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- jA.CORQ. CERTIFICk. E OF LIABILITY INSURA. .;E I DATE (MMlOO/YYYY) 10/0612006 PRODUCER (949) 709-8800 FAX (949)709-1668 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Comprehensive Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 22342 Avenida Empresa ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 A -- ~OO'l,O 9,< RSM, CA 92688 INSURERS AFFORDING COVERAGE NAlC# INSURED INSURER A: NONPROFITS' INSURANCE ALLIANCE Laura's House INSURER B: 27129 Cal Ie Arroyo, Suite 1822 INSURER c: San Juan Capistrano, Ca 92675 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAJMS. It'I~ rm,~'~ TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL UABIUTY 2006-03889-NPO 10/11/2006 10/11/2007 EACH OCCURRENCE $ 1,000,000 7 COMMERCIAL GENERAL L1ABIUTY DAMAGE TO RENTED $ 100.000 I-- tJ CLAIMS MADE 0 OCCUR 10.00C MEO EXP (Anyone person) $ A f- 1.000,OOC PERSONAL & ADV INJURY $ I-- 3,000.OOC GENERAL AGGREGATE $ I-- GEN'l AGGREGATE UMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 3,000.000 II POLICY n j~g: m LOC AUTOMOBILE UASIUTY 2006-03889-NPO 10/1112006 10/1112007 COMBINED SINGLE LIMIT X $ ANY AUTO (Ea accident) 1,000,000 - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) A - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ . (Per accident) R"GE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCES5lUMBRELLA LIABILITY 2oo6-03889-UMB 10/1112006 10/11/2007 EACH OCCURRENCE $ 1,000,000 t8J OCCUR 0 CLAIMS MADE AGGREGATE $ 1,000,000 A T~ ,- ~ JkS T{)' FC Rl'v1 $ ..:.'.. -../ i ~~/ ~ DEDUCTIBLE $ X RETENTION $ 10,00C \ /) C-J / j $ WORKERS COMPENSAnON AND ._~~ ~.((t!/ < / V I ~c;,~T~Jg.-.,1 I OJ: EMPLOYERS' UABlUTY ANY PROPRIETORlPARTNERlEXECUllVE 7.'". E.L EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED? t. ',,~;::,,~<':-. :~r. ~ilY /..\.;.~;~'~'~..;.y E.L. DISEASE - EA EMPLOYEE $ If yes. desct1be under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ ~~asER PROF LIAB 2006-03889-NPO 10/11/2006 10/11/2007 $3.000,000 AGG/$1.000.000 acc A IMPROPER SEXUAL COND 2006-03889-NPO 10/11/2006 10/11/2007 $1.000,000 AGG/$l,OOO,OOO acc DESCRIPTION OF OPERAnONS I LOCAnONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ERTIFICATE HOLDERS ARE NAMED AS ADDITIONAL INSURED PER ATTACHED EXHIBIT B '\ND CG2026 0704 ~EXCEPT 10 DAYS FOR NON-PAYMENT CE CITY OF SANTA ANA ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS CDBG M-25 COMMUNITY DEVELOPMENT AGENCY P.O. BOX 1988 M-25 SANTA ANA. CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRAnON DATE THEREOF, THE ISSUWG INSURER WILL ~~)6MA1L * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDeR NAMED T~ THE LEFT. iOOtXiC~~~~~X~XX. ~}W6Xll(~~~~XXXXXXXX. AUTHORIZED REPRESENTATIVE .av.(~ ACORD 25 (2001/08) Richard E non, CIC/JEREMY @ACORD CORPORATION 1988 ( . J! .