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rnVFRAGPS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING CERTIFICATE E OF LIABILITY INSURANCE 06'1 /20051 PRODUCER (949)709 -8800 FAX (949) 709 -1668 Comprehensive Insurance Services 22342 Avenida Em resa P Suite 200 RSM, CA 92688 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Camp Fire USA - Orange. County Council 14742 Plaza Drive, Ste 205 A %6- 64 -001 Tustin, CA 92780 INSURERA: MARKEL INSURANCE COMPANY XPTION POLICYEM INSURERS: SANTA ANA, CA 92702 INSURER GENERAL LIABILITY INSURER D: 07/12/2005 INSURER E: EACH OCCURRENCE rnVFRAGPS 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AD TYPE OF INSURANCE POLICY NUMBER POUCYEFFECTIVE XPTION POLICYEM LIMITS SANTA ANA, CA 92702 GENERAL LIABILITY 8502CY243262 -3 07/12/2005 07/12/2006 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFMI9Rq 4F, $ 100,00 CLAIMS MADE [XI OCCUR $ 5,000 MED EXP (My one Person) A PERSONAL AADV INJURY $ 1,000,000 GENERAL AGGREGATE S 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS � COMP /OP AGG $ 31000,000 X ] POLICY JET F-JUDC AUTOMOBILE LIABILITY ANYAUTO 1002CY243263 -4 07/12/2005 07/12/2006 COMBINED SINGLE LIMIT (Ea ac erd) $ 1,000,00 BODILY INJURY (Per Gemn) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (ParaccJ"rB $ X PROPERTY DAMAGE (Peraccitleal) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG EXCESSIUMBRELLA LIABILITY Laura Stitt heed EACH OCCURRENCE $ OCCUR CLAIMS MADE Assistant, City Attorne,' AGGREGATE $ _ E $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AM WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/ EL EACH ACCIDENT f EL DISEASE - EA EMPLOYE $ EXCLUDED? OFFICERIMEMSER EXCLUDEDl yes, a S PECIAL PROVISIONS NS below E.L. DISEASE - POLICY LIMIT $ A STEAL ABUSE 8502CY243262 -3 07/12/2005 07/12/2006 - $1,000,000 PER PERSON $1,000,000 PER OCCURRENCE $1,000,000 PER AGGREGATE DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS ITY OF SANTA ANA, IT'S OFFIERS, AGENTS,EPLOYESS AND VOLUNTEERS ARE NAMED ADDITIONAL INSURED ER ATTACHED CG2026 *10 DAY CANCELLATION NOTICE FOR NON PAYMENT OF PREMIUM r FRTIPIr ATP Hnl nFR rAMr.FI I ATIrM ACORD 25 (2001108) OACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL LWGY OW06 MAIL CITY OF SANTA ANA - CDBG M -25 '30 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT COMMUNITY DEVELOPMENT AGENCY 90XK M)(AKAMYj+l6fD XLYAY-K)(" 3D W"XT`idSMXAU"XX. PO BOX 1988 M- 25 XXXXXXXX. AUTHORIZED REPRESENTATIVE SANTA ANA, CA 92702 Richard Eynon, CIC /KRISTY OZ ACORD 25 (2001108) OACORD CORPORATION 1988