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PUBLLAW-01 PATRA6 ,4cofz1 CERTIFICATE OF LIABILITY INSURANCE DADDIYYYY) 3/29/3/29/2012 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 OFr/fftUIkANCETO S1 NQQ--T ,C NSTITUTE 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 endbrsement(s). PRODUCER License # 0522024 Chapman PO Box 5455 Pasadena, CA 91117-0455 CONTACT NAME: PA"Ic° No Ext :1 (626) 405-8031 FAX PH No : 1 (626) 405-0585 E-MAIL. ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Nonprofits' Insurance Alliance of California INSURED INSURER B : INSURER C : Public Law Center 601 Civic Center Drive INSURER D : INSURER E : Santa Ana, CA 92701 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 INSURANCEADDLISUBR INSR WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 500,000 A X COMMERCIAL GENERAL LIABILITY X 201222050NP0 2/1/2012 2/1/2013 MED EXP (Any one person) $ 20,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 X Sexual Misconduct X $1 M/$1 M GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 Emp. Benefits $ INCLUDED POLICY PRO F7 LOG AUTOMOBILE LIABILITY Ee e cid D SINGLE LIMIT nt�$ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO 2012220SONPO 2/1/2012 2/1/2013 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR 'R s I� y EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE .pgpV�� DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY!N ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA �c �, S plss�lsta�' G 0R ne AitOr 1 l WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIAPIII" $ If yes, describe under DESCRIPTION OF OPERATIONS below +J DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured with respect to the operations of the named insured per the attached CG 2026 endorsement. Such insurance is primary and non-contributory. l MC 1=1I AT= Uf'%! r%=D r'ANrF:l I ATinm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ak ©1988-2010 ACORD CORPORATION. All rights reserves. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD