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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID PC DATE(MMIDD/YYYY) INTER-5 11 13 08 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 P. O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Pasadena CA 91117-0455 Phone: 626-405-8031 Fax: 626-405-0585 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Riverport Insurance Company INSURERB: Everest National Interval House INSURER C: P.O. Box 3356 INSURER D: Seal Beach CA 90740 INSURER E: liV VCI[/iVr_Q 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. LTR )NSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE (MM/DDrrn LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1000000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1�i OCCUR RIC0009610 10/01/08 10/01/09 PREMISES Eaoccurence) $ 100000 MED EXP (Any one person) $ 5000 X Professional Liab PERSONAL B ADV INJURY $ 1000000 X Sexual Abuse Liab GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS -COMPIOP AGG $ 3000000 ! Prof Liab lmil/3mil AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ! OTHER THAN EA ACC AUTO ONLY: AGG S $ A EXCESS/UMBRELLA LIABILITY X I OCCUR EICLAIMS MADE REL0009611 10/01/08 10/01/09 EACH OCCURRENCE s2,000,000 AGGREGATE $2,000,000 S RDEDUCTIBLE $ X RETENTION so $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 6600000287081 I 02/01/08 02/01/09 TORY LIMITS X ER E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYE $1000000 E.L. DISEASE - POLICY LIMIT ! $ 1000000 OTHER A Property Coverage RIC0009610 10/01/08 10/01/09 Blkt Cont $365,000 A Crime Coverage RIC0009610 10/01/08 10/01/09 Enp Dish $200 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured with respect to the General Liability policy of the named insured per the attached Al endorsement. Such insurance is primary and non-contributory per the attached endorsement. Workers Compensation coverage excluded, evidence only. 10 days (Contd..) v�r� r n ry nvw�r� VAIVLiGLLA 11UIV CITY016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL -MAIL 30 DAYS WRITTEN City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Community Dev. Agency (M-25) 20 Civic Center Plaza P.O. Box 1988 - Santa Ana, CA 92702 Au PRES n ACORD 25 (2001108) © ACORD CORPORATION 1 P 1' �_