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ACORD„, CERTIFICATE OF LIABILITY INSURANCE OP ID PC DATE(MWODflM 1 PRODUCER MERCY-2 05/05/09 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. 0. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Pasadena CA 91117-0455 Phones 626-405-8031 Fax:626-405-0585 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Philadelphia insurance Company INSURERS: Everest National Mercy HOBS@ INSURERC: P . 0 . BOX 1905 Santa Ana CA 92702 INSURER D: INSURER E: 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 BYPAID CLAIMS. IAS LTR NSA TYPE OF INSURANCE POLICYNUMBER DATE MrDD IDERW LIMITS GENERALLUIBIUTY EACHOCCURRENCE $1 00O 000 A X X COMMERCIALGENERALLtMILITY PHPK309978 05/02/09 05/02/10 PREMISES oc wwe $ 100 000 CLAIMS MADE ❑X OCCUR LIED EXP (Arty ono person) $5 , 000 X Professional NO DEDUCTIBLE PERSONAL &ADV INJURY $1 000 000 2mil agg/Imil occ GENERAL AGGREGATE $2 000 000 GEN'LAGGREGATEUMITAPPUESPER: PROOUCTS-COMPIOPAGG s2,000,000 X POUCY ACT LOG AUTOMOBILE LIABILITY A X ANYAUTG PHPK309978 05/02/09 05/02/10 COMBINED SINGLE LIMIT (Eaax� $1000000 ALL OWNED AUTOS SCHEDULEDAUiOS NO DEDUCTIBLE BOD,LY INJURY Torpor—) $ X HIRED AUTOS X NON•OWNEDAUTOS (Perac INJURY (Per dderlt) $ PROPERTY DAMAGE $ (Per axtdenq oARAWAUT LITY AppROV D AS TO FOR AUTOoNLY-EAAOCow s ANY AUTO O OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESSNMBRELLALIABILITY EACH OCCURRENCE $ OCCUR ❑ aAJMSMADE Laura Sti SI10 Cy Assistant ity Atto'ney AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ t WORKERS COMPENSATION AND EMPLPD UABIAR X 70RYULiRS ER B 6600000730081 10/01/08 10/01/09 FU ANY PROPWETORlPARTNEI�Ci1TNE E.L. EACH ACCIDENT $1000000 OttyFaFsKddeeR'MEMBEREXCLUEL NO DEDUCTIBLE IDEO PROV}SI&S befog E.L.MSEASE-EA EMPLOYE $1000000 OTHER EL DISEASE • POLICY UMR $1000000 A Sexual Abuse PHPK309978 05/02/09 05/02/10 Aggregate 1,000,000 NO DEDUCTIBLE DESCHIPTION OF OPERATIONS/LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROYfS10N8 ea Abuse 1,000,000 Re: CDBG and ESG grants. City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insureds with respect to the operations of the named insured & this policy is primary per the attached endorsement. Workes compensation coverage excluded, evidence only. 10 days notice of cancellation for non-payment of premium. CRRTIPICATr= WAI nrb ,...._.... __.___ City Of Santa Ana Frank Hernandez 20 Civic Center Plaza P.O. Box 1988 Santa Ana CA 92702 CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEMIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURETO DO SO SHALL IMPOSE NO OBUOAMON OR UABILIYOP ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.