ILLUMINATION FOUNDATION (2) - 2012

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LOSA Ac R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11/1712011 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(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 endorsement(s). PRODUCER (888) 825-4322 NAME:y' Bowermaster & Associates PHONE FAX A/C No Ext : A/C No P.O. BOX 6026 E-MAIL ADDRESS: 10805 Holder Street - Suite 350 PRODUCER CUSTOMER ID#:ILLUFOU-01 Cypress, CA 90630 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Illumination Foundation INSURER A: Nonprofits' Insurance Alliance of California 2691 Ritcher Avenue INSURER B : Suite 107 INSURERC: Irvine, CA 92606- INSURER D: 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 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 INSURANCE ADDL IN SR UBR D POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 201124712NPO 9/1512011 9115/2012 PREMISES Ea occurrence $ 500,000 CLAIMS-MADE a OCCUR MED EXP (Any one person) $ 20,000 PERSONAL& ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ 3,000,000 X POLICY PRO LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 (Ea accident) A ANY AUTO 201124712NPO 9115/2011 9/15/2012 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) $ X NON-OWNEDAUTOS vto $ d? M • UMBRELLA LIZ __ OCCUR p EACH OCCURRENCE $ R , t ? EXCESS LIAB CLAIMS-MADE ? 1.? , RCjia AGGREGATE $ ,` ` S?O " DEDUCTIBLE t SP ?tOC e 7 LI ® ,t A RETENTION $ '? $ WORKERS COMPENSATION ' ?$$ WC STATU- OTH- TORY LIMITS ER AND EMPLOYERS LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERWEMBER EXCLUDED' (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability 201124712NPO 9/15/2011 9/15/2012 Occurrence/Aggregate $1,000,000/$3,000,000 A Improper Sexual Conduct 201124712NPO 9115/2011 9115/2012 Each Claim/Aggregate $250,0001$250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is Additional Insured with respects to General Liability. GthtII1-1GAIE HULULK City of Santa Ana A-25 Community Development Agency PO Box 1988 Santa Ana, CA 92702-1988 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 1988-2009 ACORD CORPORATION. All riahts reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD