05-0729_HABITAT FOR HUMANITY_Insurance Certificat DATE(MMDD/YY)
SURANCE,
CERTIMAM, FIN
7/29/05
PRODUCER 800-824-9245 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AM
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
Acorcia DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
7 Giralda Farms POLICIES BELOW.
2nd Floor COMPANIES AFFORDING COVERAGE
COMPANY
Madison, NJ 07940 A FEDERAL INSURANCE CO.
COMPANY
HABITAT FOR HUMANITY B
COMPANY
OF ORANGE COUNTY c
2165 SOUTH GRAND AVE
COMPANY
SANTA ANA, CA 92705 D
.)MAO
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AM CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. LIMITS
GENERAL LIABILITY GENERAL AGGREGATE 2000000
A COMM.GENERAL LIABILITY 35781707 4101/05 4/01/06 PRODCOMPIOPAGG. 2000000
CLA]MSMADE =OCCUR PEKS.&ADV.INJURY 1000000
OWNER'S&CONTRACT'S PRO`r EACH OCCURBENCE 1000000
X Hired & Non-
FIRE DAN[AGE(Oue Rn,) in,h�d,d
Owned Liab. MED EXP(A,r.pe..)
,AUTOMOBILE LIABILITY COMBINED SINGLE
ANY ALTO LIMIT
ALL OWNED ALTOS BODILY INTURY
SCHEDULED ALTOS
HIRED AUTOS BODILY INJURY
HNON-OWNED AUTOS (Pu d&w)
PROPERTY DAMAGE
GARAGE LIABILITY ALTO ONLY-EA ACCIDENT
ANY ALTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
RUMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AM STATUTORY LIMITS
EMPLOYERS'LIABILITY
EACH ACCIDENT
THE PROPRIETOR/ NCL
Ys 7-1DISEASE-POLICY LIMIT
OFFICERS ARE: F1 EXCL DISEASE-EACH ENIPL.
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
EVIDENCE OF COVERAGE
j
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SAN JUAN CAPISTRANO EXPIRATION DAM THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
32400 PASEO ADELANTO LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
SAN JUAN CAPISTRANO, CA 92675 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE