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ACORD.r CERTIFICATE OF LIABIL ITY INSURANCE <br />1 <br />DATE(MMIDDIMY) <br />06/05/2013 <br />PRODUCER (949) 218-0840 <br />Narver Insurance <br /> <br />641 W. Las Tunas Drive 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 />San Gabriel CA 91776- INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURERA: PHILADELPHIA INDEMNITY 18058 <br />KidWorks Community Development Co rporation INSURERB: EVEREST NATIONAL 10120 <br />1902 West Chestnut Avenue INSURER C: <br /> INSURER D: <br />Santa Ana CA 92703- INSURER E: <br />COVERAGES <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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MMIDDIYY LIMITS <br />A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES Ea occurrence 100,000 <br />$ <br /> FXI 5 <br />000 <br /> CLAIMS MADE <br />CCCUR MED EXP(Any one person) , <br />$ <br /> PERSONAL &ADV INJURY $ 1,000,000 <br /> PHPK 957 375 01/07/2013 01/07/2014 GENERAL AGGREGATE $ 3,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP ADD $ 3,000,000 <br /> X POLICY JECT LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000 <br />000 <br /> ANYAUTO (Ea accident) , <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> X HIRED AUTOS PHPK 957 375 01/07/2013 01/07/2014 BODILY INJURY <br /> X NON-OWNED AUTOS <br />(Per accident) <br />$ <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY <br />_ EACH OCCURRENCE $ <br /> <br /> OCCUR F <br />1CLAIMS MADE AGGREGATE $ <br /> <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND <br />' 5900001267-131 02/01/2013 02/01/2014 X WCSTATU- OTH- <br />TORY LIMITS ER <br /> EMPLOYERS <br />LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 <br /> OFFICER]MEMBER EXCLUDED? E, L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E, L. DISEASE - POLICY LIMIT 1,000,000 <br />$ <br /> OTHER <br />A PROFESSIONAL LIAB PHPK 957 375 01/07/2013 01/07/2014 EACH INCIDENT $1,000,000 <br /> POLICY AGGREGATE ,000,000 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES]EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />® <br />4 <br />RE: USE OF CITY OF SANTA PARKING LOT AT 220 S. DAISY AVENUE. T <br />CITY OF SANTA ANA NAMED AS ADDITIONAL INSURED PER ATTACHED SPECIAL ENDORSEMENT L? <br />? <br />IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN (10) DAYS NOTICE WILL BE GIVEN. C <br />e9 <br />CERTIFICATE HOLDER CANCELLATION AQY77 NON` b-&%f <br /> SHOULD ANY OF THE ABOVE DESC E ED BEFORE THE <br />p <br /> ??pp(? <br />??((? <br />( ) ( ) - EXPIRATION DATE THEREOF, THE I G INB <br />TI <br />R <br />B)?WVVILL ENDEAVOR TO MAIL <br /> 030 I? <br />C <br />? <br />' <br /> DAYS WRITTEN NOTICE T E C RTJ IaAT@ <br />HOLDER NAMED TO THE <br />V LEFT, BUT <br />CITY OF SANTA ANA FAILURE TO DO SO SHALL IMPOSE NO ION OR LIABILITY OF ANY KIND UPON THE <br />20 CIVIC CENTER PLAZA INSURER ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701- <br />ACORD 25 (2001108) © ACORD CORPORATION 1988 <br />0r, INS025 (0108).01 ELECTRONIC LASER FORMS, INC. - (800)327-0545 Page 1 of 2