Laserfiche WebLink
PfluuJa�l I17 <br />DATE IMVIDDNYYY) <br />x ,Acoi?u CERTIFICATE OF LIABILITY INSURANCE 12/13/7012 <br />HS CERTIFIATE CEIRT FICATECDOESSNIOTUAFFIRMATIVELY EOR NEGATIVELY AMENDR OF INFORMATION ONL, EXTEND OR ALTER TAND CONFERS NO HE GHTS UPON THE CERTIFICATE HOLDER. I <br />HE 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 />PORTANT: if She certificate holder Is an ADDITIONAL INSURED, the pollcy(lo9) ,at be endorsed. If SUBROGATION IS WAIVED, subject to <br />IM <br />the toms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />rAAmcnla holder in lieu of such endorsement e). <br />PftODUGE0. el aPaYa - '�- - Arthur J. S. Gallagher 4 Co. PRONE <br />Insurance Broker. of California, Inc.., License 80726293 WIN4•EW1---- <br />One Market Plasa, Spear Tomer ADUREft ---- <br />suite 100 - INSURERIEI NFOROINOC <br />San Prancieco, CA 94105 NonProflth- United W <br />Susan Blnnkenburg —_-- INSURERA: — <br />INSURED INSURERS: SAJR T NAT" CAH CORP <br />Orange County Conservation Corp. INSURERC: <br />North Reyrwad Avenue <br />J., CA 92801 <br />mmnrn. <br />COVERAGES CERTIFICATE NUMBER: avo.. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN ANY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY EFf, POLN;YEXP <br />UISR IYPf Of IN9UMNtE R PODGY NUMBER NWOD NUMB <br />OENERALLABIGTY <br />COLIMERCLLL GENERAL LABLLITY <br />CWM,-We ❑OCCUR <br />-5---- <br />NNAED ABOVE FOR THE POLICY PERIOD <br />WITH RESPECT TO WHICH THIS <br />HEREIN IS SUBJECT TO ALL THE TERMS. <br />LIMITS <br />FACII OCCURRENCE f <br />pTR nEE� f <br />PRF1.11 <br />MEO E%P M ase person f <br />PERBONALLADVWJURY 3 <br />GENERALAGGREGATE f <br />- <br />PRODUCTS - COMPIOP AGO f <br />-- — <br />f <br />GENLAGGREGATEUVR APPLIES PER: <br />PRO- <br />PIXICY LOG <br />fAMBINEO it WfE <br />AUTOMOBILE LIABILITY <br />BODILY INJURY (P. p W) f <br />BODILY INJURY(P. evJdaa) f <br />ANYAUTO SCHEDULE <br />ALL OIYNEO <br />"TOS <br />AUTOS AUTOS <br />NTFONNEO <br />pROPEdDA1MGE f <br />j <br />HIRED AUTOS AUTOS <br />EACH OCCURRENCE i <br />AGGREGATE f <br />UMBRELLA LAB <br />OCCUR <br />EXCESS LAB <br />CWMS--LADE <br />f <br />OED REIENT10H <br />WORNERSCOMPENSATION <br />ANDCMPLOYEWLABIGTY vim <br />AUYPROPRIET0RVAm NEREXFG1J1W <br />CPFICERMEMBEREXCLUDED7 <br />A <br />NIA <br />NPU - NCO 001-7013 <br />01/01/1 <br />01/01/14 <br />WC STATU- OTH- <br />TOR X -OL <br />E.L. FACHACCIDENT (500,000 <br />ELDREASE-EAEMPLOYE S 500,000 <br />itEJLDISEASE Per PDan-DAUT 3 5001000 <br />LS t Per Oco. 100,000,000 <br />H.L. Per Doo 4 Ago 21000, 000 <br />B <br />pAs,Nalary In NH) <br />Ilryuu dPTIONander <br />DEBCflIPTION OF OPERnuaN3lwbr <br />Sxcees NOS— Coves <br />OY dOd7536 <br />O1/O1/1 <br />O1/O1/id <br />SIR 500,000 <br />OESCMPTNINOf OPERATIONSMOCATIONSi VERK ES PRssh ACORD101,AddNPnsl Rsmsb SCMdPIp Nn,oAspaSIS rpuVWl <br />DEQ FFr-� <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Banta Ana Workforce Investment Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCOROANCE WITH THE POLICY PROVISIONS. <br />Fran dut.l O <br />1000 Seat Santa Me Boulevard AUTNJRHEO REPRESENTATIVE <br />4aoo'r ` �f (� S <br />Banta Ana, CA 92701 �V�(/ �jY <br />USA <br />®198 1.2010 ACORDTION, All r LY�id, <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD $' f ., E, S� OP�toTpe`I <br />deeps.. L�SP�1 Glty <br />306&4354 P5g\5ta <br />EXHIBIT I <br />w <br />O <br />rs <br />