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04 -08—' 221 15: 25 FROM —ALL —CAL INS AGENCY 91fi -784- 001158 '2 F000.1 100c' 6F,
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<br />CERTIFICATE OF LIABILITY INSURANCE
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<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 THE POLICIES`
<br />�OW. THIS CERTIFICATE OF INSURANCE. DOES' NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />thB terms and GondiPlohs o-4-the pD9 +cy, Sartain pO110i ®S may requUe an Endorse lTwArd, A statamanC on this certifica ^ d0e6 not canrar I'ight6 tot e
<br />All -Cal insurance Agency P wE (916) 784 84 -907
<br />505 Vernon Street .dianna8D11- •calinaurlancs con
<br />INSURER �AFFORDING COYER, Gk_
<br />Roseville: CA 955678 INSURERA:NangxOfits' Ina, Alli nee
<br />INSURED
<br />southwest Minority $Oonomic Develpoment Assoc,
<br />D13A1 Southwest Community Center
<br />1501 Went 2nd Street
<br />RaTtEm Ann _CA 92703. .
<br />rCnvlrin AVIC ul
<br />?dry ki ra l'11,1111 h"I 44” ;1
<br />THIS IS YO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED I BOVE FOR THE POLICY PERIOD
<br />INDICATED. NOYNflTHSTANDINC , r ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W7H RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORD8D BY THE POLICIES DESCRIBED HEREIN I SUBJEC'r TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />-� TYPE OF INSURANCE
<br />opm
<br />POLICY NUMBER
<br />BE UO Ew
<br />MAVCOI) P
<br />LIMITS _
<br />GENERAL LIABILITY
<br />EACH OCCU IRENCE
<br />S 1,000,006
<br />X COMMERCIAL GENERAL LIABILITY
<br />500,000
<br />NED EXP(A�+ov+Pa�aa/ie
<br />S 20,000
<br />}4
<br />CLAINMwMAOE a] OCCUR
<br />T(
<br />2013 -02952
<br />�i029! ?013
<br />/25/2014
<br />5 1,000,000
<br />PEAWNAL ALNINJURY
<br />GSNERALA;GREGATE
<br />G 2,000,000
<br />GF,N'LACI3REGATF. LIMIT APPUE8 PER
<br />PRODUCTS COMP /OPAOC
<br />S 2,000,000
<br />PROFESSIO SAL UARII.ffY
<br />$ 1,000,000
<br />X POLICY PR- LUC
<br />AUTOMOBILE LIABILITY
<br />_ME i'INile0111N L T
<br />—__ '�- O Q
<br />ANY AUTO
<br />BOOILYINARY(R- P-reOA)
<br />GpbILV INJI RY (Paraceiam10
<br />&�
<br />ALL OVMO SCHEOULEO
<br />2013 -02312
<br />/25/2013
<br />/2872014
<br />AUTOS AUTOS
<br />PROPERTY !AMA i
<br />----^"
<br />NON WNEO
<br />AA
<br />HIRf.OAUTOfr AUTOS
<br />PFV xcidenl
<br />1
<br />8
<br />UMBRELLA UAB
<br />I
<br />I OCCUR
<br />EACH OCCI. 4RENUE
<br />AGOREGAT
<br />EXCESS LIKE
<br />DLAIMSMAOE
<br />op. ETENTIO $
<br />4
<br />$
<br />WORKERS COMPENSATION
<br />a� I IT 0TH.
<br />AND EMPLOYER$' LIABILITY
<br />AM PROPNIETORIPARTNERlEkECUfIVE YIN
<br />EL. EACHA:CIQENT
<br />% 5. 000 OOO
<br />E.L. MSEAS SEA EMPLOYEE
<br />1000 000
<br />OFFICERnnEMBER EXCLUDED? ❑
<br />(Mandafn, Id NH)
<br />NIA
<br />Wo 2013 0000 3364
<br />/2612013
<br />126/2014
<br />E.L. DI6FAS .POLICY UnnT
<br />$ 1 000 000
<br />IC y09, tle5GW0 Vff
<br />E IFI'IO OF PEPATION txYow
<br />_
<br />C
<br />ENULOYEE DISHONESTY
<br />CIM0000295 -11
<br />/28/2013
<br />125/2014
<br />LIMIT6 25,000
<br />P =GERY /AUTERATION
<br />DeOVC TIBL .8 1,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AKa;b ACORD 101, A661901Ial RAMAM6 SARa66I0, R Mora space Ic m9mlmn)
<br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, OFFICIALS, ENRLOYEES, AND VOLVNTEL" ARE NAMED ADDITIONAL
<br />INSURED AS A FUNDING SOURCE, PRIMARY WORDING, 92VERUTLITY OF INTEREST, AND FORM jG 20 26 APPLIES.
<br />APPROVED AS TO R'ORM
<br />(714) 647 -6549 SHOULD ANY OF 7HtSGRI�ED'PIrICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, N')TICE WILL RE DELIVERED IN
<br />CITY OP SANTA ANA ACCORDANCE WITH THE POLICY PROVISI INS.
<br />®'
<br />ATTN. - SRANIi' 4 ERNANDEZ .. .. —__ - - --
<br />TER Pi,A2,A, U-25 Au1Ham2EOREPaEBENTATNE
<br />20 CIVIC CEN
<br />PO BOX 1988
<br />SANTA ANA, CA 92702
<br />ACORD 26 (2090106) 1 8.28 D ~OF PORATION. All rights reserve
<br />INS026 (2010%).01 The ACORD name and logo are registered m , of A
<br />
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