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A-2008-068-02 <br />OP ID Y <br />ACORD CERTIFICATE OF LIABILITY INSURANCE HUMAOPI <br />DATE(MWOD/YYYY) <br />09/26/07 <br />PRODUCER <br />(OC) Heffernan Insurance Brkrs <br />1855 Katella Ave, Suite 255 <br />Orange CA 92867-4459 <br />Phone : 714-997-8100 Fax: 714-997-1994 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Human Options <br />Mindy Weinheimer <br />55491--A Trabuco Road <br />Irvine CA 92620 <br />INSURER A: Philadelphia led e..ity Ins. Co <br />INSURER B: <br />INSURER C: <br />INSURER D: <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 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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />DATE WDD EFFECTIVE <br />I DATE MWIC D <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1, 000, 000 <br />41 ru <br />PREMISES(Eaoccurence) $100,000 <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />PHPK262913 <br />09/23/07 <br />09/23/08 <br />CLAIMS MADE O OCCUR <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL &ADV INJURY $ 1, 000, D00 <br />GENERAL AGGREGATE s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $1,000,000 <br />POLICY JECT 7 LOC <br />Emp Ben. 1,000,000 <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ lOOOOOO <br />A <br />ANY AUTO <br />PHPK262913 <br />09/23/07 <br />09/23/08 <br />(Ea accident) <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />BODILY INJURY $ <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THAN FA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGO $ <br />E7ICESS.NMBRELLA LIABILITY <br />EACH OCCURRENCE s4,000,000 <br />A <br />X OCCUR CLAIMSMADE <br />PRUB095526 <br />09/23/07 <br />09/23/08 <br />AGGREGATE s4,000,000 <br />$ <br />$ <br />HDEDUCTIBLE <br />$ <br />X RETENTION $10, ODD <br />WORKERS COMPENSATKIN ANDJOTH <br />TORY LIMITS ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE - FA EMPLOYE $ <br />OFFICER/MEMBER EXCLUDED? <br />If yes describe under <br />E.L. DISEASE - POLICY LIMIT $ <br />SPECIAL PROVISIONS below <br />OTHER <br />A <br />Prof. Liability <br />PEPK262913 <br />09/23/07 <br />09/23/08 <br />Occurence $1,000,000 <br />EmployeeDishonestyPHPK262913 <br />09/23/07 <br />09/23/08 <br />Blkt BPP $578,500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Re: Funding to provide counseling services in the City of Santa Ana. <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named additional insured on the General Liability policy <br />per the attached endorsement PI -NP -003 (9/03). <br />*10 Day Notice of Cancellation for non-payment/non-reporting. <br />litH I IrIL:All t HULUEH CANCELLATION <br />CIOFSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Santa Ana _ i IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, RS AGENTS OR <br />20 Civic Center Pla'E�� //�/ REPRESENTATIVES. <br />Santa Ana, CA 92701 ( - - AUTHORIZED REPRESENTATIVE <br />Jim Cochran Pre Merger <br />ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 <br />