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<br /> <br />CERTIFICATE OF ORKERS' COMPENSATION C ERAGE <br />ACORDT DATE (Mwoom) <br />M 12/28/2006 <br /> THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY <br />PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE GOES NOT AMEND, El(TEND OR ALTER THE <br />Alliant Insurance Services, Inc. COVERAGE AFFORDED BY THE POLICIES BELOW. <br />The Transamerica Pyramid <br />600 Montgomery Street, 9a' Floor INSURERS AFFORDING COVERAGE <br />San Francisco, CA 94111 <br />Phone: (415)403-1400 Fax: (415)402-0773 <br /> wsuftERA: Nonprofits' Uni[ed Workers' Com ensationGrou <br />INSURED <br />INSURER B: Safet National Insurance Com an <br />Orange Counry Conservation Corps <br /> INSURER C' <br />1853 N. Raymond Ave <br /> INSVRER D: <br />Anaheim, CA 92801-I 117 <br /> INSURER E: <br />COVERAGES T1YS Cer4fipte a nd inlentleE to spetify all enEOrsemants, coverages, lerrre, mnGiGOns ana eztlusians d the pdiaes shown. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMEM, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />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 CIAIMS. <br />INSR TYPE OF WSURANCE POLICY NUMBER POLICY POIJCY LIMBS <br />LTR EPPECTNE E%PNiATR)N <br /> DATE MMIDDIYV DATE MMIDDO'V) <br /> GE NERAL DABILITV EACH OCCURRENCE S <br /> COMMERCV\L GENERAL LIABILITY FIRE DAMAGE (Any one gra) E <br /> CLAIMS MADE OCCUR MED EXPENSE IMyan Ponanl S <br /> PERSONAL 8 ADV INJURY E <br /> <br /> GENERAL AGGREGATE f <br /> <br /> GE N'L AGGREGATE L1IAIT APPLIES PER'. PRODVCTS-COMP/OP AGG $ <br /> PRO- <br /> POLICY JECT LOG <br /> AU TOM081LE IIABnI1V COMBINED SINGLE LIMIT <br />(Ea accident) $ <br /> ANY AUTO E <br /> ALL OWNED AUTOS BODILY INIURV E <br /> (Per <br />erson) <br /> SCHEWLED AUTOS p E <br /> HIRED AUTOS BODILY INJURY E <br /> (Per acciJenl) <br /> NON-0WNED AUTOS f <br /> PROPERTY DAMAGE E <br /> (Per acdEenQ <br /> E <br /> GA RAGE LIABILITY AUTO ONLY-EA gCCIDENT E <br /> ANY AUTO OTHER THAN EA ACC E <br /> AUTO ONLY: <br /> AGG E <br /> E%CESS l.1ABILITV ~ EACH OCCURRENC E <br /> OCCUR CLAIMS MADE AGGREGATE E <br /> f <br /> DEDUCTIBLE E <br /> RETENTION <br /> WORKERS'COMPENSATgN AND WC STATU- X OTH- <br /> EMPLOVERS LIABILITY TORY LIMITS ER <br /> <br />A NPU-WCGOO-2007 1/1/07 1/1/08 E.L. EACH ACCIDENT 6500,000 <br /> El DISEASE-EA EMPLOYEE SSOO,lIOO <br /> EL. DISEASE-POLICY LIMIT f$OQ,000 <br /> OTHER <br />B Excess Worker's Compensffiion SF-IFSiLA I/1/07 1/1/08 $25, 000,000x$500,000 WC <br /> $$00,000 xs $$00,000 EL <br />DESCRIPTION OF OPERATIONS/IOCATIONSNEHICLE3/E%CLUSIONS ADDED BY ENDORSEMENT/SPECIALIPROVISIONS <br />Evidence of Workers' Compensation Coverage <br />CERTIFICATE HOLDER gpORIONAL INSURED; INSIMER LETTER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIMTION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 GAYS WRITTEN NOTICE <br /> TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO BO SHALL IMPOSE NO <br />NPU-000C-057 OBLIGATION OR L1481LITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br />City of Santa Ana <br />888 West Santa Ana Blvd #200 REPRESEnTArNES. <br />, <br />Santa Ana <br />CA 927OI AUTHORIZED REPRES ATIVE <br />, <br />ACORD 25S (7/97) <br />TO:\CSG\DOCrMASTERS\Ccnifictte of Liability luurance ACORDZSS. L <br />© ACORD CORPORATION 7988 <br />