BIG BROTHERS BIG SISTERS OF ORANGE COUNTY 1 - 2009

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CERTIFICATE OF LIABILITY INSURANCE OP ID DO DATE(! BIGBR -1 03 Andreini & Company -South Coast License 0208825 One MacArthur Place, Suite 100 South Coast Metro CA 92707 Phone:714- 327 -1400 Fax:714- 327 -1499 INSURED Big Brothers /Big Sisters of Orange County Debby DiGiovanni 14131 Yorba Street, Suite 200 Tustin CA 92780 . _ /� COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Nonprofits Insurance Alliance INSURER B: Oak River Insurance Company 34630 INSURER C: 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 BY PAID CLAIMS. INS LTR ADD-� NSR TYPE OF INSURANCE POLICY NUMBER POLICY /DD EFFECTIVE DATE Y EFFE TIV POLICY EXPIRATION DATE MM/PIRATIO LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , OOO A X COMMERCIALGENERALLIABILITY CLAIMS MADE � OCCUR 20100647ONPO 02/11/10 02/11/11 ED— PREMISES (Eaoccurence) $100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE s3,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 3,000,000 POLICY F7 PRO- LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 20100647ONPO 02/11/10 02/11/11 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO 000 i � BODILY URY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPROVED �O Fo TR X BODILY IdNnt) $ X PROPERTY DAMAGE (Per accident) $ �- STOROK GARAGE LIABILITY ANY AUTO Assists City AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG A EXCESS / UMBRELLA LIABILITY X OCCUR F-1 CLAIMSMADE 20100647ONPO 02/11/10 02/11/11 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 $ DEDUCTIBLE X RETENTION $ 10 , 00O $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROP RIETOR/PARTNER/EXECUTIVFL] OFFICER /MEMBER EXCLUDED? 2200054868101 02/11/10 02/11/11 X TORY LIMITS ER E. L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1000000 (Mandatory In NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Santa Ana, its officers, employees, agents, volunteers & representatives as additional insureds per attached form #CG 20 26 0704 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) CERTIFICATE HOLDER CANCELLATION 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 Chic Center Plaza (M -29) AUTH RRI EPRESENTATIVE Santa Ana CA 92702 ACORD 25 (2009/01) c 1988-2009-AIC6RD CORPORATION. All rights reserved_ The ACORD name and logo are registered marks of ACORD