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<br />:;ATE IS ISSUED AS A MATTER OF INFORMATION ON"lY-ANO-'-.-'-'
<br />RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />lEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />OW.
<br />
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<br />
<br />25-Sep-2003
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<br />Driver A1liant Insurance Services
<br />500 Washington Street
<br />Suite 300
<br />San Francisco, CA 94111
<br />
<br />tJ ;)00)
<br />i9~
<br />
<br />PRODUCER
<br />
<br />(415) 371-5400
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />INSURED CSU Fullerton, Foundation
<br />2600 Nutwood Ave., Suite 275
<br />Fullerton, CA 92631-3599
<br />At1n, Bill Herbert
<br />
<br />Please refer to Coverages section below,
<br />
<br />..,
<br />
<br />
<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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br />PERT,AJN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERF::IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />Excess SIR Uabll
<br />
<br />54
<br />
<br />arectlYeDate ExplraUonData L.lmltType Amount
<br />01-Ju~2003 01-Ju~2004 General Uabillty. Each occurrence
<br /> AutoL.iablllty (Incl. InGL.U'nl)
<br /> Hired'NonOwned Auto (IneL In GL. L.lmK)
<br /> Prod,lCompl. Operalons (Inclln GL. Uml)
<br /> COntractual Uablllly (Inel in GL.L.JmK)
<br />01-Ju~2003 01.Ju~2004 GeneralL.iabiuty.EachOccurrence
<br /> General UabilltyAggr8Qate L.imlt
<br /> AutoL.iabillty~ncl.lnGL.I..ImK)
<br /> Hired'NonOwned Auto (IncI, In GL. UmIt)
<br /> Prod,fCompl. Operations ~nclln GL. Urn.)
<br /> COntraclual Uablllty (Inelln GL. L.lmit)
<br />01-Jul-2003 01-Ju~2004 SIR Errors &.Omlssions
<br /> Excess SIR Errors to OmSSions
<br /> AggregaieL.lmlt
<br />01-Jul-2003 01-Ju~2004 GeneralUabilty. Each Occurrence
<br />
<br />_,000
<br />
<br />Covera.Type
<br />
<br />Insuntr
<br />
<br />poWcy
<br />
<br />SIRFundUsb11l
<br />
<br />AGPIP S.I.R Fund
<br />
<br />GPIP-0304-01
<br />
<br />GENESIS
<br />
<br />$750,0XI
<br />$1,SOO,0XI
<br />
<br />Excess SIR E&O L.lab Evklen~ of In.uran~ Onl
<br />GENESIS
<br />
<br />_,000
<br />$750,000
<br />$1,5/Xl,OOO
<br />
<br />Excess L.labll
<br />
<br />or Evidence of Insuran~ On
<br />SChools Excess UabllltyFund
<br />
<br />0703-19J1247
<br />
<br />$14,000,000
<br />
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<br />
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<br />DESCRIPTION OF OPERAllONSlLOCA1l0NSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTSlSPECIAL PROVISIONS
<br />The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are named additional insureds as respects Consultant Agreement
<br />between CSU Fullerton Foundation and Ci of Santa Ana for Oral Histories Recommendations, Pro'act No. 56928.
<br />
<br />IMPORTANT Ifltle certftate I'Ioklerls .... ADOITIONAL. INSURED, the policy(ies) muslbe endorsed, A sta1ernen! on !hls cer1lf1cate does no1conterrlghtstothe certificate holderln lieu c1suchendorsement(s}.
<br />It SUBROGATION IS WAIVED, slbject to Ille terms and condKKlns or the policy, certain policies may require an endorsement. A s!Pment on this certificate does not confer ngrts to the oer1iticale
<br />
<br />
<br />DISCLAIMER The Cerllflca!e o1lnsuranoe on this fOITll does not constillte a comract between the Issuing Insurer(s}, authoriZed repNsenta11ve or prodlX8l', and 1he certificate holder, nor does K amrma1lvety Of
<br />neg~lyamend,ex1endOrallerthecoverageltfordedbythepolicleslistedthereon
<br />
<br />City of Santa Ana
<br />Library Building 26 Civic Center Plaza. M-75
<br />PO Box 1988
<br />Santa Ana, CA 92702
<br />Attn: Indhira Dawkins
<br />
<br />9963.1526
<br />
<br />SHOUL.D ANY OF THE ABOVE DESCRIBED POUCIES BE CANCEL.LED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WIll. ENDEAVOR TO MAIL. 30 DAYS
<br />WRiTTEN NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE L.EFT , BVT FAIL.URE TO DO
<br />so SHAL.L.IMPOSE NO OBUGATION OR UABIL.ITY OF ANY KIND UPON THE COMPANY, ITS
<br />AGENTS OR REPRESENTATIVES.
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />~.'~/4o?17'
<br />
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