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I <br />DATE IMMAJDIYYYY) <br />�►cc CERTIFICATE OF LIABILITY INSURANCE 12/13/2012 <br />CERTIFICATE DOESSNOT AFFIRMATIVELY EOR NEGATIVELY AMEND, EXTEND OR ALTER TON ONLY ANO CONFERS NO INE COVERAGE AFFORDED GHTS UPON THE ABY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder IB an ADDITIONAL INSURED, the pollcy(los) t,at t be endorsed. s SUBROGATION IS WAIVED, h sJtot to <br />the torts and conditions of the policy, certain policies may require an endorsemen. A statement on this ceHlllcale does not confer rights to the <br />C.dincale holder In lieu of such endorsement O. rn�rArT <br />Arthur U. Oallaeher & Co. <br />ineurmce brokers of California, Inc., Licsnse #0726293 M,HLP.EaOo-- -- — <br />Ona Rarket Pla-n, Spear Tower HAI 200 _ INSURERIS)AFFOROINO COVE(UGE <br />Ban Prancisco, CA 94105 INSOBER A: Nonprof'to <br />• UniE <br />orkeze• CompeneetiD — <br />euean Blankenbur0_. -- --- gAPSTY NAIL CAB 15105 <br />INRUREft B: ---- -- <br />INBUReO <br />Orme. County Conservation corps INSURERC: — <br />1853 North Reymond Avenue <br />INSURER _-- -- <br />INSURERS: — — <br />Anaheim, CA 92901 INSURER F: <br />COVERAGES <br />CERTIFICATE NUMBER: 30644354 REVISION NUMBER: <br />THIS IB TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE TO W <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />HEREIN IS SUBJECT TO ALL THE TE <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIIMS- <br />TS AU)Y HAVE-9EENREDa�YD BY,PAID <br />o cYe-kP-TLIMIT <br />osxERu.LueluTr <br />COI.IMERCIAL GENERAL LIABILITY <br />_ <br />CWMSMADE ❑ OCCUR <br />UhIIT APPLIES PER: I I I I I I Is <br />AUTOMOBILE LIABILITY EODAV INJURY (PerP.sm) S <br />_ ANY AUTO BODILY INJUNY (PaeNdaB) s <br />ALL OIYNEO SCHEDULED pROPERNONSAGE 5 <br />AUTOS AUTOS <br />NONOWNED <br />HIREDAUr03 HAUTOS 5 <br />UNBRELLALUUB OCCUR <br />EXCESS LOS CLAWS MADE <br />OED RETENTIONWCSTATU <br />A weRNERSCOMPENSATION <br />ANDEMPLOYERY LIABILITY yl N <br />RED - WCO 001-2013 O1/D1/1 <br />01/01/14 <br />AGGREGATE S <br />s <br />% Om - <br />-ER- 500,000 <br />E.L. EACH ACCIDEW S <br />Airy PROPRIETORRARINER, ECUTIVE❑ NIA <br />EL.DISEASE.EAEMPLOYE 5500,000 <br />OFFICERMMURE%CLUDED3 <br />pI.dA1YlnHI) <br />ELDISFASE-PCLICYUMIT 11500,000 <br />if dasa®euMer <br />DESCWPTION OF CPEINTIONS bob« <br />01/01 1 <br />01/01/14 <br />Li t Par Dec. 100, 000, Oi <br />B Brceae WoketB• COQ <br />Sp 4047536 <br />B,L. par we & Ago 2,000,000 <br />SIR 500,000 <br />near.ip7mm OPOPEMTMNSILOCAno"3iVEHICLES <br />(ANKh ACORDUH,Ad*M-MR.nuS, SohAduM,Mmou LpLeE4rpuSA� <br />Has <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />tants Ane Workforce Investment Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />4>"s <br />ran, Jut.ias <br />L000 Bt Sante Ane Boulevard AUTHOBOEO REPAESENTAiNE .O <br />1200 T''/`� �•'9 1O <br />`1.1a <br />3"t& Ana, CA 92701 USA Y <br />®1088.4070 ACORD TIONF All E St 0P�`o\oey I <br />ACORD 28 (2010105) The ACORD name and logo are registered marks of ACORD )cAP <br />de.p ts. (\ I <br />30644354 <br />