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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID P DATE(MM/DD/YYYY) <br />INTER -5 10/01/07 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />Chapman & Associates /4 <br />License #0522024 "2008-06$-03 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 5455 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Pasadena CA 91117-0455 <br />LIMITS <br />Phone: 626-405-8031 Fax: 626-405-0585 <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURED <br />INSURER A: Riverport Insurance Company <br />INSURER B: Everest National <br />$ 1000000 <br />interval House <br />INSURER C: <br />P.O. Box 3356 <br />Seal Beach CA 90740 <br />NSUR� ER D: <br />INSURER E: <br />X Professional Llabl <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO 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 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE POLICY PI A I <br />DATE MM/DD/YY DATE MM/DD/YY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />! X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ; X I OCCUR <br />i <br />RIC0008550 <br />10/01/07 10/01/08 <br />EACH OCCURRENCE <br />$ 1000000 <br />'REN I ED <br />PREMISES LE ca) <br />S 100000 <br />MED EXP (Any one person) <br />S 5000 <br />X Professional Llabl <br />PFRSONALSAD`:IN;JRY <br />$ 1000000 <br />X Sexual Abuse Liabi <br />GENERAL AGGREGATE <br />s3000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY II—� JECT LOC <br />PRODUCTS - COMP/OP AGG <br />S 3000000 <br />4 <br />to <br />Prof Liab <br />lmil/3mi1 <br />AUTOMOBILE LIABILITY <br />HANY AUTO <br />ALL OWNED AUTOS <br />Hj SCHEDULED AUTOS <br />i Oq <br />0Qg <br />/// <br />O4G ey <br />E 5'� P r <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILYINJURY <br />(Per person) <br />$ <br />LHIRED AUTOS <br />— <br />NON -OWNED AUTOS <br />k <br />P55\ <br />n� <br />to <br />BODILY INJURY <br />(Per accident) <br />$ <br />-- — <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />F-7 <br />ANYAUTOEAACC <br />I <br />OTHER THAN <br />AUTO ONLY: AGG <br />S <br />$ <br />A I <br />EXCESS/UMBRELLALIABILIIY <br />X OCCUR CLAIMS MADE REL0008551 <br />�j � <br />I <br />10/01/07 10/01/08 <br />EACH OCCURRENCE _ _ <br />AGGREGATE <br />s2,000,000 <br />s2,000,000 <br />�..._., <br />DEDUCTIBLE I <br />g <br />!X <br />RETENTION $ O <br />$ <br />B <br />WORKERS COMPENSA71ON AND <br />EMPLOYERS' LIABILITY <br />16600000287071 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />02/01/07 02/01/08 <br />X TOR_Y_LATU- OTH <br />I_ X _ER_ <br />E.L.EACHACCIDENT <br />51000000 <br />OFFICERIMEMBER EXCLUDED? <br />IHyyes,describeunder <br />SPECIALPROVISIONSbelow <br />E.L. DISEASE - EA EMPLOYE <br />__.------------_.._..-- <br />E.L. DISEASE - POLICY LIMIT <br />$ 1000000 <br />-------._-_-- <br />$1000000 <br />OTHER <br />A".Property Coverage 'RIC0008550 I 10/01/07 40/01/08 Blkt Cort V355,000 <br />A`Crime Coverage IRICO008550 10/01/07; 10/01/08 Em 1 Dish $200,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named additional insured with respect to the General <br />Liability policy of the named insured per the attached CG 2026 endorsement. <br />Such insurance is Primary and non-contributory. Workers Compensation <br />coverage excluded, evidence only. 10 days notice of cancellation (Contd.) <br />... r_ I " nv9_1jcn GANI;tI_LAI IDN <br />City of Santa Ana <br />Community Development Agency <br />(M-25) 20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />/08) <br />C ITY016 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI01 <br />DATE THEREOF, THE ISSUING INSURER WILL—MAIL 30 DAYS W RITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />D88 <br />