverside Ave. <br />Suite 105 <br />Roseville CA 95678 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />FOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Southwest Community Center <br />1601 West 2nd Street <br />Santa Ana CA 92703 <br />IIVSURERA;NOn rOfitS Ins Alliance <br />IN.5URGRB--North Americ" Elite Ins <br />WSURERC; <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGRFnATF I IMITS SHCWN MAY HAV£FEN Eft IC:Fn RY PAID CLAIMS. <br />INSRADWL 4a& <br />INSRC <br />TYPE 0FINSURANCE <br />31 YNUMBER <br />PDATEYEAAPNEC kPDA7E <br />M ICY EX N <br />LIMITS <br />GENERAL LIABILITY <br />KAC:H(N',(.IIRREN"E S 1,000,000 <br />ED <br />PR�LGRPA fanr m a S' 100,000 <br />X COMMERCIAL GENERAL LIABILITY <br />A <br />X <br />CLAIMS MADE 000CUR <br />2008-02312NPO <br />3/25/2008 <br />3/25/2009 <br />MED EXP LAny one armn 10,000 <br />PPRAO L&ADVIbWURY S 1,000,000 <br />GENERALA ,RF.GATE $ 2,000,000 <br />PRODUCTS- .lIMP1nPACC S 2,000,000 <br />GENIAGGREGATE UMITAPPUESPER: <br />PROFESSION" X,%A)N. 1,000,000 <br />X I POLICY PRO Loc <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />COMBINEO SINGLE LIMIT <br />(EaAteldem) S 11000,000 <br />BODILY INJURY <br />(Perpew) S <br />A <br />X <br />ALL OWNED ALMS <br />X SCHEOVLEDAUTOS <br />2008-02312NPO <br />3/25/2008 <br />3/25/2009 <br />BODILY INJURY S <br />(Plrsctidanu <br />X HIRED AUTOS <br />X N014 -OWNED AUTOS <br />PROPERTY DAMAGE S <br />(Per acc+denn <br />GARAGE LIABILITY <br />AUTO ONLY- EA ACCIDENT S <br />OTHER THAN FA ACC E <br />ANY AUTO <br />AUTO ONL ,. <br />FXCESSIUMBRELLA L(ABIUTY <br />-._ `.. .. <br />C)MIRRENCEs <br />OCCUR 0 CLANS MADE <br />,.��:' ,,/ <br />/� <br />AAArGATE s <br />DEDUCTIBLE. <br />9 <br />S <br />RETENTION <br />L' <br />WORKERS COMPENSATION AND <br />TA -OF - <br />EMPLOYERS' LIABILITY <br />H ACCIMNT E <br />ANY PROPRIETORIPARTNERIEXECUTNE <br />E.L. DISEASE - EA EMPLOYEE S <br />OFFICER/MEMBER EXCLUDED? <br />If yes, descnbe under <br />SPECIAL PROVISIONS gem <br />E,L. DlqFAfG -POLICY LIMIT S <br />B <br />OTHER EMPLOYEE DISHONESTY <br />CM 0000 295-06 02312 <br />3/25/2008 <br />3/25/2009 <br />LIMITS 10,000 <br />iORGERY/ALTERATION <br />VZOVOTIBLES 1, 000 <br />DESCRIPTION OF OPERATIONSILOCATMI&NEHICLE:?!EXCLUSIONS ADDED BY ENDORSEMMIYJSPECIAL PROVISIONS <br />THE CITY Or SANTA ALTA, ITS OFFICERS, AGENTS, OFFICIALS, EMPLOYEES, AND VOLUNTISZR a AIM NAM= ADDITIONAL, INSURED AS A <br />FUMING SOURCE. FORM CG 20 26 APPLIES. <br />*10 DAY NOTICE OF CANC&LLATION FOR NON-PAYNENT OF PREMIUM <br />CERTIFICATE HOLDER CANCELLATION <br />(714) 647-6549 <br />SHOULD ANY OF THE ABOVE 098CRIBED POLICIES BE CANCELLHO BEFORE THE <br />CITY OF SANTA ANA <br />EXPIRATION LUTE THEREOF, THE ISSUING INSURER IMLL X46 1= MAIL <br />ATTN: FRANK HERNANDEZ <br />30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAYIED TO THE LEFT, XXX <br />20 CIVIC CENTER PLAZA <br />P.O. BOJ[ 88 <br />SANTA ANA,, CA 92702 <br />X+1 �C+`E>;G��E d14A�a66�iJE,�rXf�e. <br />AUTHORIZED REPRESENTATIVE 1. <br />ACORD 25 (2001108) ` \ CORD CORPORATION 088 <br />INS025 (moopes 1 <br />