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DATE (MM/DDNYYY) <br />�2RDCERTIFICA'(949)OF LIABILITY ISI ABILITYINSURAhSS DASAMATTERDFINFORMATION 5 <br />PRDg <br />Comprehensive Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />22342 Avenida Empresa ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 200 <br />RSM, CA 92688 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: NONPROFITS_, INSURANCE ALLIANCE <br />LAT I NO YOUTH LEADERSHIP INSTITUTE '/ INSURER e: <br />1850 E . HODSON A',.�-17(7`f `G� / _ �"`' INSURER C: <br />LA HABRA, CA 90631 n {�' 70 (/ INSURER D: <br />r`. -dCW .. U � 01 INSURER <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS CERTIFICATE MAY <br />BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />HEREGENERAL <br />LIMITS <br />LIABILITY 2005-13325-NPO 05/07/2005 05/07/2006 <br />EACHOCCURRENCE <br />$ 1,000,00 <br />X COMMERCIAL GENERAL LIABILITY <br />-DAMAGERENTED <br />$ 100 OOC <br />CLAIMS MADE nOCCUR <br />MED EXP(Any one Person) <br />$ 10,OQ <br />A _ <br />PERSONAL BADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 1,000,00C <br />POLICY PEC6 X LOG <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />(Ea .add.nl) <br />ANY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />(Per person) <br />SCHEDULED AUTOS <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />(Per accident) <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />$ <br />(Per xrsltlem) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />AAC� <br />AS T <br />TAT <br />FORM <br />EA ACC <br />$ <br />ANV AUTO <br />f\ <br />OTHER THAN <br />AUTO ONLY: AGO <br />$ <br />EXCESSNMBRELLA LIASIUTY <br />l <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />�- L' <br />c_ <br />AGGREGATE <br />S <br />UL2. S{ sfI <br />dy <br />$ <br />rluiL <br />(8Ri ity ALt <br />rney <br />— <br />DEDUCTIBLE <br />$ <br />- <br />RETENTION $ <br />S <br />WG STATU- OTH- <br />WORKERS COMPENSATION AND <br />E.L. EACH ACCIDENT <br />EMPLOYERS' UASILITY <br />$ <br />ANY PROPRIETOR/PARTNEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />SPECIAL PROVISIONS below <br />SPECIALPROVISIONS <br />$ <br />E.L. DISEASEPOLICYLIMIT <br />_ <br />OTHER <br />_ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER ATTACHED CITY ENDORSEMENT <br />EXCEPT 10 DAYS FOR NON-PAYMENT <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES <br />AGENTS AND VOLUNTEERS <br />ATTN: LAURA SHEEDY <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE HO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE -� <br />Richard Eynon, CIC/JEREMY <br />ACORD 25 (2001/08) OACORD CORPORATION 1988 <br />