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<br />t <br />DATE (MMIDDfIYYYI <br />CERTIFICATE OF LIABILITY INSURANCE ~gpNG~g 07/22,08 <br />ACORD <br />n THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Chapman s Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0522024 <br />/~ ~-,~ ._"j ,K `~ <br />~ I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. 0. Box 5455 ~'""1 '=x ~-~'~ <br />`~ ° ~" <br />i <br />Pasadena CA 91117-0955 INAIC # <br />INSURERS AFFORDING COVERAGE <br />Phone: 626-905-8031 Fax: 626-405-0585 __ <br /> <br /> <br />INSUREG 16691 <br />wsuRER ~- <br /> INSURER 6 --~ -' <br /> <br />Orange County Conservation Cor INSVRERC -.__- .__ _- _. <br />- - - ---- - - -- _- <br />I <br />1653 N . Raymond Ave . INSURER e _ <br />Anaheim CA 92801 <br /> INSURER E <br />COVERAGES <br />THE POLICIES DF INSURANC_LISTED BELOW HAVE BEER ISSUEC TD THE INSURED NAMED ABOVE FOR TH'c POLICY PERI OD IND:CATEL.NOTWITNSTM'DIhC <br />M'Y REQUIREMENT TERM OR CONDITION O~ ANY CONTRACT OP OTHER DODVMENT WITH RESPEC- TO WHICH THIS CE0.TIFILATE MAY BE ISSUED OF <br />MPY PERTAIn THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED MEREIn IS SUBJECT TG A._ THE TERMS EXCLU SIONS PND CONDITIONS OF SULF". <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />_ POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />INSF IApO'L POLICY NUMBED PATE (MMIpDIYY, DATE (MMIDDM'I <br />LTk INSRC TYPE OF INSURANCE <br />EACH DLCUaRENCE ''. S 1 , OOO , OOO <br />GENERAL LIABILITY I DAMAGE TO RENTEC ' <br />07/20/08 07/20/09 PREMISES (EaPCr,IrenrE. __? 100,000__ <br />A g 7{ coMMERCrA_GENERA_uABILIT" PAC5154680 <br />-""--- - -- --- <br />MEC E%P IAnv «,e Peon' 5 , 000 <br />C:AIMG MAD`_ X OCCUR <br />PERSONAL aADV INJURY S 1 , 000 , 000 <br />NO DEDUCTIBLE <br />' GENERAL AGGREGATE S 2 , OOO , OOO <br />' PRODUCTS-COMPIOPAGC S 1 , OOO , OOO <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />--i. PRG. <br /> <br />' <br />POLIC\' JECT LOC COMBINED SINGLE LIMI- S <br />AUTOMOBIL'_ LIABILITY IEsamaen:; <br />' <br />' ANY AUTC <br />AL. DWNEG AUTOS '~ BODILY INJURY '. i <br />(Pe' Person) <br />SCHEDULED AUTOS , <br />HIRED AUTOS <br />~. BODILY INJURI" I, i <br />I, (Per arruoenl', <br />NON-OW NEli AUTO; <br /> <br />- ~ <br />' ~ PROPERTY DAMAGE S <br />~ ii IPer ac-loenr, <br />{~ ~ AUTO On LY-EA AGCIDEn. 5 <br />\ <br />l <br />GARAGE LIABILIT`" ,( <br />MY AUTv 9g~ T rA <br />ii <br />v I y/ EA ACC <br />`1 AUTO ONHAn' i <br />V <br />~G <br />1 <br />~ <br />- <br />Y O <br />~ <br />V AGG <br />tititi/// <br />-- <br />EMCESSAIMBRELLA LIABILITY ~\~~ ~ ~\~~ P ~ I EACH OCCURRENCE - _ -_, <br />/~ ' <br />) AGGREGATE S <br />'. OCCUR _~I CLAIMS MADE / <br />s~s <br />5 <br /> ~ / <br />Ps <br />/ <br />DEDUCnBLE <br /> <br />RETEM1'TIOn <br />i <br /> <br />'OTH <br /> <br />', <br />~I VIORKERS LDMPENSATION AND ' ~ <br />, I WC STATU~ <br />~' 1 TORY LIMITS ER <br />~'I EMPLOYERS' LIABIIJTI' ~ E _. EACH ACCIOEn" S <br />ANV PROPRIETORIPARTNERIEXECUTIVE <br /> <br />OFFILERIMEMBEP EXCLUDED-' ~. <br />E!_. DISE45E-EA EMPLOYEE S <br />'~ <br />Il ves cescn~e uncei <br />SPECIA•_PROVISIOn'S Oelov. E.L. DISEASE-PO'_ICYLIMI- <br />~i <br />' OTHER <br />07/20/08 07/20/09 ' Per claim 250,000 <br />A I Sexual Misconduct PAC5154680 <br /> I I aggregate 500,000 <br />No Deductible <br />pE3LRIPTION OF OPERATONS I LOCATIONS! VEHICLES I EXCLUSNINS ADOEp BY ENDORSEMENT r SPECIAL PROVLSIONS <br />City of Santa Ana, its officers, agents, employees and volunteers are named <br />additional insured with respect to the operations of the named insured per <br />the attached endorsement. 10 days notice of cancellation for non-payment of <br />premium. XX <br /> CANCELLATION <br />CERTIFICATE HOLDER <br />COMMDEl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />GATE THEREOF, THE ISSUING INSURER WIL~ S O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,- <br />Community Development Agency M-25 <br />City of Santa Ana - <br />P.O. Box 1988 <br />AU E ES TATIVE <br />Santa Ana, CA 92702-1988 <br />©ACORD CORPORATION 1988 <br />ACORD 25 (2001f08) <br />