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OP ID PC DATE(MWDDNYYY) <br />ACORD CERTIFICATE OF LIABILITY INSURANCE INTER-5 11 13 08 <br />PRODUCER <br />Chapman <br />License #0522024 <br />P . 0. Box 5455 <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax: 626-405-0585 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Interval House <br />P.O. Box 3356 <br />Seal Beach CA 90740 <br />INSURER A: Riverport Insurance Company <br />INSURERB: Everest National <br />INSURER C: <br />INSURER0: <br />INSURER E: <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 />INSR <br />ADD* <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MWDD/YY <br />POLICY EXPIRATION <br />DATE MM/DD <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1000000 <br />PREMISES Eaoccurence <br />$ 100000 <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />RIC0009610 <br />10/01/08 <br />10/01/09 <br />CLAIMS MADE 7 OCCUR <br />MED EXP (Any one person) <br />s 5000 <br />PERSONAL & ADV INJURY <br />$ 1000000 <br />X Professional Liab <br />X <br />Sexual Abuse Liab <br />GENERAL AGGREGATE <br />$ 3000000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 3000000 <br />POLICYEll JET Loc <br />Prof Liab <br />lmil/3mil <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />s2,000,000 <br />A <br />X OCCUR DCLAIMS MADE <br />REL0009611 <br />10/01/08 <br />10/01/09 <br />AGGREGATE <br />$2,000,000 <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 0 <br />WORKERS COMPENSATION AND <br />TORY LIMITS X I ER <br />B <br />EMPLOYERS' LIABILITY <br />6600000287081 <br />02/01/08 <br />02/01/09 <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE -EA EMPLOYE <br />$ 1000000 <br />OFFICERIMEMBEREXCLUDED? <br />If yyes, describe under <br />SPECIALPROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1000000 <br />OTHER <br />A <br />Property Coverage <br />RIC0009610 <br />10/01/08 <br />10/01/09 <br />Blkt Cont $365,000 <br />A <br />Crime Coverage <br />RIC0009610 <br />10/01/08 <br />10/01/09 <br />Emp 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 AI endorsement. Such <br />insurance is primary and non-contributory per the attached endorsement. <br />Workers Compensation coverage excluded, evidence only. 10 days (Contd..) <br />CERTIFICATE HOLDER CANCELLATION <br />CITY016 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL -MAIL 30 DAYS WRITTEN <br />City of Santa Ana <br />Community Dev. Agency (M-25) <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />- <br />Au PRES n <br />Santa Ana, CA 92702 <br />ACORD 25 (2001/08) <br />© ACORD CORPORATION 1 <br />