SOUTHWEST MINORITY ECONOMIC DEVELOPMENT ASSOCIATION - EMERGENCY SOLUTIONS GRANT 2014-2015 CORE NO. -2014

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q� °® CERTIFICATE OF LIABILITY INSURANCE 6%24/2014 YI 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 ]$SUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certifioate holder Is an ADDITIONAL INSURED, the policy(las) 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 Ilau of such endorsement(s), PRODUCER All -Cal Insurance Agency 505 Vernon Street Roseville CA 95678 N ME: DiAnna Martin P o E (916)784 -9070 (916)7$4 -01se n. p C. Nbl; E' , di nna @all- oalinsurance.com INSURERS) AFFORDING COVERAGE NAIL M INSURER AtNon rofitsI Ins Alliance of CA NzAc INSURED Southwest Minority Economic Develpoment Association 3.601 West 2nd Street Santa Ana CA 92703 INSURERB;NeW York Marine & General GENERALLIABILITY _ INeUREac;North American Elite Insurance 29700A INSURER a: _ rvsER: _ e EACH OCCURRENCE_ INSUuR:1 A COVERAGES CERTIFICATE NUMBER .,CL1452303906 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. NCTWTHSTANDING 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, LTR TYPE OF INSURANCE AODL INAR MID pOLICYNU B MOMOY EFF PMIODryE%P LIMITS GENERALLIABILITY EACH OCCURRENCE_ $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx7 OCCUR X 2014 -02312 /25/2014 /25/2015 PREMISES ET Ea occurrence) S 500,000 $ 20,000 MED EXP(Any one arson ) PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATS It 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER PRODUCTS - COMP /OP AGG $ 2,000 000 X POLICY 7 PR' LOC PROFESSIONAL LIABILITY $ 1,000,000 AUTOMOBILE LIABILITY E Ec,EenlS GLEL IT 000 000 A JX AN Y AUTO AUTOSNED SCHEDULED AUTOS HIRED AUTOS X AUTOS ED 2014 -02312 /25/2014 /25/2015 BODILY INJURY(Per person) $ BODILY INJURY(Per Redeem) $ Per accident $ UnIMIUMd m0100e11 combined $ 1 000 000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIM84AGE ()ED RETENTION S $ H WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERrRXECUTIVE Y/N MFanldnroMin SE EXCLUDED? ❑ (Mandatory ) IIyyBaS desalbo under DE541RIPTION OF OPERATIONS below NIA WC 2014 0000 5399 /26/2014 /26/2015 X WO STATU• OTH- E.L, EACH ACCIDENT S 11000,000 EL DISEASE - EA EMPLOYE S 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 C EMPLOYEE DISHONESTY Cwa0000295 -12 /25/2014 /25/2015 LIMITS 25,000 FORGERY /ALTERATION DEDUCTIBLES 2,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101, Additional Romarke Schedule, If more apace Is required) .aK � ® y or?,% THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES ARE Lty1xr1U IONAL IIgSURED. INSURANCE IS PRIMARY AND FORM CG 20 SO APPLIES ��(� ^ '- ,.Gn•� THE CITY OF SANTA ANA FINANCE & MANAGEMENT SERVICES AGENCY PURCHASING DIVISION 20 CIVIC CENTER PLAZA M -16 P,O. BOX 1988 SANTA ANA, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE d 9988.2010 ACORD IN6025 (201005)01 The ACORD name and logo are registered marks of ACORD W/O reserved.