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04- 05 -'10 07;96 FROM- All._..1 Insur,Agency T -912 P0002/0004 F -679 <br />°!ra� CERTIFICATE OF LIABILITY INSURANCE °i�ii2oioYY) <br />PRODUCER (916) 784 -9070 >iAXt (916) 784 -0158 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />All -Cal Insuranco Agency <br />$05 Vernon Street <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE CO DE AFFORDED BY THE POLICIES BELOW. <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE! BEEN REDUCED BY PAID CLAIMS. <br />Roseville CA 95678 <br />,K. <br />INSURERS AFFORDING COVERACE NAIC # <br />rN5URED <br />_ <br />INSURER ffon rQglts Ins Al Liance of 0A_ <br />Southwest Minority Economic Development Assoc. <br />__ ..._... <br />INSURERB:North American E1Lte Ins <br />DBA: Sourthwest Community Center <br />INSURE C: <br />_11000.000 <br />5001000 <br />Y� <br />INSURER O: <br />_ <br />1601 West 2nd Street <br />b`aYlt e a CA 92703 <br />INSURER E: <br />„1 0, 00, 00-Q- <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOIWIT14STAN DING <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 NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EX ;LUSIONS AND CONDITIONS <br />OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE! BEEN REDUCED BY PAID CLAIMS. <br />Ik <br />3-111 sm R DD y pOLIOYNUMBER POLICYBPF2C V LII E Pl TIO <br />T <br />LIMITS <br />GENERAL LIABILITY <br />EAC I�CCURR€NC6 <br />X COMMERCIAL GENERAL LIABILITY <br />. PRrh GIW�S -( 7i —ENT 0� S <br />_11000.000 <br />5001000 <br />A X CLAWS MADE OCCUR <br />MEDECP (Any OAeperson) „ S <br />20,000 <br />x PROFESSIONAL.LIAH. 2010- 02312NPO 3/25/2010 3/25/20il <br />21511808I A OV)NJURY I <br />„1 0, 00, 00-Q- <br />OENEPAt AGGREGATE_ <br />2.000.000 <br />OErLAGGREg �ELIMITAP LI SPER. <br />PRODLCTS- COMP /O_PACL3_ f <br />2,000,000 <br />P 0 <br />POLICY ; MOD <br />AU <br />TQMODILBLIABILITY <br />COMS(VEOSINOLELIMIT <br />S <br />11000,000 <br />ANY AUTO <br />(Ea acc dell) <br />80DILti INJURY <br />3 <br />+ <br />A <br />X <br />ALLOWNEDAUTOS <br />X <br />8CHEDULEDAUTOS <br />(Perpe son} <br />— <br />BODILIINJURY <br />X <br />HIREDAUTOS <br />2010- 02312HPO <br />3/25/2010 <br />3/26/2011 <br />X <br />NON•OWNEGAUTOS <br />(Para -*nt) <br />S <br />PROPERTYDAMAGE <br />_ -. <br />(P01116Aanl) <br />GARAGE LIAOILITY <br />AUTO (INLY- EA ACCIDENT , <br />_3,• <br />OTHER THAN ,EA CO <br />ANY AUTO <br />®� <br />'to <br />3 <br />AUTO ONLY: AGO <br />EXCESS /UMBRELLA LIABILITY <br />OCCUR CtAWS MADE <br />4 (� <br />-EACH OCCURRENCE <br />S <br />AG(RfO_A7E <br />—�I <br />pxtoYre <br />s <br />���a <br />DEDUCTIBLE <br />RETENTION S <br />gg�5 <br />3 <br />WORKERS COMPENSATION <br />N087 109- <br />AND EMPLOYERV LIABILITY YI <br />ANY PROPRIETOWPARTNERIEXECUTiVE <br />El.E 3HACCIPENT _ <br />$ <br />E.L.OINEASE- EAEMP <br />OFFICEPAISMBER EXCLUDED? <br />(MandalorylnNH) <br />E.L. CL:EASE • POLICY LIMIT <br />V <br />$MpN FL VISION og <br />OTHEREMPLOYME DXSHONESTY <br />CWM 0000 29507 02312 <br />3/35/2910 <br />3/25/2011 <br />LIMITS <br />10,000 <br />FORGERY /ALTHRATION <br />heGUCrzBt>45 <br />1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 16XCLUSION8 ADDED BY ENDORSEMENT I6KCIAL PROVISIONS <br />THE CITY OF SANTA ANA, ITS OrVICERS, AGSHTS, OFFICIALS, 910LOY$38, AND VOLUNTE'E'RS ARE Nman ADDITIOTYAL 3N8UAED AS A <br />FMING SOUROE. RRX14ARY WORDING, 8- RIMRABILITY OIP INTEREST, AND FORM CC 20 26 APPLIES. <br />110 PAY NOTICE OF CANCT':I,LAVroN FOR NON-PAymNT Or PMWT.UM <br />(714) 647 -6549 SBOULDANYOFTH900VE10960 OrDPOLICIESBECANCELLEDBEFORETHEEXPIRA71011 <br />CITY OF SANTA ANA DATE THEREOF, THL ISSUING INSURER WILL K(( (#) *JAIL !.3_0 DAYS WRITTEN <br />ATTN: LUCY VLORE$ NOTICE TO THE CERTIFICATE HOLDER NAMEDTO THE LEFT, 3i 'X"MWX <br />20 CIVIC CENTER PLAZA, M -25 i�4D` 31CCrihQ119( �tXrED( (t3@AJ4df+i(A4�€ITkk$XI)CS`r34# <br />PO BOX 1988 <br />BANTA ANA, CA 92702 <br />AUrkOR12ED REPRESENTATIVE <br />ACQRD 20 (2009101) ©198 •2 9 AiCOht ftP�TION. All rights r0orved, <br />INS020(20M11) Th6 ACQRD name and logo aro registered marks tA"RD <br />