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DALE �MWDDFfY M <br />AIFICATE OF LIABILITY INSURANCE ME CY- <br />CORD,. CERT2 05/09/08 <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br />PRODUCE. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Chapman & Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0522024 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. 0. Box 5455 'I <br />Pasadena CA 91117-0455 INSURERS AFFORDING COVERAGE #AIC # <br />Phone: 626-405-8031 Fax: 626-405-0585 - — <br />NA ---- <br />INSURED <br />A -2008 -U68 -U8 suReie Everest National <br />L v V _. _.. <br />Mercy House <br />P.O. Box 1905 <br />Santa Ana CA 92702 <br />I INsuPeTc -_ _ <br />IF6UfEAR _ <br />INBUFEF` E - <br />COVERAGES <br />NOTNTFISTAMING <br />THE POLICES OF INBUPPNOE USTED 8a,- BEEN IW8 TOTIE IFLSU•FD HALI®ABOVE POR THE POUC/PEWOD IFDICATEO <br />ANY FEOUIREA1EFT TERM OR CCNDTON OF AM•OD`A OR OTFER CODIMEM PATH F FELT TO WISCH THS CEATFIDLT£MAv BE ISRLED OR <br />wv.Y PFT:fAN TFE IFBUfWI[FA By TFIE—CES D®OLBEO IBiE1N 6 SWEET TO ALL TFE TE .E%CIL I S MD CONOTICb OF BUCH <br />PIXIOB. U3+IH+ATEUMOSS.OYhIMAY1M EPIREDUCEDBVFMO_IA - FOUCY EFFECAYE <br />M. IIIMD•L POULY NUMBER DATE INMIDO(rY) <br />LTR pNSRD TYPE OF I—ANCE <br />'. GENEMLUA81lRV <br />GOIAMEfiOIALG@IERAL UPaunII PHPK309978 05/02/08 <br />A I X x_' - <br />I I <br />B PtofesSTonal <br />�2mil aqq/lmil occ -I <br />'. I'�GENL AOGREGATEUMT AIAiJB4 PER — <br />irfiP � <br />AUTOMOBILE UABILRY <br />PHPK309978 I 05/02/08 <br />A ANVAUTO <br />' uL onr.EO Aulas <br />i J� SC1®111EJ ALIf05 <br />J( H.ED Alif05 <br />X r NDN-0YM✓®AUFOS <br />I <br />' GARAGE LNBAITY <br />- - � ANY /•UFO <br />1 <br />i <br />I <br />I I I <br />. DICEtBNW118—UAIN T <br />s 1,000,000 <br />CLAIA —E <br />s 100, 000 <br />r ._.I DEDJOTI&E <br />I s 5,000 - - <br />_ - <br />iFETENTDN 3 <br />E 1,000,000_ <br />Y(ORKERBC.M .ATIONAND <br />t 2,,-000,000 <br />EMPLovERs•uAeuliY <br />6600000730071 <br />B µvPfOfRUETORPAPTNERk%ECIfDY£ <br />OPFlG®IAEMBER E)<CUDED+ <br />'. <br />v. Jaerba urtlw <br />SPECIAL PRONEiDN5 Eelwv <br />OTHER <br />AGG f <br />A Sexual Abuse <br />PHPK309978 <br />10/01/07 <br />05/02/08 <br />FOLIC'"FIRATON --- <br />DATE (MMAI.M) <br />u.1n <br />' i fwcHoccualEFDE <br />s 1,000,000 <br />DAMKS£TO RENFEO <br />05/02/09 PREI.fs- iEIIO II d1 , <br />s 100, 000 <br />-AEDE�IP.na+Ps'�Y <br />I s 5,000 - - <br />_ - <br />PEND .ADVI wlET' <br />E 1,000,000_ <br />C�N6N MGRe A E <br />t 2,,-000,000 <br />r PRODLcM.00WIOPAw <br />-t 2,000,000 —_ <br />. DDMaH3]sINOtEUMrr <br />s 1000000 <br />05/02/09 E.AO MFN <br />I � <br />- <br />GODLY INJUR! <br />IPN puFml <br />3 <br />' <br />BDDLYIwU <br />s <br />' '. lRN avartq <br />300,000 <br />FfIOFEFTY OAM E <br />3 <br />Ifs ECNBNI <br />FA ACC <br />OTHEAT— <br />'AULOONLY' <br />AGG f <br />EI OCGARBQ <br />AQ <br />f <br />ALiCiEGAT£ <br />E <br />f <br />X'. KG.SIAIU. rr. <br />TORY UM15 EA <br />. <br />10/01/08 eLuwAcoDEw <br />.1000000 <br />EL DSEAW W"OYEE <br />'� f 1000000 <br />EL. Me-EF y -7- <br />3 1000000 <br />05/02/09 Aggregate <br />300,000 <br />ea Abuse <br />100,000 <br />DESCfUPTON OF OPEM110N81 LOLAliON81YENIClE3 / E%CLUSIO,E ADDED BY ENDORSEMENT /BPFLML pROVNDOMS <br />Re: CDEG and ESG grants. City of Santa Ana, its officers, employees, agents, <br />volunteers and representatives are named additional insureds with respect <br />to the operations of the named insured & this policy is primary per the <br />attached endorsement. Workes compensation coverage excluded, evidence only. <br />10 days notice of cancellation for non-payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />— - EIEIRATIOM <br />CITYSAN <br />City of Santa Ana <br />Frank Hernandez,.. <br />20 Civic Center Plaza <br />P.O. Box I988 <br />CA <br />Santa Ana CA 92702 3 <br />ACORD 25 (2001/08) <br />BMOULD ANYOF THE ABOVE DESCRBEO FA)LN:IES BE CANCELLED KFgtE TETE <br />30 oAv3 wranfE <br />DATE THEREOF. lµE L48UNG NiBUPEA W ILL ENDEAVOR A MVL _ <br />NOTICE 70 THE CLILTIFlUTL HOLDER NAMED TO THE LEFT, BUT FIIIVRE TO W SO SMKL <br />IMPOSE NO <br />oauwnoN OR uABIUTY OF ANr allo uPON THE INfuRER In AGENTS ON <br />REfYEBFHTATNEB. <br />.CORD CORPORATION 1988 <br />