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JS�?!ZO CERTIFICATE OF LIABILITY INSURANCE OF ID DO DATE(MMIDDMWJ <br />B1GBR -1 11 12/09 <br />FFRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Company -South Coast ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />6825 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ur Place, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Metro CA 92707 <br />327 -1400 Fax:714- 327 -1499 (INSURERS AFFORDING COVERAGE NAIC# <br />Big Brothers /Big Sisters of INSURER e: oak Ri.: 34 <br />Orange County <br />Debby DiGiovanni INSURER C: <br />14131 Yorba Street, Suite 200 INSURER O: <br />Tustin CA 92780 <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 />LTR <br />NSR <br />TYPE OPINSURANCE <br />POLICY NUMBER <br />OLI EP ECTI E <br />DATE MMlDDIYYYY <br />PO- PIRATIO <br />DATE MMIDO/YYYY <br />- -- <br />LIMITS <br />20 Civic Center Plaza (M -29) <br />Santa Ana CA 92702 <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />51,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />200906470MP0 <br />02/11/09 <br />02/11/10 <br />PREMISES Eabbburence) <br />$100,000 <br />CLAIMS MADE OCCUR <br />MED UP (my ono person) <br />$10,000 <br />PERSONAL B AOV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />GEN' L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS AGG <br />$3,000,000 <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />A <br />ANY AUTO <br />20090647OMP0 <br />0�ef <br />RQQ[/11 /10 <br />(Eaa¢Itle01'INGLELIMR <br />$1,000,000 <br />A02/ <br />J <br />-' <br />ALL OWNED AUTOS <br />APPROVED <br />BODILY JURY <br />$ <br />SCHEDULED AUTOS <br />r perou <br />(Par person) <br />X <br />HIRED AUTOS <br />�- <br />X', <br />NON -OWNED AUTOS <br />..— <br />SuLC Site dy <br />BODILYINJURY <br />(Per BCmdenD <br />$ <br />Laura <br />/\S$15taII <br />City E1tLOTII <br />PROPERTYDPMAGE <br />E <br />(Per .amen, <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANYAU O <br />OTHER THAN EA ACC <br />E <br />E <br />AUTO ONLY: AGG <br />EXCESSlUMBRELLALIABILITY <br />EACH OCCURRENCE <br />E 3,000,000 <br />A <br />X OCCUR �CLAIMSMADE <br />20090647OUMB <br />02/11/09 <br />02/11/10 <br />AGGREGATE <br />53,000,000 <br />y <br />DEDUCTIBLE <br />E <br />X, RETENTION $10,000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />_ <br />X TORY LIMITS ER <br />YIN <br />E.L EACH ACCIDENT <br />51000000 <br />B <br />ANY PROPRIETORIPARTNER/EXECUTIVE� <br />2200054868091 <br />02/11/09 <br />02/11/10 <br />OFFICERIMEMBER EXCLUOEO9 <br />(Mandatory In NH) <br />E.L. DISEASE -EA EMPLOYEE <br />---- <br />$ 1000000 <br />If yes, describe under <br />-- <br />E.L DISEASE-- <br />$l000000 <br />SPECIAL PROVISIONS below -7 <br />OTHER <br />DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents, volunteers & <br />representatives as additional insureds per attached form #CG 20 26 0704 with <br />repect to General Liability coverage only. Such insurance is primary with <br />respect to insurance or self- insurance programs maintained by the City and <br />contain standard separation of insureds provisions. (see attached note) <br />lawrtu ea (ZUUVIUT) W 1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITSAN4 <br />DATE THEREOF, THE ISSUING INSURERINILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTLFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIASILITY OF ANY KIND UPON THE INSURER, 75 AGENTS OR <br />City of Santa Ana <br />REPRESENTATIVES. <br />A UTHOR( EPRESENTATNE <br />20 Civic Center Plaza (M -29) <br />Santa Ana CA 92702 <br />lawrtu ea (ZUUVIUT) W 1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />