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<br />ACORCl CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
<br />0711112007
<br />PRODUCER (949) 709-8800 FAX (949)709-1668 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Comprehensive Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />22342 Avenida Empresa ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Suite 200
<br />RSM, CA 92688 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED INSURER A: NONPROFITS' INSURANCE ALLIANCE C F CA
<br />Mental Health Association of Orange County INSURER B:
<br />822 Town & Country Rd. INSURER C:
<br />Orange, CA 92668 INSURER D:
<br /> INSURER E:
<br />
<br />COVFRAGES
<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 DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE P~l.IfJ EXPIRATION LIMITS
<br /> GENERAL LIABILITY 2007-08472-NPO 07/1212007 07/1212008 EACH OCCURRENCE $ 1 ,000, 000
<br /> - DAMAGE TO RENTED
<br /> X COMMERCIAL GENERAL LIABILITY $ 100,000
<br /> =b CLAIMS MADE [8] OCCUR MED EXP (Anyone person) $ 10,000
<br />A PERSONAL & ADV INJURY $ 1,000,000
<br /> -
<br /> GENERAL AGGREGATE $ 2,000,000
<br /> -
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
<br /> . n POLICY n jr8,: m LOC
<br /> AUTOMOBILE LIABILITY 2007-08472-NPO 07/12/2007 07/1212008 COMBINED SINGLE LIMIT
<br /> 7 $
<br /> ANY AUTO (Ea accident) 1,000,000
<br /> 1-'-
<br /> ALL OWNED AUTOS BODI L Y INJURY
<br /> r- $
<br /> SCHEDULED AUTOS (Per person)
<br />A r-
<br /> HIRED AUTOS BODILY INJURY
<br /> r- $
<br /> NON-OWNED AUTOS , (Per accident)
<br /> r-
<br /> r-- PROPERTY DAMAGE $
<br /> (Per accident)
<br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
<br /> ==i ANY AUTO OTHER THAN EA ACC $
<br /> AUTO ONLY: AGG $
<br /> EXCESSlUMBRELLA LIABILITY 2oo7-08472-UMB-NPO 07/1212007 07/12/2008 EACH OCCURRENCE $ 2,000,000
<br /> ~ OCCUR 0 CLAIMS MADE AGGREGATE $ 2,000,000
<br />A $
<br /> ~ DEDUCTIBLE $
<br /> X RETENTION $ 10,00C S
<br /> WORKERS COMPENSATION AND I WC STATU- I 10::
<br /> EMPLOYERS' LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? ~----- --------.-
<br /> E.L. DISEASE - EA EMPLOYEE $
<br /> If yes. describe under
<br /> SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $
<br /> OTHER
<br />I--9"SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS EXHIBIT
<br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL PER ATTACHED SPECIAL ENDORSEMENT B
<br />"EXCEPT 10 DAYS FOR NON-PAYMENT A-, ~--. :~.::;: -~-\ '-'. J l .,
<br /> , .-.... ;.. .. -~ ~.... ~.J__ ' ...- ~.,.:)
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<br /> .'. . ,,,',', '--. '. '. _ _ ._~. ',."",
<br />
<br />CERTIFICATE HOLDER
<br />
<br />
<br />.^\:~::.d.Sl,:>;~,~j;~Y /-",t~cr . t;
<br />
<br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND
<br />EMPLOYEES
<br />ATTN: FRANK HERNANDEZ
<br />20 CIVIC CENTER PLAZA, M-25
<br />SANTA ANA, CA 92701
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~)(~~ MAIL
<br />"30 DAYS WRITIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
<br />~)fXa:illBt;)tl6~;sH~lO:~lM'Rl{~)(~Xx.
<br />~XdUOXI)(~~~illl&l(UlaOOE)OOO(~)(*~vasxxxxxxxXX
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />~<~
<br />
<br />@ACORDCORPORATION 1988
<br />
<br />ACORD 25 (2001/08)
<br />
<br />Richard E non, CIC/JEREMY
<br />
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