VOLUNTEER CENTER OF ORANGE COUNTY/ILLUMINATION FOUNDATION 1A - 2011

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ACJRDM CERTIFICATE 4F LIABILITY INSURANCE DATE(MMIDD/YYYY) THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPO1 09/1/20 N THE CERTIFICATE HOLDER2 THIS 10 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURI:Dthe pollay(los}must be,endOr$ed, 'f SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requlre an endorse"Ment. A stateinefit on this certificate does not confer rights to the certificate holder in lieu ofsuch endorsement s. PRODUCERb N UNTACT Comprehensive Insurance Services PHONE ._ 22342 Avenida Empresa eac a 949.709,8800 F ,949.-709:1668 MAIL Suite 255 PRODUCER Rcho Sta Margarita, CA 92688 CUSTOMERIDI, INSURED INSURERISI AFFnDnndn ...,,— Illumination Foundation 780 Roosevelt Irvine, CA 92620 R--1 D: Wo COVERAGES CERTIFICATE NUMBER: GL INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEDBELOW HAVE BEEN ISSUED TO THE INSURED NABOVE FOR HE RMED AITPOLICY EPERIOD CERTIFICATE MAY ISSUED OR MAY PERTAIN INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. TR TYPE OF INSURANCE DD SUB +FF POLICYY Y LIMITS NS D POLICY NUMBER POLICYE GENER.4LLIABILI7Y 2010 -24712 -NPO 09l15/20t0 09/15/2011 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000 Q G TO CLAIMS -MADE a OCCUR P a o pe S 500-n A MED EXP (Any one person) S 20,0 PERSONAL & ADV INJURY S -. .. 1 000 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S ` 3 .QQQ' Q SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. COMMUNITY DEVELOPMENT AGENCY A-25 AUTHORIZED REPRESENTATIVE P.O. BOX 1988 �1�yZ� SANTA ANA, CA 92702-1988 Richard Eynon CIC 7EREMY ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD RD CORPORATION. All rights reserved. POLICY -PR X LOC PRODUCTS • COMPIOP AGG S AUTOMOBILE LIABILITY 2010 -24712 -NP 09N..5/2010 09!1512011 —31000,0 S COMBINEDSINOLELIMIT ANY AUTO (Eaacddenl) S 1,000,01 ALL OWNED AUTOS BODILY INJURY (Per person) S A SCHEDULED AUTOS BODILY INJURY (PeracddeM) S X HIRED AUTOS PROPERTY DAMAGE X NON -OWNED AUTOS AppgO�]ED AS TO FOM (Perarcldent) S UMBRELLA LIAB OCCUR --- .L S $ EXCESS UAB CLAIIA&MAOE LISA E. S ORCK EACH OCCURRENCE s DEDUCTIBLE Assistant Attorney. AGGREGATE ___ s – RETENTION S S WORKERS COMPENSATION S AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR(PARTNEWEXECUTIVE WC STATU. OTH. FOR LIMITS OFFICERWEMBEREXCLUDED? O NIA (Mandatory In NH) E.L. EACH ACCIDENT $ If yas, descnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ A OCIAL 5ERVICE PROF 2010-: 4712 -NP IMPROPER SEXUAL CONDUCT 09!1512010 09115!2011 E.L. DISEASE - POLICY LIMIT S $3,000,000/1,000,000 �Ip ERI ��nn7I q ch AC ! 2010-24712-'NPd0911512010 .LF��nWEPEt1ULDE�2/LIS Ti11°gNM/�DHAS AD�iT1 O tol'fNSIYPRED 09115!2011 $250,000/250,000 PERsc�TTRCH D aFITYr U'VEMENT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. COMMUNITY DEVELOPMENT AGENCY A-25 AUTHORIZED REPRESENTATIVE P.O. BOX 1988 �1�yZ� SANTA ANA, CA 92702-1988 Richard Eynon CIC 7EREMY ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD RD CORPORATION. All rights reserved.