ILLUMINATION FOUNDATION (2) - 2012

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LOSA CERTIFICATE OF LIABILITY INSURANCE 2011 Y) 11/1 D7/!2011 7 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 CONTACT NAME: Bowermaster & Associates A No Ext : aC 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 INSURERB: Suite 107 INSURER C: 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 rypE OF INSURANCE ADDL INSR SUBR WVD POLICYNUMBER POLICY EFF fMM/DD/YYYY) POLICY EXP _(MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 201124712NP0 911512011 9115/2012 PREMISES Ea occurrence $ 500,000 CLAIMS-MADE 1 OCCUR MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS -COMPIOPAGG $ 3,000,000 X POLICY PRO LOG $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 2 12 (Ea accident) A ANY AUTO 201124712NPO 911512011 9/15/ 0 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY(Peraccident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIREDAUTOS (Per accident) $ X NON-OWNED AUTOS '10 $ MBRELLA LIAR OCCUR EACH OCCURRENCE $ H +? EEXCESS L IAB CLAIMS-MADE RG? AGGREGATE $ J t S?O y DEDUCTIBLE ?? ttoC ? e $ ?, j . ity RETENTION $ $ WORKERS COMPENSATIO ' N S WC STATU- OTH- TORY LIMITS ER AND EMPLOYERS LIABILITY YIN v ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional Liability 201124712NPO 9115/2011 9/15/2012 Occurrence/Aggregate $1,000,000/$3,000,000 ,q __ Improper Sexual Conduct . ?. 201124712NP0 ? r-.-- 9115/2011 9/15/2012, 1 $zso,0aa$zeo,ooo Each Claim/Aggregate DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES- (Attach ACORD101, Additional Remarks Schedule, If more space is required) _ Certificate holder is Additional Insured with respects to General Liability. GtKIII-IGAIt HULDEK 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 rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD