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<br />ACORDTM CERTIFICI ~E OF LIABILITY INSURA'"r::E -I DATE (MM/DD1YY'YY) <br />10/1812006 <br />PRODUCER Phone (800) 7>17-9573 Fll.'(: (J03) 422-1276 THIS CERTIFICATE IS ISSUeD AS A MATTER OF INFORMATION <br />The Camp Team ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />7615 W. 38Th Avenue, Untt B,109 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Wheat Ridge CO 80033 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED i INSURER A: American Alternative <br />Orange County Youth Commission ! INSURER B: <br />1850 E. 17th Street #218 INSURER C: <br />Santa Ana, CA 92705 ! INSURER 0: <br /> ,INSURER E' <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED lOTHE INSURED NAMED ABOVE FOR THE POLICY PERiOD INDICATED, NOT\rVtTHSTANDlNG <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT DR OTHER DOCUMENTWITH RESPECT TO ViH1CH nlls CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTA.lN, THE INSURANCE AFFORDED BYTl-lE POUCIES DESCRIBED HEREIN IS SUBJECTTD ALL THE TERMS, EXCLUSIONS AND CDNDrTlONS OF SUCH <br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br /> "'" ""'01 TYPE OF INSURANCE i POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION UMITS <br /> CT' ","", , DATE (MM1DOJVYJ DATE (MMlDDlYYI <br /> GENERAL LIABILITY I 76A2GLDOOOO1-01 10/2212006 10f22!2007 :ACH OCCURRENCE II 1,000,000 <br /> X I COMMERCIAL GENERAL LIABILITY ~~E TO RENTED IS 300,000 <br /> EMISES(Eaoocu".nee) <br /> 1 I CLAIMS MADE I X I OCCUR ED EXP lA.ny one person) $' Separate <br /> A X INC ATHLETIC PARTICIPANTS ERSONAl & ADV INJURY 1$ 1,000,000 I <br /> I i ENERALAGGREGATE IS 2,000,000 i <br /> i i RODUCT~OM~DPAGG Is ., ,000,000 i <br /> I POllcvJ I ;.".?- I Iloe 1 I <br /> UTOMOBlLE UABILtTY i OMBINEO SINGLE LIMIT ~ <br /> I ANY AUTO E.lllill~d~t) <br /> I i <br /> I I 4lL OWNED AUTOS I DOILY INJURY ~ <br /> i SCHEDUL.ED AUTOS Per pe1$On) I I <br /> I HIRED Il.UTOS <br /> INO~~EDAUTOS DOILY INJURY <br /> Per acodent) <br /> i ROPERTY DAMAGE F <br /> 1 i i I Peracdd&nt) <br /> ]GARAGE UABIUTY i WTO ONLY * EA ACCIDENT I <br /> 1 I ANY AUTO THER THAN EAACe , <br /> i i I UTD ONLY AGG I <br /> ~CESS! UMBRELLA LIABIUTY i :ACH OCCURRENCE <br /> 1 OCCUR I ! ClAIMS MADE 1 GGREGATE <br /> i , <br /> , <br /> 1 DEDUCTIBl.E i 1 ~ i <br /> ! RETENTION I , S <br /> WoRKERS COMPENSATION AND I I IWC STATU- I^~.": <br /> ~PlOYER' lIABIlITY 1 1; <br /> Y PROPRlETORlPARTNERfEXECUTIVE .l.. EIl.CH ACCIDENT <br /> ACERlMEMBER EXCL.UDED? .!... OISEASE--EA EMPLOYEE S <br /> ~.,d"clib.under <br /> PECIAL PROVlOONS below L OISEASE-POl.ICY LIMIT ~ <br /> THER: <br />1 <br /> OESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCWSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS <br /> Youth Mentoring I California <br /> Policy Deductibles: $0.00 per each bodily injury I $500.00 per each property damage claim. <br /> Additionallnsured(s): City Of Santa Ana, All participants, staff and facilities as scheduled with the company are added as additlonai insured in regardS to <br /> the operations of the insured <br /> <br />COVERAGES <br /> <br />CERTIFICATE HOLDER <br />City Of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br /> <br />__"_.... .r ~~:' <br /> <br />CANCELLATION <br />~' ~MJLO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEl.l.ED BEFORE THe: EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER V'v'ILL ENDEAVOR TO MAIL. 30 DAYS WRrrn:N NOTI:E <br />TO THE CERTlFICAlE HOL.DER NAMED TO THE LEFT. BUT FAll.URE TO DO SC SHAlL IMPOSe: <br />: NO 08LIGATtON OR LIABILITY OF ANY KIND UPON THE INSURER. Irs AGENTS OR <br />: REPRESENTATNES. <br /> <br />!A~OR~DREP:Y~~ <br /> <br />Bob leid <br /> <br />~j/~~~-- <br /> <br />- .,,';'".'?' <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORD CORPORATION 1988 <br />