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�r _-"i-eu <br />- TM CERTIFICATE O F LIABILITY I N S U RAN C EDATE <br />(MM/DD/YYYY) <br />ADDL <br />/NSR <br />06/16/2011 <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 />RODUCER <br />=omprehensive Insurance Services <br />!2342 Avenida Empresa <br />iuite 250 <br />ISM, CA 92688 <br />CONTACT <br />NAME: <br />PHONE pAX <br />E c Lo tet: (949)709-8800 A/C No: (949)709-1668 <br />ADDRESS: <br />PRODUCER <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />lSURED <br />Orange County Fair Housing Council <br />A California Public Benefit Corporation <br />201 S. Broadway, Suite 201 <br />Santa Ana, CA 92701 <br />INSURERA: NONPROFITS' INSURANCE ALLIANCE 0 CA <br />INSURERB: <br />INSURER C: <br />INSURERD: <br />INSURERE: <br />INSURER F : <br />nv�o A r_rc <br />NCrCr iri%,mI C NUIVIOCK: UL REVISION NUMBER: <br />I 1-1I5 IS 10 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 CONTRACTOR 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 RFnL1CFn Ry PAln cI Alnnc <br />SR <br />iR <br />TYPE OF INSURANCE <br />ADDL <br />/NSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />ID <br />POLICY EXP <br />(MM/DDrffM <br />LIMITS <br />4 <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FiIOCCUR <br />X <br />2011 -03733 --NPC <br />07/01/2011 <br />07/01/2012 <br />EACH OCCURRENCE $ 1,000,00 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 500,000 <br />MED EXP (Anyone person) $ 20,000 <br />PERSONAL & ADV INJURY $ 1,000,00( <br />GENERAL AGGREGATE $ 2,000,00( <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY D PRO X LOC <br />JECT <br />PRODUCTS - COMP/OP AGG $ 2,000,00C <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />2011 -03733 -NPC <br />07/01/2011 <br />07/01/2012 <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) 11000,000 <br />BODILY INJURY (Per person) $ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) $ <br />SCHEDULED AUTOS <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />TO FO <br />PROPERTY DAMAGE <br />(Per accident) $ <br />$ <br />$ <br />UMBRELLA LU1B <br />EXCESS UAB <br />OCCURH <br />CLAIMS -MADE <br />N / A <br />+ <br />t S <br />/.ISA E' <br />1 <br />AS51 <br />ORGY, <br />Attorne <br />/ <br />b <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIEiORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />$ <br />$ <br />WCSTATU- OTH- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT $ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DIS EASE - EA EMPLOYE $ <br />DESCRIPTION OF OPERATIONS below <br />IMPROPER SEXUAL CONDUCT2011-03733-NP <br />LIABILITY <br />07/01/2011 <br />07/01/2012$1,000,000 <br />EL DISEASE - POLICY LIMIT $ <br />GENERAL AGGREGATE <br />$1,000,000 EACH CLAIM LIMIT <br />ESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />CERTIFICATE HOLDERS ARE NAMED AS ADDITIONAL INSUREDS PER ATTACHED CITY ADDITIONAL INSURED AGREEMENT <br />'CDTICI!`ATO Llnl nine <br />CANCELLATION <br />CITY OF SANTA ANA, ITS <br />VOLUNTEERS & EMPLOYEES <br />P.O. BOX 1988, M-25 <br />SA TA ANA, CA 92702 <br />CORD 25 (2009109) <br />OFFICERS, AGENTS <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 />AUTHORIZED REPRESENTATIVE <br />[Richard Eynon, CIC/JEREMY <br />©1988-2009 ACORD CORPORATION <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserved. <br />