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ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE 8/200 <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 AS A 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 />IwuRw Blind Children's Learning Center <br />18542 Vanderlip Avenue <br />Santa Ana, CA 92705 n ��0q Y-.S71_ <br />/J,rl . W '� <br />INSURER& NONPROFITS' INSURANCE ALLIANCE <br />INSURER B: <br />GENERALLIABILm <br />X COMMERCIALGENERALUMIUTY <br />CLAIMS MADE fX OCCUR <br />1 C: <br />10/16/2004 <br />SUPER <br />INSURER D: <br />EACHOCCURRENCE <br />NSUPER E: <br />DMIAGETORENTED <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLJCY 6FECTNE <br />POMCY E%PRATgN <br />UM98 <br />GENERALLIABILm <br />X COMMERCIALGENERALUMIUTY <br />CLAIMS MADE fX OCCUR <br />2004 - 00643 -NPO <br />10/16/2004 <br />10/16/2005 <br />EACHOCCURRENCE <br />f 1,000,0 <br />DMIAGETORENTED <br />S 100 <br />S 10,000 <br />MED EtP(A, ene m.) <br />A <br />PERSONAL f ADV INJURY <br />f 1 , OQQ, DD <br />GENERAL AGGREGATE <br />$ 1,000,00C <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT X LOG <br />PRODUCTS- COMP/OP ADS <br />S 1,000,0 <br />AUTOMOBILE <br />U MILTTY <br />ANY AUTO <br />2004- DO643 -NP0 <br />10/16/2004 <br />10/16/2005 <br />CO3,1 SINGLE LIMIT <br />(Ea eD.itlBN) <br />$ <br />1,000,00 <br />X <br />ALL OWNED AUTOS <br />A <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />i <br />BODILY INQUIRY <br />f <br />NON -OWNED AUTOS <br />I <br />_ <br />T,�. <br />BODILY INJURY <br />(Per auitlent) <br />$ <br />PROPERTY DAMAGE <br />(Per ACCiEeM) <br />S <br />_._... ,. <br />_ <br />') <br />GARAGE UABILRY <br />AUTO ONLY •EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />AUTO ONLY: ADS <br />$ <br />A <br />EXCESBNMBRELLA UMUTY <br />X OCCUR F-1 CLAIMS MADE <br />2004- 00643- UMB -NPO <br />10/16/2004 <br />10/16/2005 <br />EACH OCCURRENCE <br />f 2,000,00 <br />AGGREGATE <br />$ <br />,000,000 <br />s 2,000,0 <br />DEDUCTIBLE <br />S <br />RETENTION f <br />f <br />WORKERS COMPENSATION AND <br />EMPLOVERS' WBNITY <br />WC STATU• OTH- <br />E.L EACH ACCIDENT is <br />ANY PROPRIETORIPARTNEWEXECUTP& <br />OFFICE WMEMBER EXCLUDED? <br />E.L. DISEASE•EA EMPLOYE <br />S <br />Il yse,,factlpeuMer <br />SPECIAL PROVISIONSENw <br />E.L. DISEASE - POLICY LIMIT <br />S <br />A <br />rS CE IIAL SERVICES <br />OFESSIONAL4yLIABILITY <br />2004- 00643 -NPO <br />10/16/2004 <br />10/16/2005 <br />$1,000,000 AGGREGATE LIMIT <br />$1,000M,000 EACH OCCURRENCE <br />tKT lI F I CATE HOLDER L S n1Y MEN AS BQ GI T I DOWALL I NSI D PER TA�TACHED B ENDORSEMENT EXHIBIT B <br />"EXCEPT 10 DAYS FOR NON- PAYMENT <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORIE THE <br />EXPIRATION DAR THEREOF, THE ISSUING INSURER WILL 0K9X46*>HI MAIL <br />CITY OF SANTA ANA. ITS OFFICERS, EMPLOYEES, e30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEPT <br />AGENTS, VOLUNTEERS AND REPRESENTATIVES i1JiXYYdEa6 ?6XatK161{d41W8fIdC111Yw1(IIXih XX, <br />20 CIVIC CENTER PLAZA #6CiNfrXTX06XIXd6X XXXXXXXX. <br />SANTA ANA, CA 92701 AUTHONRED REPRISSENTAIWE <br />Richard E non, CIC /KRISTY <br />ACORD25(2001l081 FAX: (714)647 -6549 e- ____________._____ <br />