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ILLFOU-001 SNSH <br />ACORN" CERTIFICATE OF LIABILITY INSURANCE DATE (M1201 YYY) <br />1015!2012 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER (888) 825-4322 NAME: Sharie Sneddon <br />Bowermaster & Associates (APHO I, Ne E:t :714-733-6251 ac No : 714-252-8253 <br />P.O. BOX 6026 <br />eet - Suite 350 <br />10805 H <br />ld <br />St E-MAIL <br />ADDRESS: ssneddon@bowermaster.com <br />o <br />er <br />r <br />Cypress, CA 90630 INSURER(S) AFFORDING COVERAGE NAIC # <br /> INSURER A:Non profits' Insurance Alliance of California <br />INSURED Illumination Foundation INSURER B: <br />2691 Ritcher Avenue INSURER C : <br />Suite 107 INSURERD: <br />Irvine, CA 92606- INSURER E: <br /> - <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR TYPE OF INSURANCE ADDL <br />INS SUER <br />WVD <br />POLICY NUMBER POLICY EFF <br />(MMIDD/YYM POLICY EXP <br />JMMIDDIYYYY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY X 201224712NPO 9/1512012 9/15/2013 PREMISES Ea occurrence $ 500,000 <br /> CLAIMS-MADE FXIOCCUR MED EXP (Any one person) $ 20,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'LAGGREGATE LIMITAPPLIESPER: PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> X POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />Ea accident 1,000,000 <br />A X ANY AUTO 201224712NPO 9/15/2012 9/1512013 BODILY INJURY (Per person) $ <br /> ALL OWNED <br />AUTOS SCHEDULED <br />AUTOS BODILY INJURY (Per accident) $ <br /> ON OWNED <br />N TO DAMAGE <br />a <br />c <br />'Z $ <br /> X HIRED AUTOS Ix AUTOS ,VED I) <br />c <br />,d <br />(Per <br /> pRO <br /> UMBRELLA LIAB OCCUR L EACH OCCURRENCE $ <br /> EXCESS LIAR H CLAIMS-MADE <br />A E TQRCK AGGREGATE $ <br /> L . <br />LIS <br /> DED RETENTION $ ttorn Y $ <br /> WORKERS COMPENSATION <br />' S STATU- OTH- <br /> <br />WC <br />LIMITS E <br /> AND EMPLOYERS <br />LIABILITY <br />Y <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE / E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUE NIA <br /> (Mandatory In NH) E.L. DISEASE- FA EMPLOYE $ <br /> If yes describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A Professional Liability 201224712NPO 9/15/2012 9/15/2013 Occurrence/Aggregatel,000,0001$3,000,000 <br />A Improper Sexual Conduct 01224712NPO 911512012 9/15/2013 Each Claim/Aggregate $250,0001$250,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />RE: HPRP Contract #A-2009-137 Homeless Prevention and A-2009-137A Rapid Re-Housing <br />City of Santa Ana, their officers, officials, employees, agents and volunteers are Additional Insureds per attached #CG2026 endorsement with <br />primary wording per policy form CG00010798. <br />I c nvLUr-rc <br />City of Santa Ana <br />20 Civic Center Plaza, M-25 <br />Santa Ana, CA 92701- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD