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ACORD_ CERTIFICATE OF LIABILITY INSURANCEOPlD DATE(MWDD^� <br />PRODUCER <br />Chapman & Associates <br />COLS I6 01/07/08 <br />THIS CERTIFICATE IS ED AS M TITER OF' INFORMATIO <br />License #0522024 A-200$-069-23 <br />ONLY AND CONFERS NO RIG HT& UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 5455 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax: 626-405-0585 <br />INSURERS AFFORDING COVERAGE NAIL # <br />INSURED <br />s <br />INSURER A: Rive rt Inxn ance C y <br />INSURER B: Everest National <br />�m� t� ?� <br />1821 Ei M'r A $a Ste:. rM00 "c <br />INSURER Q: <br />INSURER D: <br />Santa Ana CA 92705 <br />COVERAGES <br />INSURER E <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE 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 NSR TYPE OF INSURANCE POUCY NUMBERUL <br />GENERALLIABILJTY WTE DA DO <br />EACH OCCURRENCE $1000000 10000 00 <br />A ][ cOMMERMSMACIAL DE RAL FX]UUCCU RIC0008559 10/01/07 10/01/08 PREMISESIEeoocrance s 100000 <br />CLAIMS MADE OCCUR w e Wson) S5000 <br />X Sexual Abuse R-TCOOO8559 i0/01/07 10/01/08INJURv x1000000 <br />X PROFESSIONAL CON'. RACTLML LIABIL TY10/01/07 10/01/08GATE s3000000 <br />GEMLAGGREGATEUMTTAPPUESPER:PIOPAGG S1000000 <br />POLICY CF LOC 1000000 <br />AUTOMOBILE LIAMLLrtT <br />A X ANYAUTO RICODOGS59 10/01/07 10/01/08=--' ySINGLEUMTf $1000000 <br />ALL OWNED ALTOS <br />— SCHEDULEDA� a. (ParpwBOOLY INJURY S <br />(Pafpusm) <br />X HIRED AUTOS <br />X NON -OWNED AUTOS BCDILY INJURY S <br />(Pu. d. ) <br />PROPERTYDAMAGE s. <br />(Paracddmv) <br />sARAaEUABxm <br />ANYAUTO AUTO ONLY -EAACCIDENT $ " <br />OTHER THAN EA ACC S <br />AUTO ONLY: AGG S <br />EXCESSfl1MBRELLA 1JABILJTY <br />EACH OCCURRENCE S 1000000 <br />A OCCUR 0 CLAIMSMADE REW008560 10/01/07 10/01/08 AGGREGATE s 1000000 <br />DEDUCTIBLE <br />s <br />RETENTION S ' <br />S <br />WORKERS COMPENBATIONAND <br />S <br />EMPLOYERS LIABILITY X I Twy UNITS ER <br />ANYPROPRIETORIPARTNERIEXECUTIVE 6600000007071 TO1/07 07/01/08 ELEACH ACCIDENT S1000000 <br />OFFZERl R EToF EXCLUDE07 <br />Hpae.demMeunds EL DISEASE -EA EMPLOY $1000000 <br />SPECIAL PROVISIONS Ml" <br />OTHER E.LDISEASE-POLICYUMIT $1000000 <br />A Employee Dishonest RICOOOSS59 10/01/07 10/01/08 Limit 450,000 <br />A Pro RICOGO8559 10/01/07 10/01/08 Contents 249 000 <br />DESCRIPTION OP OPERATIONS 1 LOCATIONS! VENCLES J EXCLUSIONS ADDED 8T ENDORSEMENT'! SPECIAL PROVISlON9 <br />The City of Santa Ana, Its Officers, Employees, Agents, Volunteers Fig .�"�%?� i <br />and Representativar are named additional insured Vith respect to the <br />operations of the named insured per the attached CG 2026 andorsemsAta. <br />Workers Compensation coverage excluded, evidence only. 10 days notices f -LAY <br />:; c eof cancellation for non payment of premium, <br />Attor.ey <br />CERTIFICATE HOLDER CANCELLATION <br />SANTANA SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLEp BEFORE THE 0tPjIMnO <br />DATE THEREOF, nM ISSUING INSURER WLLL 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 IMPOSE NO ODUCAT70N OR UASDITY OFANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza REPRESEWATLYES. <br />Santa Ana, CA 92701 auTyo ECREPRt( <br />ACORD 25 (2001108) 4ACORD CORPORATION 198E <br />