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<br />ACORD_ <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />OP 10 D DATE (MMJDDiYYYY) <br />VrETN-2 02 14/06 <br />THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE OOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER <br />Chapman & Associates <br />License #0522024 <br />P. O. Box 5455 <br />Pasadena CA 91117-0455 <br />Phone:626-405-8031 Fax:626-405-0585 <br />INSURED <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />Vietnamese Community of Orange <br />Countv <br />1618 W. First Str~et <br />santa Ana CA 92703 <br />COVERAGES <br /> <br />INSURER A; HDtlp:l:ot"1t;a' InllUl'al'lC8 Alliance <br />INSURER B: North laer10an 21:l.t. Inauran.::. <br />INSURER c: NORCAL <br />",SURER 0: <br />INSURER E: <br /> <br />THE POlleES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD tNOICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF IWY CONTRACT OR OntER DOCUMENT WITH RESPECT TO WHICH THIS CERl1FICATE 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 LIMTS SHOWN MAy HAVE BEEN REDUCED BY PAID CLAIMS. DATEM~ <br />LTR NSR TYPE OF INSURANCE POUCY NUIlBER DATE MMlDDNY LIMITS <br /> ~ENERAL LIABIUTY EACH OCCURRENCE .1000000 <br />A X COMMERCIAL GENERAL LlABlUTY 200504575 10/04/05 10/04/06 PREMISES Ea occur1InC(I\ . 50000 <br /> I CLAIMS MADE ~ OCCUR MEO EXP (Any 0lI8 p&/'$onl . 5000 <br /> ~ Abuse $lM/$lM 200504575 10/04/05 10/04/06 PERSONAL &AOV INJURY .1000000 <br /> '--- GENERAL AGGREGATE .2000000 <br /> ~L AGG~En ~~~ APflS PER: PROOUCTS - COMPJOP AGG .2000000 <br /> POLICY JECT LOG <br /> ~TOMOBlLE UABlUTY COMBINED stNGLE LIMIT .1000000 <br />A ~ ANY AUTO 200504575 10/04/05 10/04/06 (EAaa:ldent) <br /> '--- ALL OWNED AUTOS BODILY INJURY <br /> . <br /> SCHEDULED AUTOS jPerporBoo) <br /> f-- <br /> c!.. HIRED AUTOS BODILY INJURY <br /> . <br /> ~ NON-OWNED AUTOS IPer8CClclent) <br /> '--- PROPERTY DAMAGE . <br /> (PerllCcid&nt) <br /> REllASILlTY AUTO ONLY. EAACCIOENT . <br /> AH'f AUTO OTHER THAN EA ACe . <br /> AUTO ONLY: AGG . <br /> OESSJUMBRELLA LIABILITY EACH OCCURRENCE . <br /> OCCUR D ClAlM5 MACE Al"r'~~, \1 AGGREGATE . <br /> ;)12/) . <br /> ==l,DoDueTlslo II, ;/2- . <br /> RETENTION . ]-:~;t .I . <br /> WORKERS COMPENSATION AND , i" I' ITORYLlMITS I I'ER- <br /> EMPLOYERS' UABlUTY A~':'l t,i.l' \....."i...;.' E.L EACH ACCIDENT . <br /> ANYPRDProETO~ARTNE~ECUTNE <br /> OFFICERlMEMBER EXCLUDED? E.L DISEASE. EA EMPLOYE . <br /> g~~~~~J=NS below ..-....... <br /> E.L. DISEASE - POLICY LIMIT . <br /> OTHER <br />B Crime Sect.ion CWBOOO19270104575 10/04/05 10/04/06 Crime 100,000 <br />C Professional 704791 11/12/05 11/12/06 Per/Me 1/3 000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHlCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECfAl. PROVlSlONS <br />The Cit.y of Santa Ana, its Officers, Agents , Offi.cj,a~s, Vo~unteers & <br />Emp~oyees are included as additional ~sured with respect to the ope:l:'ations <br />of the named insured. "Ten day notice of cancellation applies for <br />non-payment. of pre:m.i.um." <br /> .. <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana/COBG <br />C01llIIl, Dev. Agy <br />P.O. Box 1988 M-25 <br />Santa Ana CA 92702 <br /> <br />CANCELLATION <br />CITYOFS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. me ISSUING INSURER WILL ii::t........'h"'lD Tn MAIL ~ DAYS WRITTEN <br />NOllCETOTHECERTlFICATEHOLDERNAMEDTOTHElEFT,lIl"qoPA" .....~ -.!e 8!11l'IILW <br />IM'6..... ,.........,5!:ma.,.......',.,~ '1'\RllI1"\.' Sf .oIl. 1811& "P'C'~' 'O"U!:...e.'....... R'i a1;'liitl'Rl' QR <br /> <br /> <br />@ACORDCORPORATlON 1988 <br /> <br />ACORD 25 (2001/08) <br />