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OP ID: PC '`'46�-POI"� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) 09/30/11 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. 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). PRODUCER 626-405-8031 Chapman 626-405-0585 License #0522024 P. O. Box 5455 Pasadena, CA 91117-0455 CONTACT NAME: PHONE FAx c ac No): E-MAIL ADDRESS: CUSTOMER IDMI INTER-5 INSURERS AFFORDING COVERAGE NAIC # INSURED Interval House P.O-Box 3356 Seal Beach, CA 90740 INSURER A: Riverport Insurance Company 36684 INSURER B : Everest National 10120 INSURERC: INSURER D : INSURER E : INSURER F -MMI Irks I= INUM"t=K: REVISION NUMBER' I HIS IS -1 O GERTIFY 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. LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YY` V MM/DD/YEYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X RIC0012016 10/01/11 10/01/12 PREMISES Ea occurrence $ 100,000 - L CAIMS-MADE � OCCUR MED EXP (Any one person) $ 5,000 X Professional Liab PERSONAL & ADV INJURY $ 1,000,000 X Sexual Abuse Liab GENERAL AGGREGATE $ 3,000,000 rr� C) �O M GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 T'� — ^ V Y AS pR POLICY PRO LOC Prof Liab $ lmil/3mil AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO A �• S ORCK (Ea accident) BODILY INJURY (Per person) $ ALLOWNEDAUTOS U +�r.t City Attorney BODILY INJURY (Per accitlenq $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS $ NON -OWNED AUTOS / (Pereccid—t) $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A X EXCESS LIAB CLAIMS -MADE REL0012017 1 O/01 /11 10/01/12 AGGREGATE $ 2,000,000 DEDUCTIBLE X RETENTION $ $ WORKERS COMPENSATION X WC STATU- X OTH- B AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 11000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/M EMBER EXCLUDED N / A 6600000287111 02/01/11 02/01/12 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, tlescribe under E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below q Property Coverage RIC0012016 10/01/11 10/01/12 Blkt Cont 426,000 q Crime Coverage RIC0012016 10/01/11 10/01/12 Empl Dish 200,000 )ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, Ir more apace Is mqulmd) le: Contract #A-2010-061-002• A-2009-133; A-2009-133A. City of Santa Ana, :s officers employees, agents, volunteers and representatives are named insured dditional with respect to the General Liability policy of the named isured - CG 2026 endorsement to follow. Such insurance is primary and on-contributary Per the attached endorsement. Workers Compensation Contd_ CITYO16 City of Santa Ana Community Dev. Agency (M-25) Attn: Frank Hernandez 20 Civic Center Plaza, M-25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (J 1988-2009 ACORD \CORD 25 (2009109) The ACORD name and logo are registered marks of ACORD All rights reserved.