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06/07/11 <br />OP ID: PC <br />,4v R° CERTIFICATE OF LIABILITY INSURANCE Dar0 <br />0 <br />•Yr) <br /> 1 <br />7/1 <br />o6/an1 <br />1 <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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS 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 626405.8031 CONTACT <br />NAME: <br />Chapman <br />626405-0585 PHONE FAX <br />ac Ne Ext: ac No: <br />License #0522024 E-MAIL <br />P <br />O <br />Box 5455 ADDRESS: <br />. <br />. <br />Pasadena <br />CA 91117-0455 PRODUCER ORANG-9 <br />C T MERID,: <br />, INSURER 5 AFFORDING COVERAGE NAIL s <br />INSURED Orange County Conservation INSURER A: Great American Insurance Co 16691 <br />Corps INSURER B: Carolina Casual Ins Co 10510 <br />1853 N. Raymond Ave. <br />A <br />h <br />i <br />CA 92 INSURER C: Nonprofits United <br />na <br />e <br />m, <br />801 <br /> INSURER D <br /> INSURER E : <br /> INSURER F <br />COVERAGES CERTIFICATE NUMBER: RFVIAHIM NIIMRCR. <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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY Err <br />MM/DONYYY) POLICY EXP <br />MMID <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,08 <br />A X COMMERCIAL GENERAL LIABILITY X PAC5154680 07120110 07120111 PREMISES Ea occurrence $ 100.00 <br /> CLAIMS-MADE [XI OCCUR MED EXP(Anyoneperson) $ 5,00 <br /> PERSONAL B ADV INJURY $ 1,000,00 <br /> GENERALAGGREGATE $ 3,000,00 <br /> <br /> GEN'LAGGREGATE LI MIT APPLIES PER'. PRODUCTS -COMP/OP AGG $ 3,000,00 <br /> X PoLlcv PRO Loc Q <br />tuist Emp Benef $ 1,000,00 <br /> AUT OMOBILE LIABILITY MD PIA3 - COMBINED SINGLE LIMIT <br /> ANY AUTO VLO\ <br />s+? <br /> <br />ALLOWNEDAUTOS ? BODILY INJURY (Per parson) g <br /> <br />SCHED <br />E <br />O T <br />1r A E, S 1 r? <br />RvK <br />BODILY INJURY (Per accident) <br />$ <br /> UL <br />D AUT <br />S L <br />A AttOfpey PROPERTY <br /> HIRED AUTOS tant City <br />pssis (P <br />er accident) $ <br /> NON-OWNED AUTOS I $ <br /> $ <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WCSTATU- OTH- <br />X <br /> AND EMPLOYERS' LIABILITY T RV 1M IT ER <br />C ANY PROPRIETORiPARTNERIEXECUTIVE Y/N <br />OFFICERIMEMBER EXCLUDED? <br />NIA NPUWCGO012011 01101111 01101112 E. L. EACH ACCIDENT S 1,000,00 <br /> (Mandatory In NH) E. L. DISEASE - EA EMPLOYE S 1,000,00 <br /> Ir yes, describe under <br /> DE SCR/ PTION OF OPERATIONS P.I. E. L. DISEASE - POLICY LIMIT $ 1,000,00 <br />A Property coverage PAC5154680 07120/10 07120111 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (AKech ACORD 101, Additional Remadrs Schedule, K more space Is required) <br />The City of Santa Ana, Its officers, employees, agents, volunteers and <br />t <br />ti <br />d <br />dditi <br />l <br />d <br />represen <br />a <br />ves are name <br />a <br />ona <br />insure <br />with respect to the operations <br />of the named insured per the attached CG 2026 endorsement. Such insurance is <br />primary and non-contributory. Workers Compensation coverage excluded, <br />evidence only. <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />THESANT <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD