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,, <br />E ..._ <br />__ _ _ _ <br />ACORN CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DDIVYVY) <br />iM 08/01/2005 <br />PRODUCER Schweicker[ & Company THIS CERTIFICATE IS 9SSUED AS A MATTER OF INFORMATION <br /> -0NLY AND `:CONFERS NO RIGHTS UPON. THE CERTIFICATE <br />IS Peters Canyon Road NDLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Irvine CA 92606-1402 'ALTER THECOVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> <br />INSURED Orange County Conservation Corps. <br />INSUREaA, Great American Insurance Company ____ <br /> <br />700 N. Valley Street <br />INSUaea e: Nonprofits' United -Auto _ __ <br />~ <br />Anaheim CA 92801 iNSURERC. Nonprofits' Workers' Compensation __ __ ; ___ <br /> Gra Insurance Com an <br />wsuaER o. Y p Y <br /> _ <br />wsuREa E Insurance Corporation o Hannover <br /> <br />.THE POLICIES:OF INSURANCE LISTED BELOW HAVE BEENISSUED TO THE INSUREONAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />-ANY REQUIREMENT, TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />'rMAV PERTAIN; THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 7S SUBJECT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />'POLICIES.LAGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIMS. <br />INSR DDL POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> X GE NERAL LV181LITY PAC $1$-46-80 07/20/2005 07/20/200( EACH OCCURRENCE b 1,000'000 <br /> X COMMERCIAL GENERAL LIABILITY <br />$1 <br />000- <br />000 <br />rof liab DAMAGE TO RENTED <br />SSE 100 000. <br />$ ~ <br /> CLAIMS MADE ~ OCCUR , <br />, <br />.p <br />. MEO EXP An ana arson $ 5,000 <br /> <br />PERSONAL&AOV INJURY __-__ <br />a 1'000,000 <br /> X _ <br />. prOfeSSl0I181 ha1)lhty GENERAL AGGREGATE S 2,000,000 <br /> GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2'000,000 <br /> POLICY PRO- LOC <br />B X AU TOMOBILE LIABILITY 1560 07/20/2005 07/20/2006 .COMBINED SINGLE LIMIT <br />000 <br />000 <br />s 1 <br /> ANYAUTO (Eaemidant) ' <br />' <br /> ALL OWNED AUTOS <br /> <br />X BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> `Y <br /> HIRED AUTOS HOOILV INJURY <br /> X NON OWNEDAUTOS (Per auiden0 $ <br /> <br /> <br />I- PROPERTY DAMAGE <br />$ <br /> . (Per accident) <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANVAUTO EA ACC, <br />OTHER THAN $ <br />----~ <br /> AUTO ONLY. AGG <br /> <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S <br /> <br />OCCUR ~ OLAIMS MADE <br />AGGREGATE __ <br />S <br /> _ $ <br /> <br />DEDUCTIBLE _ <br /> <br />_ _ <br /> <br />$ <br /> RETENTION <br />E <br />C WORHERS COMPENSATION AND NPU-WCG001-2004 07/01/2005 01/01/2006 ~U- X 0TH- <br />W <br />avTA <br /> ' . _ <br />Tn <br />. <br /> EMPLOTERS <br />LIABILITY SOO <br />000 <br /> ANy PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT , <br />$ <br /> <br /> <br />' <br />OFFICERIMEMBER EXCLUDEDT <br />E. L. DIGEASE-EA EMPLOYEE 500,000 <br />$ <br /> If yes tlesrsibe under: 500 <br />0 <br /> <br />be E.L. DISEASE-POLICY LIMIT , <br />00 <br />S <br />D OTHER R aa-az-zzl D=$500 <br />000 x 500 <br />000 <br /> Excess'WorkeT's . 07/01/2005 01/01/2006 , <br />, <br />E I Compensation x35-oaozas9 E=$25,000,000 x 1,000,000 <br />OESCRIPTIOW OFOPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />The Citypf Santa Aria; its officers, agents, and employees, aze named additional insureds per form CG 20 26 11 85, attached, <br />with respect to the operations of the named insured. <br />ii .. <br /> <br />~ SHOVLD ANYOFTNEABOVE OESCRIBEDPOLICIE9 BE CANCELLED BEFOJt)r THEEXPIRATION <br />CITY OP SANTA ANA DATE THEREOF, THE ISSUING INSNRER WILCENDERVOR~O MAIL DAYS WRITTEN <br />$O CIVIC CENTER PLAZA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT; TiDT'FAILORETOTIOSOSNALL <br />SANTA ANA CA 92701 -IMPOBENO-OTR1l0AT1OFORIDIBRTO'OF-ANYlDNO-OPOIP'THE'INSDRER,-PS-ATaENTB OR <br /> 'RTPRESENTA'DVtS. <br /> AUTHORIZED REPRESENTATIVE w~~ ~ <br /> vw~ <br />ACORD26 (2001106) (O ACORD CORPORATION ~RAA <br />~r1:J : l~'~w n>1"~--~'~'e <br />`.X <br />