BIG BROTHERS BIG SISTERS OF ORANGE COUNTY 1 - 2009

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SRO CERTIFICATE OF LIABILITY INSURANCE OF ID DO CATE(MM![ PRODUCER BIGBR -1 T OR Andreini & Company -South Coast THIS CERTIFICATE IS ISSUED AS A MATTER O INFORMATION License 0208825 ONLY AND CONFERS NO RIGHTS UPON THE EXTEND One MacArthur Place, Suite 100 ALLTER THEHCOVERAGE A FOR ED BOY THE EXTEND OR South Coast Metro CA 92707 Phone:714- 327 -1400 Fax:714- 327 -1499 INSURERS AFFORDING COVERAGE INSUREp INSURER A: Konpzala to inaurancc A111ance Big Brothers /Big Sisters of INSURER R: oat R1Vav xnevtaaco Company Orange County Debby DiGiovanni INSURER C: 14131 Yorba Street, Suite 200 INSURER D: Tustin CA 92780 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANV 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 NSR TYPE OF INSURANCE POLICY NUMBER 0 CY E FEC DATE MM /ODMYY / EX IRAT GATE MMIDDMYYY LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR 20090647OMPO 02/11/09 02/11/10 EACH OCCURRENCE $1,000 000 PREMISES Ea occarenw $ 100 000 MEO EXP (Any one person) $10 000 PERSONALdADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEMLAGGREGATE LIMITAPPLIES PER: POLICY PRO- JECT LOC PRODUCTS- COMP/OP AGG $3,000 000 A AUTOMOBILE LIABILITY ANVAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 20090647OMPO 02/11/09 02/11/10 COMBINED SINGLE LIMIT (Ea amidenl) $1,000,000 BODILY INJURY (Per parson) S X X BODILY INJURY (Per a=dml) $ PROPERTY DAMAGE (Per eccidenlJ $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ 3 A B EXCESS I UMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OANY EXCLUDES ECUTIVEE] (Mandatory" NH) I-J Il yes, describe under SPECIAL PROVISIONS below OTHER 20090647OUMB 2200054868091 02/11/09 02/11/09 02/11/10 02/11/10 EACH OCCURRENCE $3,000,000 AGGREGATE $3 000,000 S _ X TORY LIMITS ER $ E.L. EACH ACCIDENT $lOQQQQQ E.L. DISEASE -EA EMPLOYEE $ SOOOOOO E.L. DISEASE - POLICY LIMrr $ 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS The City of Santa Ana, its Officers, employees, agents, volunteers S representatives as additional insureds per attached form #CG20110196 with repect to General Liability coverage only. Such insurance is primary with respect to insurance or self- insurance programs maintained by the City and contain standard separation of insureds provisions. (see attached note) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITSAN4 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana REPRESENTATIVES. 20 Civic Center Plaza (M -29) AUTHORI EPRESENTATIVE Santa Ana CA 92702 - ACORD 25 (2009101) ©1988.2 09 A RD CORPORATION. All riahts reserved. The ACORD name and logo are registered marks of ACORD