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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) M 07/27/2005 PRODUCER Schweickert & Company 15 Peters Canyon Road Irvine CA 92606 INSURERS AFFORDING COVERAGE INSURED Mercy House P.O. Box 1905 Santa Ana CA 92702 COVERAGES OF NAIC # 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 AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY NUMBER EFFE POLICYCTVE POLICY EXPIRATION LIMITS X GE LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR PAC5373885 Sex Abuse Aggregate limit is $1,000,000 05/02/2005 05/02/2006 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED S 100,000 MED EXP An one arson $ 5,000 X Professional Liability No deductible or S11s PERSONAL BADVINJURY $ 1,000,000 X Abuse & Molestation GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 1,000,0oo X POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO PAC5373885 05/02/2005 05/02/2006 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS A A X X X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ AND S TO F0 'rI} WC S7ATU- O7H- EMPLOYERS'WORKERS LIABILITY APPROYED 1 ANY PROPRIETORIPARTNCUTIVE E. L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED?DEDT If ALBPRO SPECIAL ISIO ILL E.L. DISEASE -POLICY LIMIT $ OTHER Laura AssistantCity Attor"ey DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Santa Ana, its officials, employees, representatives, and volunteers are hereby named as Additional Insureds as respects the operations of or on behalf on Mercy House Transitional Living Center, performed under contract with The City of Santa Ana. City of Santa Ana 20 Civic Center Plaza PO Box 1988 Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOjtE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILCI•ROEAOORTO MAIL _I1J DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT;80TFAILORE`T0'DQSQ3RALL -MPOSENU-OBLTGAT(OR'ORVAHR9TYDF-ARYIOND-UMWTHETNSRr TTS AGENTS OR CA 92702 1 AUTHORIZED REPRESENTATIVE �, ,