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�1 J <br />FR302927 <br />ISSUE DATE (MMIDDNY) <br />NO s t 10/27/04 <br />THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE <br />REVERSE SIDE OF THIS FORM. <br />PRODUCER <br />COMPANYBIgER <br />NO. <br />DRIVER ALLIANT INSURANCE SERVICES, INC. <br />ILLINOIS UNION INSURANCE COMPANY <br />04 05 SLIP Ext/1 <br />P.O. BOX 25684 <br />EFFECTIVE E%PMATN)N <br />Santa Ana, CA 92799 <br />DATE TIMEDATE TME <br />(949) 756-0271 a Fax (949) 251-1663 <br />10/29/04 12:01 AM 12/28/04 12:01 AM <br />License No. OC36861 <br />THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br />PER EXPIRING POLICY NO: <br />CODE FRD03927 SU6CODE <br />DESCRIPTION OF OPERATIONSIVEIICLESIPROPERTY (including Lonllon) <br />INSURED <br />SPECIAL LIABILITY INSURANCE PROGRAM(SLP)MEMBER <br />Special Liability Insurance Program (SLIP) <br />Friends of Santa Ana Parks and Recreation <br />Binder Issued Pending Receipt of Policy <br />888 W. Santa Ana Blvd., Ste. 200 <br />Assigned Policy No: G22078458 <br />Santa Ana, CA 92701 <br />to 01 <br />TYPE OF INSURANCE COVERAGFhORM9 <br />AMOUNT FVDEDIIC7ISLE 'COMSUR <br />PERTY CAUSES <br />OF LOSS <br />BASIC r 1 <br />BROAD SPEC. <br />P <br />GENERAL LIABILITY <br />Manuscript Municipal Coverage Form. Coverage Informatlon <br />GENERAL AGGREGATE SEE NOTE <br />X COMMERCIAL GENERAL LIABILITY <br />a5 per proposal. <br />PRODUCTS-COMP/OPAGG. $1,000,DOO <br />CLAIMS X OCCUR <br />MADE <br />'General Liability Aggregate, except Automobile Liability, <br />63 ty� <br />PERSONAL&ADV. INJURY <br />$1,000,000 <br />OWNER'S& CONTRACTOR'S PROT. <br />wMCN IS Sllrea (� tlftle the Per Occurrence IfmR. <br />EACH OCCURRENCE <br />Deductible: $1,000 <br />$1,000,000 <br />Public Officials E&O (As applicable <br />FIRE DAMAGE (My one Bra) $1,000,000 <br />X Non -Profit D&O (As applicable) <br />MED. EXPENSE (Any one person) N/A <br />AUTOMOB LE LIABILITY <br />COMBINED SINGLE LIMB <br />$1,000,000 <br />ANY AUTO <br />Auto Liability Deductible: <br />uc <br />See Proposal <br />VC <br />, BODILY INJURY(Pperms) <br />ALL OWNED AUTOS <br />0 <br />IIA <br />BODILY INJURY M) <br />SCHEDULED AUTOS <br />Y G'P <br />VES <br />AMAPGEeccd <br />X HIRED AUTOS <br />NON -OWNED AUTOS <br />�v `' <br />MEDICAL PAYMENTS <br />RSONAL INJURY PROT. <br />X <br />S'(QRC1� <br />E'�1tiy <br />GARAGE LIABILITY <br />sP NIL <br />UNINSURED MOTORIST <br />Jj <br />515tar\t <br />AUTO PHYSICAL DAMAGE DEDUCTIBLE <br />ALL VEHX:LES <br />I SCHEDULEOVEHICLES <br />ACTUAL CASH VALUE <br />COLLISION: <br />STATED AMOUNT <br />OTHCOLERTHAN <br />OTHER <br />EXCESS LM&LITY <br />EACH OCCURRENCE <br />UMBRELLA FORM <br />AGGREGATE <br />OTHER THAN UMBRELLA FORM <br />RETRO DATE FOR CLAMS MADE: <br />SELF-INSURED RETENTION <br />STATUTORY LMITS _ <br />YAMKER'9 COMPENSATION <br />EACH ACCIDENT <br />AND <br />DISEASE -POLICY LFw <br />EMPLOYER'S LIABILITY <br />DISEASE -EACH EMPLOYEE <br />SPECIAL CON mONWTNER COVERAGES <br />DIRECTORS AND OFFICERS LIABILITY: $1,000,000 PER OCCURRENCE AND ANNUAL AGGREGATE <br />D&O DEDUCTIBLE: $1,000. <br />PUBLIC OFFICIALS ERRORS & OMISSIONS: NOT APPLICABLE <br />EMPLOYMENT PRACTICES: $1,000,000 PER OCCURRENCE AND ANNUAL AGGREGATE EXCESS OF A$10,000 MIN. DED. <br />EMPLOYMENT PRACTICES LIABILITY IS NOW LIMITED TOA MAXIMUM OF <br />$5,000,000. SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. <br />NEW" <br />prAREW VMS PER <br />MORTGAGEE ADORIONAL INSURED <br />LOSS PAYEE X EVIDENCE ONLY <br />LOAN k <br />AUTMORZED REPRE TATNE <br />.h,, <br />MOM <br />..,... ...n.. .., ,.III 1 11 T <br />FR302927 <br />