FRIENDSHIP SHELTER, INC. 7 - 2007

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ACORD CERTIFICATE OF LIABILITY INSURANCE PRODUCER (949)709-8800 FAX (949)709-1668 Comprehensive Insurance Services 22342 Avenida Empresa Suite 200 03/22/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURERA: NONPROFITS' INSURANCE ALLIANCE RSM, CA 92688 INSURED Fr i endsh 1 p She I ter, I nc . P.O. Box 4252 Laguna Beach, CA 92652 INSURER e: INSURER C: S SUBJECT TO AUMENT THE TERMS, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSURER D: INSURER E: COVFRAf%PA CITY OF SANTA ANA FRANK HERNANDEZ 20 CIVIC CENTER PLAZA PO BOX 1988 SANTA ANA, CA 92702 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL +30 DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATM AUTHORIZED REPRESENTATIVE Paul Weenia, CIC/KRISTY CACORD CORPORATION 1988 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED ANY NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING OR CONTRACT MAY PERTAIN,THE INSURANCE AFM TO WHICH THIS IFICATE MAY BE ISSUED OR WITH LL FORDED EBY TH S DESCRIBEDOHHTHER EREIN S SUBJECT TO AUMENT THE TERMS, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS OFF SUCH FN—SR OD TYPE OF INSURANCEPOLICY POLICY NUMBER EFFECTIVE 03/22/2007 POLICY EXPIRATION 03/22/2008 GENERAL LIABILITYLIMITS 20 07 -03294 -NPO EACH OCCURRENCE $ 1 , 000 , 00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,00( 00,DD CLAIMS MADE FTIOCCUR MED EXP (Any one person) $ 10,00( A PERSONAL & ADV INJURY S 1 000 00 GENERAL AGGREGATE $ 2 000 00 GENT AGGREGATE LIMIT APPLIES PFR- ER PRODUCTS - COMP/OP AGG $ 2 000 00 PRO - POLICY X LOC JET AUTOMOBILE LIABILITY 2007 -03294 -NPO .03/22/2007 03/22/2008 ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS 1,000,000 eDILY INJURY S ( P�P—) A SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ X NON -AWNED AUTOS PR PERTYaccidentDAMAGE $ tG—ARAGE:LLABIUTYAUTO TO ONLY - EA ACCIDENT S OTHER THAN EAACC S AUTO ONLY: AGG UMBRELLA LIABILITY 2007 -03294 -LIMB -NPO 03/22/200703/22/2008 $ EACHOCCURRENCE $ 1,000,00UR A D CLAIMS MADE AGGREGATE $ $ 1,000,000 DEDUCTIBLE $ ETENTION $ ERS COMPENSATION AND YERS' LIABILITY $ WC STATU- OTH- ROPRIETOR/PARTNERIEXECUTIVE R/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ escribe under E.L. DISEASE - EA EMPLOYE $ L PROVISIONS bebw PER SEXUAL 2007 -03294 -NPO 03/22/2007 03/22/2008 VDESCRHInnON E.L. DISEASE - POLICY LIMIT S $1,000,000 AGGREGATE CT $1,000,000 EACH CLAIM OF OPERATIONS/ LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONSATE HOLDER ADDITIONAL INSURED .IS PER THE ATTACHED CG2026 70 DAY CANCELLATION NOTICE FOR NON PAYMENT OF PREMIUM CERTIFICATE HOLDER _ ,,...._..._._.. CITY OF SANTA ANA FRANK HERNANDEZ 20 CIVIC CENTER PLAZA PO BOX 1988 SANTA ANA, CA 92702 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL +30 DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATM AUTHORIZED REPRESENTATIVE Paul Weenia, CIC/KRISTY CACORD CORPORATION 1988