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Client#: 41438 2TEST1 DATE (MWDDIYYYY) 1/08/2013 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the po€icy, 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 CONTACT NAME: Willis Insurance Services of PHONE 949 885-1200 FAX 949.885.1225 AIC, No, Ext : AIC, No California Inc License#0371719 EMAIL 18101 Von Karman Ave Suite 600 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC q Irvine CA 92612 INSURER A : Hartford Accident&lndem InsCo 22357 INSURED INSURER B : Napsac Sports Apparel Urban Gear Inc Youth Business Network Project INSURER C 650 S Grand Ave #106 INSURER D CLAIMS -MADE 1-1 OCCUR Santa Ana, CA 92705 INSURER E: 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 CONTRACTOR 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 TYPE OF INSURANCE INSR .p POLICY NUMBER MMIDDY EFF MMiDDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY _ PRAEh ISES £aENrrence $ CLAIMS -MADE 1-1 OCCUR Mr!) EXP (Any one person) S PERSONAL & AOV INJURY $ GENERAL AGGREGATE S GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG S S POLICY JEC7 1-1 LOC AUTOMOBILE LIABILITY CO,'4EaaccidentBINED SINGLE LIMIT BODILY ]NJ URY (Per person) S ANY AUTO BODILY INJURY (Per acdclenq S ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNEO HIREDAUTOS AUTOS $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LtAB CLMMS-MADE llED R�rENrtDNS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBEREXCLUDED? ❑ (Mandatory In NH) NIA 72WECDWO372 1/08/2013 01/08/2014 X WCSTo YTATU• OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 Ryes. describe under DESCRIPTIONOFOPERATIONS be'oN E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, It more space Is required) 'to RE: Youth Business Network Project G ] 5P S� 0 S�S�an City of Santa City of Santa Ana Workforce Investment Act 650 S Grand Ave #106 Santa Ana, CA 92705 ACORD 25 (2010105) 1 of 1 #S10031051M1003104 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 41986.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2MSUR