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0} —�81— 1� 15:26 FF1UP1— riLL -I -� L IIdS AGENCY 1Fl -7 4 6158 _= G19�1FJ]''0LiLl n <br />q� & _ CERTIFICATE OF LIABILITY INSURANCE � 4/ IM,D_ryrYl <br />4 /flr�(713 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY '(HE POLICIES <br />POW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBRO( ATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain poliolas may requite an endorsement. A statement on this certifica does not confer right, to the <br />certificate holder in lieu of such ondorsement(s). <br />PRODUCER NAME: <br />All -Cal Insurance Agency PHONE <br />505 Vernon Street <br />Roseville CA J95678 - INsuRERA; <br />INSURED w � INSURER8: <br />Southwest Minority Economic Davelpoment Assoc. INSURER C: <br />DHA: Southwest Community Center INSURER D: <br />1601 West 2nd Street INSURER E: <br />Santa Ana CA 92703 INSURER F: <br />York <br />Rom <br />of CA <br />oCVIQIrTM MI IMRFw. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED / BOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Whit CH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - -__ <br />7R <br />-� TYPEOFINSURANCE <br />D L <br />POLICY NUMBER <br />M IUD EW <br />MMrDftIYYYY <br />LIMITB <br />- <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL UA81L ITV <br />EACHOCCUIR�EN F <br />$ 1,000,000 <br />PREMISES b occ n' ual _. <br />?._. 500, 000 <br />MEDFXPA+roarni <br />(' <br />PERSONAL ArAINJURY <br />$ 201000 <br />A <br />GLA816MADE- � OCCUR <br />X <br />2013 -02912 <br />/25/2013 <br />/25/2014 <br />5 1 000,000 <br />GENERAL A:GREGATE <br />2,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER <br />PRODUCTS COMP /OPAQG <br />5 2,000,000 <br />PROFESSIO ,AL LIAEILIrV <br />' <br />BINED IN L LIMIT tffLciMnll _____ <br />S 1,000,000 <br />_$_ 1.000i�00 <br />_x1 POLICY PRO F LOC <br />AUTOMOBILE LIABILITY <br />BODILY INJI RY(Per pe,jan) <br />ANY AUTO <br />ALL OWNED SCHEOULEO <br />AUTOS NO AWNED <br />HIREDAUTOS AUTOS <br />2013 -02312 <br />/25/2013 <br />/25/2014 <br />$ <br />BGDILV INJI �Y (Par acutlmn) <br />3 <br />PROPERTY ! <br />Parcoeev' <br />S <br />S <br />UMBRELLA LIAM <br />OCCUR <br />EACH OCCI +RENLE <br />S <br />EXCESS LIAB <br />CLAIMS MADE <br />AGGREGAT <br />DOD RETENTIO $ <br />WORI(ERSCOMPENSATION <br />4 <br />$ <br />X `IT OTH- <br />E.L. EACHA_'GIDENT <br />8 11000,000 <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIVXeCUfIVE YIN <br />CI <br />E.L SEAS _EAEtd PLOYE <br />11000,000 <br />OFFICCWEM RAEMBER [EXCLUDED? <br />(M.d.Wq JA NH) <br />N/A <br />WC 2013 0000 3364 <br />3/26/2013 <br />/26/2014 <br />E.L. DISEAS -POLICY UR+IT <br />_5 _.__ _ <br />$ _1 000 000 <br />T yy36tl65Cr1ilO U1&r <br />DESCRIPTION OF OPERATIONS IxIow <br />_ <br />C <br />EMPLOYEE DISHONESTY <br />CR80000295 -11 <br />/25/2013 <br />/25/2014 <br />LIMITS 25,000 <br />FORGERY /ALTERATION <br />MOW ML - -s 1 , 000 <br />��- <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ARalh ACORD 101, AddlOOnal Remarks Senedulo, R Mora opaee Ie requlmd) <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, OFFICIALS, EMPLOYEES, AND vOLUNTEERS ARE NAMED ADDITIONAL <br />INSURED AS A FUNDING SOURCE, PRIMARY WORDING, SEVERABLLITY OF INTEREST, AND FORM CG 20 26 APPLIES. <br />APPROVED AS TO FORM <br />(714)647 -6549 <br />CITY OF SANTA ANA <br />ATTN: - FRANK HERNANDEZ' - <br />20 CIVIC CENTER PLAZA, M -25 <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />ACORD 26 (2010105) <br />INS026 (201U05)01 <br />SHOULD ANY OF THEfiN SERl�ED' POLrICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, N')TICE WILL SE DELPIERED IN <br />ACCORDANCE WITH THE POLICY PROVISI )NS. <br />AUTHORIZED REPRESENTATIVE <br />The ACORD name and logo are registered <br />All rights reserved. <br />