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ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />08/31/200 <br />PRODUCER (949)709 -8800 FAX (949)709 -1668 <br />Comprehensive Insurance Services <br />22342 Avenida Em resa <br />P <br />Suite 200 <br />RSM, CA 92688 <br />THIS CERTIFICATE IS ISSUED ASA- MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED America on Track, Inc. <br />A ?n�5-ole -u�I <br />dba: Orange County On Track <br />P.O. Box 4141 <br />Tustin, CA 92781 -4141 <br />INSURERA: NONPROFITS' INSURANCE ALLIANCE <br />F CA <br />- - -- <br />INSURER B: <br />UNITS <br />INSURER C: <br />AUTHORIZED REPRESENTATNE <br />INSURER D: <br />2005- 06180 -NPO <br />INSURER E: <br />09/01/2006 <br />COVERAGES <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 THIS CERTIFICATE MAY 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 <br />OD' <br />TYPE OF IN <br />POLICY NUMBER <br />POUCYEFFECMrE <br />XPIT <br />POLICYEATION <br />UNITS <br />dfd( dH (r)i"))(d4XifA€"1f"y""A*A* LL("KIA"YhuxxXXXXXX. <br />AUTHORIZED REPRESENTATNE <br />GENERAL UABIUTY <br />2005- 06180 -NPO <br />09/01/2005 <br />09/01/2006 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />X COMMERCIAL GENERAL ABILITY <br />DAMAGE TO RENTED <br />PRFMMFq IF, <br />$ 100,0 <br />CLAIMS MADE [)(] OCCUR <br />$ 10,000 <br />MED EXP (Any one person) <br />A <br />PERSONAL S ADV INJURY <br />_ <br />$ 1 , 000, OO <br />GENERAL AGGREGATE <br />$ 1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGO <br />$ 1,000,00 <br />POLICY JERd X LOC <br />AUTOMOBILE <br />LIABILITY <br />2005 - 06180 -NPO <br />09/01/2005 <br />09/01/2006 <br />COMBINED SINGLE LIMIT <br />X <br />ANY AUTO <br />(Ea accident) <br />$ 1 , 000 , OD <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per Peen) <br />A <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per aoldern) <br />PROPERTY DAMAGE <br />$ <br />(Par eccideM) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHERTHAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGO <br />EXCESSNMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR FI CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />AN 'ro <br />DEDUCTIBLE <br />ORM <br />$ <br />$ <br />RETENTION $ <br />WCSTATU- OTFL <br />WORKERS COMPENSATION AND <br />-- <br />` <br />EL EACH ACCIDENT <br />$ <br />EMPLOYERS' UABIUTV <br />al, U <br />tl(t Shee <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />d Y <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />IIY Attor <br />H yes describe under <br />ley <br />SPECIAL PROVISIONS on <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <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 SPECIAL CITY ENDORSEMENT <br />`EXCEPT 10 DAYS FOR NON- PAYMENT <br />CERTIFICATE HOLDER CANCFI I ATION <br />ACORD 25 (2001108) © ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA, ITS OFFICERS <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL X`X )4 MAIL <br />EMPLOYEES, AGENTS AND VOLUNTEERS <br />'30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />ATTN: FRANK HERNANDEZ <br />dfIWX= XIYIYA� )6)4XIlU(kgd4XN16('iEXIfIYaLX I(A}ifiF�F)bKJ�XIWW�H41(1FXXX. <br />20 CIVIC CENTER PLAZA M -25 <br />P.O. BOX 1988 <br />dfd( dH (r)i"))(d4XifA€"1f"y""A*A* LL("KIA"YhuxxXXXXXX. <br />AUTHORIZED REPRESENTATNE <br />SANTA ANA, CA 92702 <br />Richard E non, CIC /JEREMY <br />ACORD 25 (2001108) © ACORD CORPORATION 1988 <br />