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ACORO CERTIFICATE OF LIABIL ITY INSURANCE 06/19/20 2 <br />PRODUCER (949) 218-0840 <br />Global Pro ram Mana era & 2na . Srvca . Inc _ <br />5 J <br />Poet O££ice Box 7119 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ca iatrano Beach CA 9 2 624-7 119 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: PHILADELPHIA INDEMNITY 18058 <br />KidWOrlcs Community Development Corporation INSURER B:EVEREST NATIONAL 10120 <br />1902 We Bt Chestnut Avenue INSURER C: <br /> INSURER D: <br />Santa Ana CA 92703- INSURER E: <br />Af]FC <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DDKY DATE MM/DD/YY LIMITS <br />A GENERAL LIABILITY / / / / EACH OCC URRENGE $ 1, 000, 000 <br /> N-rf Q 1 DAMAGE TO RENTED 1 0 0 <br />0 0 0 <br /> X COMMERCIAL GENERAL LIABILITY LG V <br />2-?6 V PREMISES Ea occurrence , <br />$ <br /> CLAIMS MADE ? OCCUR / / / / MED EXP An one Derson $ 5,000 <br /> PERSONALS ADV INJURY $ 1, 000, OOO <br /> PHPK BOS 758 01/07/2012 01/07/2013 GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3 , 000 , 000 <br /> X POLICY JE ? LOC / / / / <br /> AUT OMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT 1 <br />000 <br />000 <br /> (Ea accitlent) $ <br />, <br />, <br /> ANY AUTO <br /> ALL OWNED AUTOS / / / / BOOILV INJURY $ <br /> (Par par50n) <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS PHPK 805 758 01/07/2012 01/07/2013 BODILY INJURY <br />$ <br /> (Per accitlen[) <br /> X NON-OWNED AUTOS <br /> / / / / PROPERTY DAMAGE <br /> (Per accitlen[) $ <br /> GARAGE LIABILITY ?-J ?-•-? f-?-? ?? I-? AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXCESS/UMBRELLA LIABILITY -" '- - / / / EACH OCCURRENCE $ <br /> ,.I C.,: ;? `u. Sy lieGdy <br />? <br /> OCCUR ? CLAIMS MADE AGGREGATE $ <br /> ga?t?(an.(: City Attorne <br /> $ <br /> DEDUCTIBLE / / / / $ <br /> RETENTION $ $ <br />8 WORKERS COMPENSATION AND 59000012671-12 02/01/2012 02 /O1 /2013 X TORY LIAMITS OER <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ 1, 000, 000 <br /> OFFICER/MEMBER EXCLV OED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> If yes. tlescribe untler <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$ 1,000,000 <br /> <br /> OTHER <br />A PROFESSIONAL LIAH PHPK BOS 75B 01/07/2012 01/07/2013 EACH INCIDENT $1,000,000 <br /> POLICY AGGREGATE $1, DUD, DDD <br />DESCRIPTION OF OPERATIONS/LOCATIONSAIENICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: STREET CLOSURE PERMIT 6c VSE OF CITY CORPORATE YARD FOR STAGING EVENT - JUNE 23, 2012 <br />CITY OF SANTA ANA NAMED AS ADDITIONAL INSURED PER ATTACHED SPECIAL ENDORSEMENT <br />IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN (10) DAYS NOTICE WILL HE GIVEN. <br />/?COTI CI/^ATC VIII IICO rANrFI 1 OTInN <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />( ) - ( ) - EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 03 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />CITY OF SANTA ANA FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />ATTN. RI ?uK MANAGEMENT INSURER ITS AGENTS OR REPRESENTATIVES. <br />20 CIVIC.' CENTER PLAZA AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92704- <br />ACORD 25 (200/08) ©ACORD CORPORATION 79x13 <br />?? INS025 (oioe).oi ELECTRONIC LASER FORMS. ING- - (800)327-0545 Page 1 of t