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OP ID: PC <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />05/03/11 <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($). <br />PRODUCER 626-405-8031 <br />Chapman 626-405-0585 <br />License #0522024 <br />P_ O. BOX 5455 <br />Pasadena, CA 91117-0455 <br />CONTACT <br />NAME: <br />PRONE FAX <br />E-MA Lo E.0- <br />- ADDRESS: <br />PRODUCER PUBLI-5 <br />CUSTOMER ID #: <br />INSURER 5 AFFORDING COVERAGE <br />_ <br />NAIC #___ <br />INSURED Public Law Center <br />INSURER A: Nonprofits' Insurance Alliance <br />NIAC <br />601 IVIC Center Drive <br />Santa Ana, CA 92701 <br />INSURER B: <br />_ <br />INSURER C: <br />_ <br />INSURER D : <br />INSURER E <br />INSURER F - <br />COVERAGES CERTIFICATE NUMBER_ RFVICInN NI IMRFR <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRLTR <br />TYPE OF INSURANCE <br />ADD <br />IEgR <br />POLICY NUMBER <br />POLICY EFF <br />1.M DDNYYY) <br />POLICY EXP <br />IMM/DDfYYYY1 <br />LIMITS <br />GENERAL <br />LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />X <br />COMMERCIAL GENERAL _LIABILITY <br />X <br />20112205ONPO <br />02/01/11 <br />02/01/12 <br />PREMISES ED (Ea Occurrence>__,__ <br />$ 500.000 <br />CLAIMS -MADE LX.J OCCUR <br />_ _ <br />MED EXP (Any one pe son) <br />.___ __.._.___ <br />$ 20,000 <br />PERSONAL& ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 21000,000 <br />POLICY j PRO- LOC <br />Emp Ben. <br />$ included <br />AUTOMOBILE <br />— <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />ANY AUTO <br />201122050NP0 <br />02/01/11 <br />02/01/12 <br />(Ea accident) <br />------_ .._..._....... __-_. <br />_.._... .._. <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />- <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS <br />A <br />X <br />�© <br />PROPERTY DAMAGE <br />$ <br />HIRED AUTOS <br />(Per accident) <br />A <br />X <br />NON -OW NED AUTOS <br />i <br />UMBRELLA LIAB _ OCCUR <br />' S.T <br />e <br />RC[� <br />EACH OCCURRENCE_ <br />$_ <br />EXCESS LIAB CLAIMS -MADE <br />t <br />;xO; nT- � <br />AGGREGATE <br />_ <br />DEDUCTIBLEAS$tsta�{' <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />ANDEMPLOYERS'LIABILITY Y/N <br />__ _ TQRYLIMITS.. _... _ER_ <br />... <br />ANY PROP RIETOWPARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDE.1 = <br />N / A <br />I <br />- - - <br />--- --- <br />E.L. DISEASE EA EMPLOYE <br />(Mantlatory In NH) <br />$ <br />If yes, describe untler <br />_- - - ---- ------ <br />- <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE POLICY LIMIT <br />$ <br />A <br />Sexual Misconduct <br />201122050NPO <br />02/01/11 <br />02/01/12 <br />Ea. Claim 1,000,000 <br />Aggregate 1 .000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (A-11, ACORD 101, Addltlonal Remarks Schedule. If more space Is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named additional Insured with respect to the operations <br />of the named insured per the attached CG 2026 endorsement. Such insurance is <br />primary and non-contributory. <br />CERTIFICATE HOLDER CANCELLATION <br />CITYSA1 <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 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />1 <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />