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ACORD CERTIFICATE OF LIABILITY INSURANCE <br /> <br />0 <br />0DATE6/005/25/2013 <br />13 <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 Corpora tion INSURERS: EVEREST NATIONAL 10120 <br />1902 West Chestnut Avenue wsURERC: <br /> INSURER D: <br />Santa Ana CA 92703- INSURFRE: <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 MMIDOIYY 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 /> CLAIMS MADE FRIOCCUR MEO EXP(Any one person) $ 5,000 <br /> PERSONAL A ADV INJURY $ 1,000,000 <br /> PHPK 957 375 01/07/2013 01/07/2014 GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 3,000,000 <br /> <br />X <br />POLICY 71 JECT LOG <br />I I <br />/ / <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 <br />000 <br />000 <br /> ANY AUTO (Ea accitlent) , <br />, <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 - EAACCIDENT $ <br /> R ANYAUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGO $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND <br />' 5900001267-131 02/01/2013 02/01/2014 X WCSTATUIMITTS GTH- <br />TO RY L ER <br /> EMPLOYERS <br />LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> If yes, describe under <br />SPECIAL PROVISIONS Wow <br />E.L. DISEASE-POLICY LIMIT 11000,000 <br />$ <br /> OTHER <br />A PROFESSIONAL LIAB PHPK 957 375 01/07/2013 01/07/20 .$? 000,000 <br />0p <br /> ? <br />q1, 000, 000 <br />POL CY AGG G <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />RE: USE OF CITY OF SANTA PARKING LOT AT 220 S. DAISY AVENUE. <br />CITY OF SANTA ANA NAMED AS ADDITIONAL INSURED PER ATTACHED SPECIAL ENDORSEMENT Jose S$ OVai <br />IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN (10) DAYS NOTICE WILL BE GI iorA <br />i <br />t <br />ss <br />s <br />ant City Attorney <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 030 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 />20 CIVIC CENTER PLAZA INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br />? <br />Santa Ana CA 92701- gkj <br />A(pCORD 25 (2001108) © ACORD CORPORATION 1988 <br />q, INS025(0108), 01 ELECTRONIC LASER FORMS, INC. - (800)327-0545 Pagel oft