COMMUNITY SERVICE PROGRAM INC. 3 - 2005

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03/21/2006 03:20 9492511659 CSP INC PAGE 02 A ORD CERTIFICATE OF LIABILITY INSURANCE OP ID J DATE IMMDNYYYI COMMU -6 03/20/06 PRODUCER Chapman 6 Associates License #0522024 - P. O. Box 5455 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTA Pasadena CA 91117 -0455 Phone:626- 405 -8031 Fax:626- 405 -0585 INSURERS AFFORDING COVERAGE NAIC# INSURED [/�,� /T — ��Jf ., / INSURERA: R1vFCppst I ... s.ca ceppaer Santa Ana CA 92701 INSURER 8: Everest National GENERAL LIABILITY INSURERC: Coaanvnityy Service Programs, Inc 1821 E. JJyer Road Ste. 200 Santa Ana CA 92705 INSURER D: S 1000000 INSURER E: 5100000 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEQ HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTA NSR TYPE OF INSURANCE POLICYNUMBER DA MMl DATE MIAN LIMITS Santa Ana CA 92701 GENERAL LIABILITY EACH OCCURRENCE S 1000000 PREMISES Ea cccuremia 5100000 A X COMMERCIAL GENERAL LIABILITY RIC0006428 10 /01/05 10/01/06 CLAIMS MADE [ OCCUR MED EXP(Any we Parson) $ 5000 PERSONAL B ADV INJURY $ 1000000 • Sexual Abuse RIC0006428 10/01/05 10/01/06 • PROFESSIONAL GENERAL AGGREGATE $ 3000000 CONTRACTUAL LIABILI y10 /O1 /OS 10/01/06 GEML AGGREGATE LIMIT APPLIES PER: PROOUCTS- COMPADPAGG $1000000 POLICY F PRO - T LOO JEC Em Ben. 1000000 A AUTOMOBILE LIABILITY ANYAUTO RICO006428 10/01/05 10/01/06 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY IPer percm) $ ALL OW NED AUTOS SCHEDULED AUTOS _ IYX BOOILYMJU)iY IPer acGtlenl) .. S HIRED AUTOS NON -0WNED AUTOS � S '' PROPERTY AGE (Per eccld..t) Went1 $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO i -- OTHER THAN EA ACC AUTO ONLY: AGG S S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S 1000000 A X OCCUR ❑ Cu1MSMADE REL0006429 10/01/05 10/01/06 AGGREGATE $ 1000000 S $ DEDUCTIBLE - a RETENTION $ - B WORKERS COMPENSATION AND ANY PR ERSLIABLLITY ANY CEFUMEETOR MLLIDR/EXECUTVE OFFICER/MEMBER EXCLUOE01 If ea, descnb under SPECIAL PROVISIONS below 6600000007051 07101/05 07/01/06 K I T'O RY IJMRS ER E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE -EA EMPLOYEE $ 1000000 E.L. DISEASE - POLICY LIMB S1000000 OTHER A iEmployree Dishonest RIC0006428 10/01/05 10/01/06 Limit 450,000 A Pro at RIC0006428 10 /01 /OS 10101106 Contents 249,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Santa Ana, Its Officers, Employees, Agents, Volunteers and Representatives are named as additional insured with regard to Liability and defense of suits arising from the operations of the named insured. workers Compensation coverage excluded, evidence only. 10 day notice of cancellation for non payment of premium. See attached endorsement._ CERTIFICATE HOLDER CANCELLATION - SANTANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXMAATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ` NOTICE TO THE CERTIFICATE HOLDER NAMED TOTME LEFT, BUT FAILURE TO DO SO $HALL City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY 19NO UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza REPRESENTATIVES. ADT REPR Santa Ana CA 92701 ACORD 25 (2001108) ® ACORD CORPORATION 1988