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ACORD CERTIFICATE OF LIABILITY INSURANCE oP ID p DATE IMMIDDIYYVY) <br />COMMU-6 12/26/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />Chapman & Associates ~ -~op~- al0 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 <br />A- ~~~- 0 5 a HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P . 0. Hox 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax: 626-405-0585 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A. RiVexport Ineuaartce Company <br /> INSURER B. $VE!re9t National <br />Community Service Programs, Inc INSURERC ' <br />1821 H. Dyer Road Ste. 200 INSURER D. <br />Santa Ana CA 92705 <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 BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED 8Y PAID CLAIMS. <br />LTR NSR TYPE OFINSURANCE POLICY NUMBER DATEYMM OINYYE PUATEV MMIDO TION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 10000 OO <br />A X COMMERCIAL GENERAL UnawTY RI00008559 10/01/07 li 10/O1/OB PREMISES (Ea nccurenca) $ 100000 <br /> CLAIMS MADE rrX OCCUR ~! <br />L ~ MED E%P (Anyone person) $SOOO <br /> <br />X _ <br />Sexual Abuse RI00008559 <br />10/01/07 ' 10/01/08 <br />PERSONALSnovINJURY <br />$ 1ppp000 <br /> X PROFHSSIONAL CONTRACTUAL LIABIL TY10/01/07 10/01/08 GENERAL ACCRECnre $ 3000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 1000000 <br /> POLICY 'PRO- LOC ~ <br />JECT Sm Ben. 1000000 <br /> AUT OMOBILE LIABILITY COMDINED SINGLE LIMIT $ 1000000 <br />A X ANV AUTO RIC0008559 10/01/07 10/01/09 IEa accident) <br /> ALL OWNED AUTOS BODILY INJURY <br />S <br />'i SCHEDULED AUTOS I (Per person) <br />' X HIRED AUTOS ~ BODILY INJURY <br />$ <br /> X NON~OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $--. <br /> IPer accidenry <br />I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br />~! ANV AUTO OTHER THAN EA ACC $ <br />~' AUTO ONLY'. AGG 3 <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 <br />A X OCCUR ~ CLAIMS MADE R$LD008560 10/01/07 10/01/08 AGGREGATE $ 1000000 <br /> $ <br /> DEDUCTIBLE S <br /> RETENTION $ 8 <br />WORKERS COMPENSATION AND X TORY LIMITS ER <br />B EMPLOYERS'LIABNTY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE 6600000007071 07/01/07 ', 07/01/08 EL. EACH ACCIDENT $ 1000000 <br />OFFICERIMEMBER EXCLUDEDP E.L. DISEASE-EA EMPLOYEE $ 1000000 <br />It yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$lOOOOOO <br />OTHER <br />A $mployee Dishonest RI00008559 10/O1/07i 10/O1/OB Limit 450,000 <br />A Pro ert RICD006559 10/01/07 '. 10/01/08 Contents 249,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I E%CLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />Re: Agreement #A-2007-210. The City of Santa Ana, Ito Officers, Employees, <br />Agents, Volunteers and Representatives are named as additional insured with <br />regard to Liability and defense of suite arising from the operations of the <br />named insured per the attached endorsement. Such insurance is primary and <br />non-contributory. Workers compensation coverage excluded, (Contd...) <br />CANCELLATION <br />SANTANA ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O OAVS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, RS AGENTS OR <br />REPRESENTATIVES. <br />~{ ~~ ,iy <br />