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A --a0 !o -- ! & O <br />CERTIFICATE OF LIABILITY INSURANCE DAT09/2 JIYYYY) <br />_ 09I27110 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS^ <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION 1S WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER 626-405-8031 <br />Chapman 626405-0585 <br />License #0522024 <br />P. O. Box 5455 <br />Pasadena, CA 91117-0455 <br />. OUSe-AccounINSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED Interval House INSURER A: RIverport Insurance Company 36684 <br />P.O. Box 3356 INSURER a: Everest National 10120 <br />Seal' Beach, CA 90740 - <br />INSURER C: <br />HISURER 0: <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />N R <br />TYPEOFINSURANCE <br />POLICY NUMBER <br />POLICY EFF <br />h <br />POLJOYEXP <br />IAIDO Y <br />LIMITS <br />GENERAL LIABILITY <br />X COI.LMERCtALGENERAL LIABILITY <br />CLAIMS -MADE a OCCUR <br />X <br />RIC0011318 <br />101o1/10 <br />- <br />10/01/11 <br />EACH OCCURRENCE <br />AVSEaocrEceA <br />PREMISEoccurrence)$ <br />S 1,00(),000 <br />_ <br />100,000 <br />LIED EXP (Any oneperson) <br />S 5,000 <br />X Professional Liab <br />PERSONAL& ADV INJURY <br />S 1,000,00 <br />X <br />_ <br />Sexual Abuse Liab <br />GENERAL AGGREGATE <br />S 3,000,000 <br />" <br />GENLAGGREGTELIMILIMIT <br />PRODUCTS -_CO_MPIOPAGG <br />$ 3,000,000R <br />POLCY PRO LOD <br />Prof Llab Y <br />s 1mill3mil <br />AUTOMOBILE <br />- <br />LIABILITY <br />ANY AUTO <br />ALLOWNEOAU70S <br />ALLOW OWNED <br />DAUTE D OS <br />HIRED AUTOS <br />(/ <br />�,SA , S'��RCK <br />nt city Attorrt <br />ASststa (/ <br />��- J� <br />t✓ <br />COMBINED SINGLE LIMIT <br />(Eaaaklent) <br />S <br />--� <br />BODILY INJURY (Perperson) <br />`�v-- <br />S <br />BODILY INJURY(Per accIdenl) <br />3SCHED <br />PROPERTYDAMAGE <br />(Peraetidenl) <br />S <br />3 - <br />TION-.OWNEDAUTOS <br />— <br />UMBRELLA W1B <br />X <br />OCCUR <br />EACH OCCURRENCE <br />3 2,000,000 <br />AGGREGATE <br />$ 2,000,000 <br />A <br />X <br />EXCESS LIAR <br />— — <br />CLAIMS -MADE <br />-- <br />REL001319 <br />10I01110 <br />10l01l11 <br />_ <br />DEDUCTIBLE <br />-- <br />S <br />$ <br />X <br />RETENTION $ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER(EXECIJTNEYIN <br />OFFICERIMEMBEREXCLUDED? <br />(Mandatory In NH) <br />if yes, descr�te under <br />DESCRIPTION OF OPERATIONSbelaN <br />NIA <br />6600000287101 <br />02l01lib <br />02/01/11 <br />I <br />X I WCSTATU- X OTH- <br />- <br />E.LEACH ACCIDENT <br />._. <br />s 1,000,000 <br />E.LDISEASE-EAEh1PLOYE <br />S 1,000,000 <br />E.LDISEASE- POLICYLIM <br />S 1,000,000 <br />A <br />Property Coverage <br />R1C0011318 <br />10/01110 <br />10101/11 <br />Blkt Cont 420,00 <br />A )Crime <br />Coverage <br />RIC0011318 1 <br />10/01/10 <br />10/01/11 JEMPI <br />Dish 200,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORO 101, Additional Remarks Schedule, 11 more space Is required) <br />Re: Contract #A-2010-061-002; A-2009-133; A-2009-133A. City of Santa Ana, <br />its officers eln toyees, agents volunteers and representatives are named <br />additional insuredwith respeci'to the General Liability policy of the named <br />Insured - CG 2026 ondorsement to follow. Such Insurance is primary and <br />non-contributory -endorsement to follow. Contd... <br />CITY016 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Community Dev. Agency (M-25) <br />AUTHORIZED <br />Attn: Frank Hernandez REPRESENTATIVE <br />20 Civic Center Plaza, M-26 I <br />Santa Ana CA 92701 <br />01988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) The ACORD )Tame and logo are registered marks of ACORD <br />