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�►�� � CERTIFICATE 4F LIABILITY INSURANCE OP ID PC DATE (MMID D/WY`n <br />`.� CONIIKi7-6 05/30/3.0 <br />oDUCER THIS CERTIFICATE IS ISSUES AS A MATTER OF INFORMATION <br />Chapman ONLY AND CONFERS N 0 RIGHTS UP N THE CERTIFICATE <br />License #0522024 HOLDER, THIS CERTIFICATE DOES NCTAMENI , EX'T'END OR <br />P. 0. Sox 5455 ALTER THE COVERAGE AFF RDED BY THE POLICIES BELOW, <br />Pasadena CA 91117-0455 <br />Phone. 626-405--3031 Fair. 626-405--05$5 INSURERS AFFORDING COVERAGE ' NAI <br />INSURED <br />INSURER A: �6684 <br />+ ,. - t•. R.�,vC'Ir�i�i'� �IISII�IIIIC@ or4p�z��` .7 <br />INSURER S. Everest National 10120 <br />Community Service Progam , Inc INSURER <br />E <br />1821 E. Dyer Road Ste. 200 <br />Santa Ana 92705 INSURER �: i <br />i INSURER E' <br />COVERAGES <br />THE= POLICIES OF INSURANCE LISTED SELOW HAVE SEEN ISSUE: D TO THE INSURED NAMED ABOVE FFR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUME=NT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PE RTA►EN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXGLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN CLAY HAVE SEEN RE=DUCED BY PAID CLAIMS. <br />INSH -AD E'I~1_01FE=EO'1"lE�"IO�.IEfIIRAIN <br />LTE IINSE3 TYPE OF INSURANCE POL] NUMBER :'D ATE E MIDD E}�QTE` MMJDD LIMIT'S <br />GENERAL LIABILITY <br />i <br />1 <br />EACH OCCURRENCE <br />$ 1000000 <br />PREMISES Ea vu encs <br />100000 <br />A <br />COMMERCIAL GENERAL LIABILITY � Ri 1 0 �, �. <br />10/01/10 <br />M E 0 EX P (Argy one person) <br />5000 <br />CLAIMS MADE OCCUR <br />rPERSONALAD1lIN.IUIY. <br />Sexual Abuse `: RIC1 10/01/09 <br />10/01/10 <br />PROFESSIONAL CONTRACTUAL LIABI «I I /01/09 <br />10/01/10 <br />GENERAL AC IREOATER <br />s3000000 <br />PRODUO'C'S - OOCu P10 ACCO <br />1000000 <br />GE f 'L AGGREGATE LCA+II7' APPLIES PER: <br />PRO - <br />POLICY { JET LOC I <br />n. <br />1000000 <br />AUTOMOBILE <br />L ABILITY <br />ANY AUTO <br />i <br />RIC0010505 x.0101109 <br />COMBINED SINGLE LICIT <br />10/01/10 1 (Ea accident) <br />� <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />I BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTO <br />NON -OWNED AUTOS <br />E AS TO FOR <br />BODILY INJURY <br />(Por ac cident) <br />4 E <br />s <br />' PROPERTY DAMAGE <br />_ (Per accident) <br />s <br />GARAGE LIABILITY <br />ANY AUTO2 <br />1 i <br />� �� <br />AUTOS ONLY - EA ACCIDENT <br />$ <br />OTHER EA ACC i <br />AUTO ONLY: ACO S <br /># <br />EXCESS UMBRELL.A LIABILITY <br />EACH OCCURRENCE 1000000 <br />A <br />X 1 OCCUR OL.AI MS MADE: <br />REL O 1 506 10/01/09 :LO/01/10 <br />AGGREGATE $1000000 <br />s <br />i <br />i <br />DEDUCTIBLE <br />i <br />$ <br />$ <br />RETENTION $ <br />} <br />i <br />} WORT ERS COMPENSATION <br />} AND EMPLOYERS' LIABILITY <br />$ ` ANY PRETOR/PARTNE�R[E7 EOUTIV YEN <br />CPRI <br />OFFICER/MEMBER EXCLUDED? <br />} {Malmtry In ESM} <br />S C describe under <br />EECIALPRCiIICICNS below <br />� <br />6600000007101 07/01/10 <br /><� <br />0'] 01 11 <br />+ <br />TORN LIMITS ESR <br />E.L. EACH ACCIDENT$1000000 <br />E.L. DISEASE - IIA EMPLOYEE $1000000 <br />E.L. DISEASE - POLICY LIMIT $ <br />OTHER <br />Employee Dishonest iRIC0010505 10/01/09 <br />10/01/10 Forgery 650,000 <br />A Property IRIC0010 0 10/01/09 <br />10101/10 Contents 249,000 <br />DESCRIPTION OF OPERATIONS / LOCATION /VEHICLES j EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Positive Action Towards Health Grant. City of Santa Ana, Santa Ana <br />Police Department, .its officers and employees are named additional insured <br />and any other insurance shall be deemed excess coverage and awned in ured' S <br />.insurance shall be primary per the attached CG 2026 endorseemnt. Workers <br />mpensation coverage excluded, evidence only. 10 days notice of Coutd... <br />k;tKTEFI A1TFz HQLDLH CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIE=S BE CANCELLED BEFORE THE EXPIRATION <br />SANPOLI DATES THEREOF, THE ISSUING INSURER WILL. ErNDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICES TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LEABIL,ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana Police Department REPRESENTATIVES. <br />0 Civic Center Plaza Avr RI�E+=TATEVE <br />Santa Ana, C41 92701 <br />h^^ftr%AL' 04%^'iY100%d% JA www wtww a/t�■ .■ t ■ ■ <br />m%%O%/rlV C.v► %,Qw JwjV i1 LTJ 1,00 0-4vvzy 1AL.0Vrk60 %WV n rl V n dK I ;V 14. JAII rliq"ib rube rve U. <br />The AC RD name and logo are registered marks of ACORD <br />