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<br />"ACOI3Drn CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br /> 06/21/2006 <br />PROOITU{ \ THIS CERTIFICATE IS ISS{if:D AS A MATTER OF INFOR\IATION ONLY <br /> ADn Risk services, Inc of So CA Insurance Servi ce <br /> 1901 Main Street A~n (,O~FERS ~O RIGHTS (:PON THE CERTlFH'ATE HOLDER. THIS <br /> suite 300 CERTIFICATE nOES :\'0'1' A.l\-fEi\'D, EXTEND Ol{ A"Tlm THI': <br /> Irvine CA 92614 USA COVERACf: AFFORDED BY THE POLICIES I:UTO\\'. <br />PHONE - (949) ,,,. (949) 608-6451 INSllRERS AFFORIlI:\'G ('OVERAGE :\'AIC# <br />608-6300 <br />r~SLRnl I"JSL:RER .\ Discover property & casualty Ins Co 36463 <br /> YMCA of Orange county INSURFOR H <br /> 13821 Newport Avenue,Su;te 200 <br /> Tustin CA 92780 USA INSl:'Rj'Rt <br /> /l-d-UJ5- d'1C] I]\;SURER [) <br /> INSURER E <br />COVE (its SIR .Ma I\PPIY <br />fHE POLICIES OF INSI!RA'\;CE LISTED BELOW HA Vi: BEEN ISSUED TO THE INS! 'RED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHST,ANDING <br />,\,,<y REQUJRE:vlEI"T. TERM OR CONDITION OF ANY CO:\'TR/\CT OR OHlER DOCU\1FNT WITH RESPECT TO WHICH THIS CERTIFICATE :VlA Y BE ISS(iED OR :vIAY <br />PLRTAI"i. Tm INSUV\"iCE f\FH)RDED BY THE POLICIES DESCRl8E[) HERE!N IS SU~JECT TO ALL THE TERMS. EXCUiSIONS AND CONDITIONS OF SUCH PO!ICIES <br />.\GGREGATE LIMITS SHOWN MAY IIAVE BEEN REDUCED BY PAID ('LAIMS <br />INSR ADl?'~ POLlCY EFFECTIYE POLICY [XPIRATION <br />LTR INSRI I'VPE or INSt;RANO: rOLlCY NU.\IB.:R UATE(.\1:\-1\DDlYY) LIMITS <br /> DATE(MJ\1\DDlYV) <br />A ~'RAL LlAB'Lln o218QOOO04 03/01/06 03/01/07 EACH OCCTRRENCI $1,975,000 <br /> X (()\'lI'vll'i<\I..\I_(iF!>iERAL L1,\i3IL1iY' D,\MAGi; TO RI;NTFfl $100.000 <br /> CLAJ~lS :\lADE ~ OCCUR PREMISES (FJ l>C~ur~n~t) <br /> \-1ED EXI' (Any une rersoll) 5, <br /> PERSOJ\AI.&ADV I"JJi;RY $1,975,000 <br /> D GENERAl, AGGRFGATF $4,000,000 <br /> (IEVI \(j(jREG/\rE LIMIT APPLIES PER <br /> PRODUCTS - COr-.-jpiOJ' AGG $2,000,000 <br /> ~ POliCY 0 PRO- D LOC <br /> JECT SIB $25,000 <br /> AIITOMOBIU: LIABILITY COMBINED SINGLE 1.IMlT <br /> r- '\I\Y AUTO (Eaaccident) <br /> t- AI.L OV,'NED AUTOS <br /> BODILY INJURY <br /> r- SCHEDULED AUTOS (Perperson) <br /> r- HIRED AUTOS <br /> t- BODILY INJURY <br /> NON OWNED AUTOS {Per accident) <br /> t- PROPERTY DAMAGE <br /> r- (Peraccidem) <br /> GARAGE LL\BILlTY AUTO ONl.Y - EA ACCIDENT <br /> B ANY AUlO OTHER THAN EAACC <br /> AUTO ONLY <br /> AGG <br /> I<:XCESS IUMBRELLA LIABILITY EACH OCCURRENCE <br /> o OCCUR 0 CLAIMS MADE AGGREGATE <br /> E1fJEDUCTlBLE <br /> RETENTION <br /> WORKERS COMPENSA lION AND I~C STATU: I I~~H- <br /> ITORY I IMIT<: <br /> EMPLOYERS' LIABILITY <br /> EL EACH ACCIDENT <br /> ANY PROPRIETOR / PARTNER / EXECUTIVE '-!-)'/ I! <br /> OFFICER/MEMBER EXCLUDED'.I I l , l EL. DlSEASE-EA EMPLOYEE <br /> II ~ / ' - / <br /> If yes, describe under SPECIAL PROVISIONS / , EL DISEASE-POLICY LIMIT <br /> below <br /> - <br /> OTHER <br />DESCRIPTION OF OPERA TIONS/LOCA TlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />See Attached. <br /> . <br /> ~ ~ - <br /> 'l" 1'1 ,.""",.'.'"" , <br /> The city of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> 20 Civic Center Plaza DATE THEREOF, THE ISSUING rNSURER WILL HJ8E' "QR TO MAIL <br /> Santa Ana, CA 92701 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LHT. <br /> BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR L1ABIUTY <br /> OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES <br /> AUTHORIZED REPRESENT A TlVE I4..~S""""1,,, ~S"".. ~1._s""", <br /> ,. lATION l4JIlllI <br /> <br />- <br />~ <br />" <br />o <br />. <br />::: <br />- <br />. <br />'" <br />C <br />::I: <br /> <br />~ <br />'" <br />'" <br />m <br />'" <br />~ <br />"" <br />~ <br />o <br />o <br />"- <br />~ <br /> <br />, <br />" <br />~ <br />, <br />< <br />!E <br />. <br />, <br />i. <br /> <br />- <br />~ <br />--=- <br />~ <br />~ <br />~ <br />~ <br />~ <br />~ <br />Z <br />~ <br />.-Ir <br />~ <br />- <br /> <br />c e <br /> <br />