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_CORD CERTIFICATE OF LIABILITY INSURANCE OP MEID C2 DA05/05/09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT151 <br />Chapman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Pax : 626-405-0585 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURERA Philadelphia Insurance Company <br />INSURERS: Everest National <br />Mercy House INSURERC: <br />P.O. BOX 1905 INSURERD: <br />Santa Ana CA 92702 <br />INSURER E: <br />UVtKAUtU <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 W ITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAIO CLAIMS. <br />ILTR <br />NSRL <br />TYPE OF INSURANCE <br />POUCYNUMBER <br />POUCYYFDATE MFE <br />'no CY <br />IO <br />i LIMITS <br />GENERALLIABIUTY <br />FACHOCCURRENCE <br />$1 00O 000 <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE OCCUR <br />PHPK309978 <br />05/02/09 <br />05/02/10 <br />PREMISES Eaocarence <br />$100 000 <br />MED EXP (My one person) <br />S5,000 <br />X Professional <br />NO DEDUCTIBLE <br />PERSONAL &ADV INJURY <br />S 1 000 000 <br />2mil agq/lmil OCc <br />GENERAL AGGREGATE <br />s2,000,000 <br />GEN'LAGGREGATEUMITAPPLIESPER: <br />PRODUCTS -MIPIOPAGG <br />s2,000 000 <br />X1 Poi1CY PT LOC <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANYAUTO <br />PHPK309978 <br />05/02/09 <br />05/02/10 <br />COMBINED SINGLE LIMIT <br />(Eaaccidenq <br />$1000000 <br />ALL OWNED AUTOS <br />SCHEOULEDAUTOS <br />NO DEDUCTIBLE <br />BOD1.Y INJURY <br />per person) <br />$ <br />X <br />X <br />HIREDAUTOS <br />NONOYNEDAUTOS <br />BODILYINJURY <br />(Peraoddent) <br />$ <br />PROPERTY DAMAGE <br />(Pet aoddent) <br />S <br />GARAGE LIU I LITY <br />APPROVED <br />AS To <br />FORM <br />AUTO ONLY -EAACCIDENr <br />s <br />ANY AUTO <br />OTHER THAN _ EA ACC <br />AUTOONLY: AGO <br />$ <br />$ <br />EXCESSNMBRELLALIABILITY <br />OCCUR CLAIMS MADE <br />�'l.au <br />a Sti Shee <br />y <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />Assistant <br />ity Atto <br />ney <br />$ <br />DEDUCTIBLE <br />$ <br />RETENMON S <br />$ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS'UABIUTY <br />ANY PROPRIETORIPARTNEPAXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />If yeess, deaaae under <br />SPECIAL PROVISIONS bebrr <br />6600000730081 <br />NO DEDUCTIBLE <br />10/01/08 <br />10/01/09 <br />X TORYUMRS ER <br />E.L. EACH ACCOENT <br />$1000000 <br />E.L.DISEASE-EAEMPLOYf <br />S 1000000 <br />E.L. DISEASE - PoLrY LImrr <br />S 1000000 <br />OTHER <br />A <br />Sexual Abuse <br />PHPK309978 <br />05/02/09 <br />05/02/10 <br />Aggregate 1,000,000 <br />NO DEDUCTIBLE <br />ea Abuse 1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Res CDBG and ESG grants. City of Santa Ana, its officers, employees, agents, <br />volunteers and representatives are named additional insureds with respect <br />to the operations of the named insured & this policy is primary per the <br />attached endorsement. Workes Compensation coverage excluded, evidence only. <br />10 days notice of cancellation for non-payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Frank Hernandez <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />CITYSAN SHOULD ANY OFTHEABOVEDESCRIBED POLICIES BECANCEU.EDBEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OFANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />