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ACORD CERTIFICATE OF LIABILITY INSURANCE <br />TM DATE(MMIDDlYYYY) <br /> 10/14/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />RFP INSURANCE AGENCY ~ _~J /q <br />/) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />D <br />^~~ ~' <br />5601 WEST 5LAUSON AVE., SUITE 250 0~4i / HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />CULVER CITY <br />CA 90230 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, <br />Phone (310) 642-1933 Fax (310) 645-3150 ~ ~~ 7 ~Q ZD <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED ARC MID-CITIES INSURER A: NONPROFITS' INS. ALLIANCE OF CA. A+ X <br />14208 TOWNE AVENUE INSURER B: NORTH AMERICAN ELITE INS. CO. <br />LOS ANGELES, CA 90061 INSURER c: PHILADELPHIA INDEMNITY INS. CO. A+ X <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <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 />INSR <br />LTR ADD• <br />POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION <br />p <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 OOO OOO <br /> X COMMERCIAL GENERAL LIABILITY 200823628-NPO 7/19/2008 7/19/2009 PREMISES Ea occurence $ 3OO OOO <br /> <br />A CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 15 OOO <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ Z OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 OOO OOO <br /> POLICY PROT LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> E <br />id <br />t $ 1,000,000 <br /> ANY AUTO PHPK348858 9/23/2008 9/23/2009 a acc <br />en <br />) <br />( <br /> <br /> ALL OWNED AUTOS BODILY INJURY <br />C X SCHEDULED AUTOS <br />(Per person) <br />$ <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON-OWNED AUTOS <br />(PeracGdent) $ <br /> COMP. 8r COLLISION <br />ROPERTY DAMAGE <br /> ~ $ <br /> DEDUCTIBLE $1,000 Per accdent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSNMBRELLA LUIBILITY ! <br />SS <br />' EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMSMADE ~aDlOll 1UY,]S? <br />!;) <br />1B" AGGREGATE $ <br /> ~r,,. I ~ YIl <br />~ <br />. <br /> , $ <br /> DEDUCTIBLE ~~'~ ~~~~ $ <br /> RETENTION $ G ~ <br />$ <br /> <br />WORKERS COMPENSATION AND ~, « n <br />~ WC STATU- OTH- <br /> <br />EMPLOYERS' LIABILITY V <br />~ <br />U~ ~ <br /> <br />ANY PROPRIETOR/PARTNERlEXECUTIVE p E.L. EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED9 E.L. DISEASE - EA EMPLOYEE $ <br /> Ii yes, describe untler <br /> SPECIAL PROVISIONS below E.L DISEASE-POLICY LIMIT $ <br /> OTHER 200823628-NPO 7/19/2008 7/19/2009 000/2 <br />000 <br />1,000 <br />000 <br /> A.) PROFESSIONAL LIABILITY , <br />, <br />, <br /> A.) SEXUAL MISCONDUCT 200823628-NPO 7/19/2008 7/19/2009 500,0001500,000 <br /> e.) EMPLOYEE DISHONESTY CBW0007843-00-23628 7/19/2008 7/19/2009 250,000 - DED. $2,500 <br />DESCRIPTION OFOPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISIONS <br />THE CITY, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES IS NAMED AS ADDITIONAL INSURED(S). <br />CERTIFICATE HOLDER Additional Insured CANCELLATION <br />CLERK OF THE CITY COUNCIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />20 CIVIC CENTER PLAZA (M-30) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />P.O. BOX 1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />SANTA ANA, CA 92702-1988 REPRESENTATIVES. y <br />AUTHORIZED REPRESENTATNE rv{ ~ y <br />ACORD 25 (2001108) ARCMI Ce1t# 1 Holder# 22 ©ACOf~Cf CORPORPyTION 1988 <br />/ ~' <br />