COMMUNITY SERVICE PROGRAMS, INC. 6 - 2009

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gCOR�7' CERTIFICATE OF LIABILITY INSURANCE OP ID PC CONIlNU-6 11 /2: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Chapman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena CA 91117-0455 Phone:626-405-8031 Fax:626-405-0585 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Aivarport InGU—Ca Company INSURER B: Everest National Community Service Programs, Inc INSURER C: 1821 E. Dyer Road Ste. 200 INSURER D: Santa Ana CA 92705 I INSURER E: v 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. _ - ILTRNSR TYPE OF INSURANCE POLICY NUMBER P LICY EFFECTIVE DATE MMIDDNYY P LILY EXPIRATION DATE MWDDNYYY LIMITS GENERAL LIABILITY A X X COMMERCIAL GENERALLLIABILITY RIC0010505 10/01/09 10/01/10 EACH OCCURRENCE $ 1_000000 PREMISES (Ea occuree) S 100000 MED EXP (Any one person) $ 5000 _ - CLAIMS MADE X OCCUR PERSONAL&ADV INJURY _ X Sexual Abuse X PROFESSIONAL RIC0010505 CONTRACTUAL LIABILITY10/01/09 10/01/09 10/01/10 10/01/10 -_$1000000 GENERAL AGGREGATE $ 3000000 - COMPlOP AGG $1000000, __. GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS Ben. 1000000 PRO- ^' POLICY JECT LOC AUTOMOBILE LIABILITY I_� A X ANY AUTO RIC0010505 10/01/09 10/O1/10 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ _ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY -- - - (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA. ACCIDENT $ ANY AUTO _- OTHER THAN EAACC$ - AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE �$ 1000000 rAGGREGATE _ $ 1000000 A X-.� OCCUR CLAIMS MADE �'I REL00010506 10/01/09 10/01/10 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION u EMPLOYERS'LIABILITY Y I N B ANTATL Y ROIREMBEREXRTNERI EXCLUDED? iOFFICER/ (Mandatory In NH) 6600000007091 07/01/09 07/01/10 X TORY LIMITS E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE' $ 1000000 _ E.L. DISEASE - POLICY LIMIT $ 1000000 If yes, describe under SPECIAL PROVISIONS below i OTHER A ,Employee Dishonest RIC0010505 10/01/09 10/01/10 & Forgery 650,000 A Property RIC0010505 10/01/09 10/01/10 Contents 249,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Positive Action Towards Health Grant. City of Santa Ana, Santa Ana Police Department, its officers and employees are named additional insured and any other insurance shall be deemed excess coverage and named insured's insurance shall be primary per the attached CG 2026 endorseemnt. Workers compensation coverage excluded, evidence only. 10 days notice of (Contd...) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SANPOLI 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 REPRESENTATIVES. Santa Ana Police Department 60 Civic Center Plaza AU RIZEDR PRESENTATIVE Santa Anar CA 92701 wa.vnv co tcwaw r .a.. �...,-�....� .,.....................- .-.....y................... The ACORD name and logo are registered marks of ACORD A P n ` VEIRODAM FORM