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<br />MAN ION /BELL INSURANCE ASSOCIATES
<br />P� ICJ. BOX 36186
<br />LOS ANGELES, CA, 90036
<br />(2131 387'•8294* FAX {213) 389 -5$33
<br />LIC, (t 0655274
<br />THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AM END, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLRCIES BELOW
<br />COMPANIES AFFORDING COVERAGES
<br />Company
<br />A Nonprofits' lns. Alliance of Callf.(NIAC)
<br />Company Best: A Rated
<br />a United States Fire Inns, Co.(USFIC)
<br />Company Best,. A Rated
<br />C
<br />Company
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<br />Insured
<br />Council on Aging of Orange County
<br />1971 E. 4th Street„ Ste, 2070
<br />Santa Ana, CA 92705
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<br />THIS IS TO CERTIFY THAT THE POUCEES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYIPERIOD
<br />INDICATED„ NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANYCONTRACT Oft OTHER DOCUMENT WI I'H RESPECT TO 69WHICN TH15
<br />CERTIFICATE MAY Of ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHEIR TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POL106, LIMITS SHOWN MAY HAVE BEEN REDUCED SY'PAID CLAIMS
<br />CO
<br />LTA
<br />TYP5DEIN'SURANCE
<br />POLICY NUMBER
<br />rammrsrrrwwr
<br />onTFYneua.tlro,W41
<br />carver eznnrnom,
<br />mnmMSA.rn0.W1
<br />LIMITS
<br />„�,Cg11.Ij . 1?W�E f
<br />iE,.RA.ti,T � BILLTY uAt F a'n
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />A
<br />X
<br />JOCCURRENCE FORM
<br />2015 03600 NPO
<br />7/]./2015
<br />7/1/2016
<br />PROFESSIONAL LIABILITYAGG.
<br />$2,000,000
<br />oTHM
<br />PRODUCTS "COMP /O'P AGG
<br />$1,000.,000
<br />X
<br />SEXUAL MISCONDUCT(1M AUG)
<br />!PERSONAL &ADV INJURY
<br />$1,000,600
<br />X
<br />PROFESSIONAL LIAHKTIY
<br />EACH OCCURRENCE
<br />$1,CC0,000
<br />FIRE DAMACiF(Anyone fire)
<br />$500,000
<br />MIED EXP(An,/ one person)*
<br />$20,000
<br />DEDUCTIBLE
<br />,$,0
<br />�¢IMUi°bt.?B�YE
<br />LIAQILI*FI(r" �,�,L"r
<br />A.
<br />ANYAUTO
<br />COMBINED SINGLE LIMIT
<br />$1,600,000
<br />ALL OWNED AUTOS
<br />2015 22727 NPO
<br />7/1/2015
<br />7/1/2016.
<br />BODILY INJURY
<br />X
<br />SCHEDULEDAUTOS
<br />(Per person)
<br />X
<br />HIRED AUTOS
<br />BODILY INJURY
<br />X
<br />NON -OWNED AUTOS
<br />(Per accident)
<br />$�yM..�DDEED. ONCOMP /COLL
<br />PROPERTY DAMAGE
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<br />A
<br />X
<br />UMaRELLAFORM
<br />2015 22727 UMB
<br />7'/1/2015
<br />7/1/2616
<br />EACH OCCURRENCE
<br />$2,000,000
<br />OTHER THAN UMBRELLA, FOgM
<br />AGGREGATE
<br />$2,006,060
<br />RETENTION1�,o(7ij
<br />wgy
<br />B
<br />X
<br />PRIMARY
<br />US 192BD
<br />7/1/2015
<br />7/1/2016
<br />ACCIDENT LIMIT
<br />$10,006
<br />EXCESS
<br />AD&D
<br />$S,Q06
<br />DEDUCPIBtE
<br />DEDUCTIBLE
<br />Y'-
<br />n. ,.
<br />001'"Ftr,��'�'I
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named
<br />additional insured per attached CC 2026 endorsement, Coverage is primary and non-contributory
<br />City Of Santa Ana, Community Development Agency
<br />20 Civic Center Plaza, M -25
<br />Santo Ana, CA 927011
<br />Attn: Sylvia Vazquez
<br />SHOULDANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED
<br />BEFORE, THE EXPIRATION DATE THEREOF, NOTICE WILL BE
<br />DELIVERED IN ACCORDANCE WITH TI IE POLICY PROVISIONS
<br />30 DAYS NOTICE OF CANCELLATION,
<br />EXCEPT 10 CLAYS NON- PAYMENTOF PREMIUM
<br />UTHORIZED REPRESENTATIVE
<br />Gffnn //tambn 213 337 8294
<br />
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