REHABILITATION INSTITUTE OF SOUTHERN CALIFORNIA 1C - 2009

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REHAINS -01 SYGU AC4RD,M CERTIFICATE OF LIABILITY INSURANCE DA1130/2009 PRODUCER (626) 795 -9000 The Rule Company, Inc. P.O. Box 7072 Pasadena, CA 91109.7072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Rehabilitation Institute of Southern California 1800 E. La Veta Avenue Orange, CA 92866- INSURER A: PHILADELPHIA INSURANCE COMPANIE U LICY EFFECTIVE INSURER B: LIMITS INSURER C: REPRESENTATIVES. INSURER D: INSURER E: CAVFRAGFS 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 WITH RESPECT TO WHICH 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. INSR N R POLICY NUMBER U LICY EFFECTIVE POLICY EXPIRATION LIMITS REPRESENTATIVES. GENERAL LkhBILITY EACHOCCURRENCE $ 1,000,00 PREMISES Ea oowrence $ 100,00 A X COMMERCIAL GENERAL LIABILITY PHPK340518 9/1/2008 9/1/2009 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 3'00 PERSONAL 8 ADV INJURY $ 1,000'00 GENERAL AGGREGATE $ 2'000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1,000,00 7 X POLICY PRO- LOC A AUTOMOBILE X LIABILITY ANYAUTO PHPK340518 9/1!2008 9/1/2009 COMBINED SINGLE LIMIT (Es accident) $ 1,000,00 BODILY INJURY (Per person) S ALL OW NED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) S X HIRED AUTOS NON -0W NED AUTOS Deductible:$1,000 Comp. `qAp� Q` PROPERTY DAMAGE (Per accident) S X Deductible:$1,000 Coll. GARAGE LIABILITY p AUTO ONLY - EA ACCIDENT $ ANY AUTO 'Q y. L`11Jf- FO EA ACC AUTO ONLY: AGG S S EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE ti{I( fit CIl Ody EACHOCCURRENCE S AGGREGATE 5 S DEDUCTIBLE 5 RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNR/EXECUTIVE E W C STATU- OTH- TORY 1 Ml ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEES OFFICEWM£MBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT S OTHER A Professional Liability PHPK340518 9/1/2008 9/1/2009 $1,000,000 Each Occ $2,000,000 Aggregate A Sexual, Physical, Abuse, Moles PHPK340518 9/1/2008 9/1/2009 Occurrence /Aggregate $1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS City of Santa Ana, its officers, agents, employees, representatives and volunteers are named as Additional Insureds for General Liability policy per Endorsement Form #CG20260704 attached as respects to the operations of the named Insured. Such Insurance as Is afforded by this policy is primary and is not additional to or contributing with any other Insurance carried by or for the benefit of the additional Insured. Except 10 Days Cancellation Notice for Non Payment of Premium. CERTIFICATE HOLDER CANCELLATION ACCRD 25 (2001108) 0 ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WIL0000M n MAIL 30 DAYS WRITTEN Donna Schultze dschuitze @ santa- ana.org 20 Civic Center Plaza, M -23 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT VAUMUM SHALL Santa Ana, CA 92701- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACCRD 25 (2001108) 0 ACORD CORPORATION 1988