SMEDA (SOUTHWEST MINORITY ECONOMIC DEVELOPMENT ASSOCIATION) (2) - 2012

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04-17- 12' 15::-' FR( Itl- LL-I INS AGENC; 91r 84-01?;_ 1 F'000 I < 01i= ? ? DALE (MMrDUfYYY'fl RQ CERTIF! E OF LIABILITY INSU SINCE _ a/17/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TI- E CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSU NG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT- If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certifi(ate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: All-Cal Agency All-Cal Insurance Agency PHONE (916) 784-9070 FAX (915>?84-6158 Ext). --1_rAW. Not - 505 Vernon Street VnRESS: Roseville CA 95678 INSURED Southwest Minority ECOnomio Develpoment DBA: Southwest Community Center 1601 West 2nd Street Santa Ana CA 92703 1 INSURER F: I _ j ^ 1000AlnCC rrcQT1t1Y`ATC alI 1MRF;Q•CL12A17O2701 RFVI41f1N NL}MBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME[ ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN : WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 'S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL SR TYPE OF INSURANCE POLICYNUMBER MMIDDIYYYY MMfDD LIMITS GENERAL LIABILITY EACH OCCJRRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRFMISFfi FR nrriimenra $ 500,000 A CLAIMS-MADE ?X OCCUR X 2012-02312NP0 /25/2012 /25/2013 MED EXP (.nY mr, pr.rson) $ 20,000 PER90NAI AADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCT -COMPA?PAGG $ 2,000,000 X POLICY PRO LOC PROFESS! ANAL LIABILITY $ 1,000,000 AUTOMOBILE LIABILITY COMBINE[ SINGLE LIMIT Fa Amidnr, 1,000,000 A ANY AUTO BODILY IN URY (Par perm) $ ALLOV&ED AUTOS }t• SCHEDULED X 2 12-02312NP0 0 /25/2012 /25/2013 8061LY IN JRY (Pri 3txidei it) $ X X N0N,O ?OVUNED NON PROPERT' DAMAGE $ HIRED AUTOS _ AUTOS Per R -6dr. rt Medical a -nenls $ UMBRELLA LIAR OCCUR EACH 00( IRRENOE $ EXCESS (JAB CLAIMS-MADE AGGREGA "E $ DED RETENTION$ $ WORKERS COMPENSATION ' WC STATU OTH- AND EMPLOYERS LIABILITY YIN ANY PROPRIET'ORIPARTNEWEXEC1JT Iv> E.L. EACH CCIDENT $ L] OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E.L. OISEA E - EA EMPLOYE $ If ye:, dc*c ibe under DESCRIPTION OF OPERATIONS below F.L. DISEA ;E - POLICY LIMIT $ B EMPLOYEE DISHONESTY owa 0000 29S-10 02312 /25/2012 /25/2013 LIMITS F()I KOTH 10 , 000 FORGERY/ALTERATION DEOUCTIB ES FOR BOTH 1 , 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS ARE NAMED ADDITIONAL INSURED AS A FUNDING SOURCE. EHIMAttY WORDING, SEVERAAxLITY OF INTEREST, AND FORM CG 20 26 APPLIES ()nm TO F Appik TSD p,S G ?? LI (714) 647-6549 CITY OF SANTA ANA ATTN: FRANK HERNANDEZ 20 CIVIC CENTER PLAZA, M-25 PO BOX 1988 SANTA ANA, CA 92702 INSURER C : fits ins Alliance of CA American Elit: Insurance 9700A SHOULD ANY OF THE ABOVE DE g )i?pU611' V VAINCELLED BEFORE THE EXPIRATION DATE THE , NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) (9(19BB-201 RRRO ORPORATION. All rights reserved. INS025 poiao5).or The ACORD name and logo are registered ma f ACp