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—�� LEGAAID -01 MALE <br />a # %. ° CERTIFICATE OF LIABILITY INSURANCE DATE(M <br />6/30/1201201YYY) <br />0 <br />tODUCER (805) 965 -0071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />^own & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />O. Box 1469 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />rota Barbara, CA 93102 -1469 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />BURIED Legal Aid Society of Orange County INSURERA- Philadelphia Insurance Company <br />2101 No. Tustin Ave., INSURER B: <br />Santa Ana, CA 92705 INSURER C: <br />INSURER D: <br />INSURER E: <br />OVERAGES <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 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 />R ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />X <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE PC] OCCUR <br />PHPK568085 <br />7/1/2010 <br />7/112011 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />PREMISES Ea occurence <br />$ 100,00 <br />MED EXP (Any one person) <br />$ 5,00 <br />PERSONAL & ADV INJURY <br />$ 1,000,00 <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY JECT C LOC <br />PRODUCTS- COMP /OP AGG <br />$ 2,000,00 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-0 WNED AUTOS <br />PHPK568085 <br />ai <br />1'�.� <br />711/2010 <br />gg�I�y <br />Y fair <br />7/1/2011 <br />ggjj��[[ <br />F' OYM <br />_ <br />RCj( <br />(aa� ent)INGLELIMIT <br />$ 7,000,00 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY <br />$ <br />X <br />PROPERTYDAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />ASSlstan t City <br />Attorney <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EAACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS / UMBRELLA LIABILITY <br />X OCCUR r_1 CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />PHUB307164 <br />7/1/2010 <br />7/1/2011 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />AGGREGATE <br />$ 1,000,00 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR /PARTNER/EXECUTIVE❑ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />Abuse & Molestation <br />PHPK568085 <br />711/2010 <br />711/2011 <br />Per Occurrence 2,000,00 <br />3CRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />B attached page. <br />:RTIF <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />City of Santa Ana - CDBG M -25 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Community Development Agency IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />P.O. Box 1988 M -15 <br />Santa Ana, CA 92702- REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />c- <br />:ORD 25 (2009/01) ©1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />