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ACCORD CERTIFICA I c OF LIABILITY INSURAN <br />DATE(MMIDD/YYYY) <br />08/31, 2uO5 <br />PRODUCER (949) 709-8800 FAX (949) 709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Empresa - <br />Suite 200 <br />RSM, CA 92688 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED America on Track, Inc. <br />dba: Orange County On Track <br />P.O. Box 4141 <br />Tustin, CA 92781-4141 <br />INSURERA: NONPROFITS' INSURANCE ALLIANCE <br />F CA <br />INSURER B: <br />INSURER C: <br />INSURER O: <br />INSURER E: <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 />II T R <br />DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTME <br />09/01/2005 <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />2005-06180-NPO <br />09/01/2006 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ 100,0 00 <br />CLAIMS MADE aOCCUR <br />MED EXP(My one Person) <br />$ 10,000 <br />A <br />PERSONALAADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 1 000, OGO <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />, <br />$ 1,0p0,00 <br />POLICY M JE O- X LOC <br />AUTOMOBILE <br />LIABILITY <br />2005-06180-NPO <br />09/01/2005 <br />09/01/2006 <br />X <br />ANYAUTO <br />COMBINED SINGLE LIMIT <br />$ <br />(Ea.c ,,t) <br />1,000,00 <br />ALL OWNED AUTOS <br />_ <br />BODILY INJURY <br />$ <br />A <br />SCHEDULED AUTOS <br />(Per Person) <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br />NON -OWNED AUTOS <br />(Per ao eM) <br />PROPERTY DAMAGE <br />$ <br />(Per aCGtleM) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />$ <br />AUTO ONLY: AGG <br />EXCESSNMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMSMADE <br />AGGREGATE <br />S <br />` <br />DEDUCTIBLE <br />L <br />'is n.ry <br />$ <br />Av <br />�� <br />RETENTION E <br />$ <br />WORKERS COMPENSATION AND <br />_-- -.7ILYAttoliey <br />WC STATU- OTH- <br />EMPLOYERTLIABILITY <br />E.L. EACH ACCIDENTOFFICERIMEMBER <br />ANY PROPRIETORIPARTNERIEXECUTME <br />EXCLUDED? <br />-•al <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMIT 1 <br />$ <br />SPECIAL PROVISIONS below <br />OTHER <br />ERTIFICATE HOLDERL <br />S NAMEDHAS ADDITIONALDINSURED PER ATTACHED SPECIAL CITY ENDORSEMENT <br />EXCEPT 10 DAYS FOR NON-PAYMENT <br />CITY OF SANTA ANA, ITS OFFICERS <br />EMPLOYEES, AGENTS AND VOLUNTEERS <br />ATTN: FRANK HERNANDEZ <br />20 CIVIC CENTER PLAZA M-25 <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />MMVRY LJ (LVY IRUBJ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MMXOW16 MAIL <br />* 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />XIYr�XIYd4I0615XRXiCXgd4X$1HfJf1041WU(X�3t�N0H�YIlEXdWU�Lfi6X$YR10vXXX: <br />AUTHORIZED REPRESENTATIVE <br />Richard Eynon, CIC/JEREMYZ <br />©ACORD CORPORATION 1988 <br />