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<br />~ I <br />ACORD'M CERTIFICATE OF WORKERS' COMPENSATION COVERAGE DATE (MMJDD/YY) <br /> 2/1/2006 <br /> THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY <br />PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />Driver Alliant Insurance Services. Inc. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />The T ransamerica Pyramid COVERAGE AFFORDED BY THE POLICIES BELOW. <br />600 Montgomery Street, gth Floor INSURERS AFFORDING COVERAGE <br />San Francisco. CA 941] I <br />Phone: (415) 403-1400 Fax: (415) 402-0773 <br />INSURED INSURER A NonProtits' United Workers' Compensation Groun <br /> INSURER B Insurance Corooration of Hannover <br /> CalifomiJ Hispanic Commission on Alcohol & Drug Abuse, hK_ INSURER C <br /> 2JO] Capitol Avenue INSURER D <br /> Sacramento, CA 9581 (1 <br /> INSURER E <br />COVERAGES This Certificate is not Intended \0 specify all endorsements, coverages, terms, conditions ane exclusions of the policies shown <br />THE POLlCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTW!THSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLlC!ES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - <br />INSR TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS <br />LTR EFFECTIVE YI EXPIRATION <br /> OA TE iMMIDDfYY DATE-/MMIDDfYYI <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fife) $ <br /> '1 CLAIMS MADE I I OCCUR MED EXPENSE IAnyolle ~~o~1 $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ <br /> POLICY I I ~:g I I LOC <br /> AL:TOMOBIU: L1ABILlT\ B ~e 't. COMBINED SINGLE LIMIT $ <br /> ANY AUTO ~tl I [ e-if;- ~,aCCidenl) $ <br /> ALL OWNED AUTOS .-".,eV BODILY INJURY $ <br /> SCHEDULED AUTOS ' - - -~ . ~ (Per person) , <br /> HIRED AUTOS ... .A-__ S\ ,~ BODILY INJURY $ <br /> ~S'" . ",\\Oll'v {Per accident) <br /> NON-OWNED AUTOS CI\'i .~ $ <br /> 'S\31' /4 !)f~ <br /> --~_._- fSS\ PROPERTY DAMAGE $ <br /> IPeraccidenl) $ <br /> GARAGE LIABILITY "- AUTO ONLY EA ACCIDENT $ <br /> I ANY AUTO OTHER THAN I EA ACe $ <br /> AUTO ONLY <br /> I I AGO $ <br /> EXCESS LIABILITY EACH OCCURRENC $ <br /> OCCUR I I CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE , <br /> RETENTION <br /> WORKERS' COMPENSATION AND I we STATU- I X I OTH- <br /> EMPLOYERS LIABILITY TORY LIMITS ER <br /> NPU-WCGOO-2006 2/1/2006 1/1/2007 E.L EACH ACCIDENT $ 500.000 <br />A <br /> EL DISEASE - EA EMPLOYEE S; 500,000 <br /> E.L. DISEASE POLICY LIMIT $ 500,000 <br /> OTHER <br />B Excess Worker"s Compensation H35-0402601 2/J /2006 1/}/2007 $25.000.000 x 5500.000 <br />DESCRIPTION OF oPERATloNS/LOCATIONS/VEHICLES/EXCLUSloNS ADDEO BY ENDORSEMENT/SPECIAL/PROVISIONS <br />Evidence of Coveruge of Workers' Compensation <br />CERTIFICATE HOLDER I 1 ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> NPU-CHCADA-004 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -.--l2- DAYS WRITTEN NOTICE <br />City of Suntcl ABU TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> 'y,/orkforcc Investment Administration OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br /> 1000 E. S'-lllta Ana Boulevard, Suite #200 REPRESENTATIVES 1--7 - J ............. <br /> Santa All;], C A 92701 AUTHORIZED REPRES ATlVE )~~I-\ ( IV"-/-_ <br />ACORD 25-S (7/97) ..- @ACORD CORPORATION 1988 <br /> <br />TO (5G DOC MASTERS Cel1if1cal~ ofLia\1ilil! Insurancc ACORD~5-S.1 <br />