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at AUUKUTM CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DDIYYYY) 08/18/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). TYPE OF INSURANCE PRODUCER PrideMark- Everest Insurance Services, Inc. A Leavitt Group Co #OF13098 1820E. First Street, Ste 500 Santa Ana, CA 92705 NTA T Aaron Christensen NAME: POLICY NUMBER PHCONOEXt:866- 953 -0772 FAX No;866- 688 -5709 a DRIESS: cicpridemark @leavitt.com LIMITS PRODUMERI #: 00036557 CUST INSURER(S) AFFORDING COVERAGE Jenni zcOrton /JEORTO NAIC# INSURED Veterans First 1540 E. Edinger Suite A Santa Ana, CA 92705 INSURER A: Rlverport Insurance 03/0612012 36684 INSURER B: X COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: DAMAGE TO RENTED PREMISES Ea occurrence INSURER E: MED EXP (Any one person) $ 5,00( INSURER F CLAIMS -MADE OCCUR COVERAGES CERTIFICATE NUMBER: 11 -12 GL & Auto REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS GENERAL LIABILITY Jenni zcOrton /JEORTO RIC001154 03/06/2011 03/0612012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,00( MED EXP (Any one person) $ 5,00( CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ 1,000,00( A GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,00( $ X POLICY JECT 7 LOC AUTOMOBILE LIABILITY RIC001154 03/0612011 03/06/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ A SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS UMBRELLA LIAB OCCUR '�1 EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE -VED A �o E AGGREGATE $ pao DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A �� psslstant �� / gttorne TORY IM TS OER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ertificate holder is listed as additional insured per form RPCG 74 12 08 05 attached. CERTIFICATE HOLDER CANCELLATION FAX: 714.647.6549 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Santa Ana AUTHORIZED REPRESENTATIVE �t V 20 Civic Center Plaza Sa to Ana, CA 92701 Jenni zcOrton /JEORTO ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD