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CORb° CERTIFICATE OF LIABILITY INSURANCE OP ID PC DATE(MW13DNYY1) <br />INTER -5 1 09/25/09 <br />PRODUCER <br />Chapman <br />THIS CERTIFICATE A A I <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 <br />P. O. Box 5455 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Pasadena CA 91117 -0455 <br />N9R <br />TYPE OF INSURANCE <br />Phone:626- 405 -8031 Fax :626 -405 -0585 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURERA: Rivarpoxt Insurance Cam an <br />AU RI:EDR RE9ENTATNE <br />INSURERB: Everest National <br />INSURERC: <br />EACH OCCURRENCE <br />Interval Bugs <br />P.O. Box 335s6 <br />Seal Beach CA 90740 <br />INSURER D: <br />X <br />INSURER E: <br />RIC0010549 <br />10/01/09 <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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />LTR <br />N9R <br />TYPE OF INSURANCE <br />POLIGYHVMBER <br />PA0WC.yW9AR M <br />TE M D <br />LIMITS <br />AU RI:EDR RE9ENTATNE <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1000000 <br />A <br />X <br />X COMMERCR. GENERAL LIABILITY <br />CLAB.IS MADE OOCCUR <br />RIC0010549 <br />10/01/09 <br />10/01/10 <br />WED— <br />PREMISES Ea "Mrarsa <br />$ 100000 <br />MEO EXP(Anyona parson) <br />$5000 <br />PERSONAL 3 ADV INJURY <br />S 1000000 <br />• Professional Liab <br />• <br />Sexual Abuse Liab <br />GENERAL AGGREGATE <br />s3000000 <br />�} <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPI0P AG0 <br />$ 3000000 <br />0 T <br />POLICY jECT LOG <br />� ' <br />Prof Liab <br />lmil 3mil <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALLOWNEDAUTOS� <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNEDAUTOS <br />{�1 <br />A ®4 iA <br />VYL_ <br />\ <br />�55 <br />T' <br />1" <br />` f- <br />c.6 QJ�O <br />^ `�G�7 Q� <br />`' <br />`(C\e� <br />(EaMaoddeDII SINGLE LIMIT <br />$ <br />BODILY INJURY <br />(Parperson) <br />$ <br />BODILY INJURY <br />(PaI.Mdenl) <br />$ <br />PROPERTY DAMAGE <br />(Per accldenl) <br />$ <br />( <br />l� <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANY AUTO <br />$ <br />EXCESS I UMBRELLA LIABILITY <br />EACHOCCURRENCE <br />s2,000,000 <br />A <br />X OCCUR F_1 CLALMSh%oE <br />RELOO10550 <br />10/01/09 <br />10/01/10 <br />AGGREGATE <br />s 2 000 000 <br />$ <br />S <br />dDEDUCTIBLE <br />$ <br />X RETENTION $ 0 <br />B <br />W R 9 COMPENSATION <br />AND EMPLOYERS' LIABIUTY <br />ANY PROPRIETOWPARTHER?EXECUTNFn <br />OFFICERiMEMBER EXCLUDED? L-1 <br />(MsndalorylnHH) <br />6600000287091 <br />02/01/09 <br />02/01/10 <br />X TORYLL \1179 X ER <br />E.L EACH ACCIDENT IS1 <br />000000 <br />E.L. DISEASE - EA F)APLOYEj <br />S 1000000 <br />11 res, desenbe under <br />SPECIAL PROVISIONS balaw <br />E.L DISEASE - POLICY LLM(T <br />S 1000000 <br />OTHER <br />A <br />Property Coverage <br />RIC0010549 <br />10/01/09 <br />10/01/10 <br />Blkt Cont $305,000 <br />A <br />Crime Coverage <br />RIC0010549 <br />10/01/09 <br />10/01/10 <br />Em 1 Dish $200,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Contract #A- 2009 - 041 -002. City of Santa Ana, its officers, employees, <br />agents, volunteers and representatives are named additional insured with <br />respect to the General Liability policy of the named insured - CG 2026 <br />endorsement to follow. Such insurance is primary and non - contributory per <br />the attached endorsement. Workers Compensation coverage excluded, (Contd..) <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2UU9101) " © 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 />CITX0I6 <br />DATE THEREOF, THE ISSUING INSURER WILL —MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTFICATO HOLDER NAMED TO THE LEFT, <br />City of Santa Ana <br />Community Dev. Agency (M -25) <br />20 Civic Center Plaza, 6th F1. <br />P.O. Box 1988 <br />AU RI:EDR RE9ENTATNE <br />anta Ana CA 92702 <br />ACORD 25 (2UU9101) " © 1988.2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />