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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDfYYYY) <br /> " 07/25/2006 <br />PRODUCER Schweickert & Company THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 15 Peters Canyon Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Irvine CA 92606-1402 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Orange County Conservation Corps. INSURER A: Great American Insurance Company <br /> 1853 N. Raymond INSURER B: <br /> Anaheim CA 92801 INSURER c: <br /> INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <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 <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I~~: II.J~~';, POLICY NUMBER P'p~L!Ii':' EFFECTIVE POLlCY EXPIRATION LIMITS <br />A X ~NERAL LIABILITY PAC 515-46-80-01 07/20/2006 07/20/2007 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 <br /> $25,000 Each Oce-Abuse <br /> X -..J C! AIMS MAnE [KJ OCCUR $50,000 Aggregate-Abuse M~ EXP (Anv one oerson $ 5,000 <br /> Abuse/Molestation $1,000,000 - prof. liab. PERSONAL & ADV INJURY $ '1,000;000 <br /> X Professional liability GENERAL AGGREGATE $ 2,000,000 <br /> - 1,000,000 <br /> ~'l AGGREnE LIMIT APMS,PER: PRODUCTS - COMP/QP AGG $ <br /> POLICY PRO- LOC <br /> ~OMOBrLE LIABILITY COMBINED SINGLE LIMIT $ <br /> - ANY AUTO (Eaaccident) <br /> - ALL OWNED AUTOS BODilY INJURY <br /> $ <br /> SCHEDULED AUTOS ~":P 0 (Per person) <br /> - <br /> - HIRED AUTOS ,<;, %~// I BODILY INJURY <br /> ;\Jt,~ --- (Peraccidenl) $ <br /> - NON-OWNED AUTOS 'fP-P' ~ <br /> -:'~"':'-J. [ <br /> - -:. .:.: ~ ~"C'f.. _" PROPERTY DAMAGE $ <br /> ~~. ( '. ~ ./ (Per accident) <br /> ~RAGE LIABILITY .~\S~\ ~, ~I,\OT\" AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO M\)ISIl)/ I,ell'! 0) OTHER THAN EA Ace $ <br /> I. -k AUTO ONLY: AGG $ <br /> ~ESSfUMBRELLA LIABILITY l 1/..-' EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE k AGGREGATE $ <br /> $ <br /> =1 DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I.WCSTATU- I IOJ,tt- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? E.l. DISEASE. EA EMPLOYEE $ <br /> _~Xg~I~;~Cribe under E.l. DISEASE - POLICY LIMIT 5; <br /> OTHElCrime Coverage P AC515-46-80-0 I 07/20/2006 07/20/2007 Employee Theft $100,000 <br />$1,000 Deductible Forgery or Alteration $100,000 <br /> Inside/Outside Premises $25,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />PROOF OF INSURANCE ONLY <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />Santa Ana <br /> <br />CA <br /> <br />92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOra THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER W1LC"EI\IDElWOR"TO MAIL _ DAYS WRllTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,'BOT"FAlLORFTtTDOW"SFIAU <br />-IIVIPOSE"'NtTlJBI:IGATlON"UR"'D..,;aI1]TrDF~""'I'l'J'ND UPOWTffElNSURER; rrs-AGENTS OR <br />-REPRESEIQumVE5'. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />City of Santa Ana Workforce Investment Board <br />P.O. Box 1988 M-73 <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br />