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RD CERTIFICATE OF LIABILITY INSURANCE DA E C Y ) l 02 19 T MPL 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO Chapman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Box 5455 O P . . Pasadena CA 91117-0455 Phone: 626-405-8031 Fax:626-405-0585 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nonprofits' Insurance Alliance INSURER B: Everest National Deve lo Calvario Communit T INSURER C: y emp 2617 West 5th St INSURER D: Santa Ana CA 92703 INSURER E: rnvFRnc;FS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO W RICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE M~DDm PDATE MMPDOIW N UMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, O O O, O O O A X X COMMERCIAL GENERAL LIABILITY 2 U 0 917 0 8 8NP0 0 2~ U 8~ 0 9 0 2~ 0 8~ 10 E~xENT>:>T PREMISES (Ea occurence) $ 10 0 , 0 0 0 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10 , 0 0 0 PERSONAL 8 ADV INJURY $ 1, O O O, O O O GENERAL AGGREGATE $ 2, 0 0 0, O O O GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG $ 1, O O O , O O O X POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMB $ 10 0 0 0 0 0 A ANY AUTO 200917088NP0 02/08/09 02/08/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) ~[ HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) ~~ 1 ~ ~ PROPERTY DAMAGE $ 1 (Per accident) GARAGE LIABIUTr Rp AUTO ONLY - F1+ACCIDENT $ ANY AUTO Y ~~ ^ ~ ~ OTHER THAN EA ACC $ ~ ~/~ •, ~ ' t AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY ~ 3 i'~V« ~ FACH OCCURRENCE $ C ~1 y OCCUR ~ CLAIMS MADE 51St n~ AGGREGATE $ AS $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS'LIABILITY 6600001002091 01/01/09 Ol/O1/10 E.L. EACH ACCIDENT $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DI$~1CSE • EA EMPLOYE $ l O O O O O O If yes, describe under SPECIAL PROVISIONS below ~,-'. E.L. DISE~ LICY $ 10 0 0 0 0 0 OTHER ~ ~ " "~ ---.~~ DESCRIPTION OF OPERATIONS !LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS ~ -' W The Santa Ana Empowerment Corporation and the City of Santa Ana, and their', respective officers, employees, agents, volunteers and representatives are-.; named additional insured with respect to the operations of the named insu~~e3•=` .~ per the attached CG 2026 endorsement. Such insurance is primary and ~•j~-^ non-contributory. Workers Compensation coverage excluded, evidence (Contdf=: ap CERTIFICATE HOLDER CANCELLATION Santa Ana Empowerment Corporation, Inc. 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, CA 92702 SANTAAE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 25 (2001108) ~ t ,Jx:~r-',~ cyfi -,~ - ~~ -1 S~ ORA