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<br />.."," <br />ACORDTM CERTIFIC'....E OF LIABILITY INSURAP';E 1 DATE (MMlDDIYYYY) <br />10/1812006 <br />PRODUCER Phone: (800) 747-9573 Fax: (303) 422-1276 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />The Camp Team ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />7615 W. 38Th Avenue, Unit 8-109 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Wheat Ridge CO 80033 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> A - ~OO6 ,;!'3~ INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: American Alternative <br />Orange County Youth Commission INSURER B: <br />1850 E. 17th Street #218 INSURER C: <br />Santa Ana, CA 92705 INSURER D: <br /> INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOlWlTHSTANDING <br />AN'( REQUIREMENT, TERM OR CONDITION OF Am CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ~I TYPE OF INSURANCE POLICY NUMBER PO~,EFFECTJVE POLICY EXPI~N LIMITS <br />LTR N!R), DATE MMIDD/YY) DATE (MMlD <br /> GENERAL LIABILItY 76A2GLOOOOO 1-01 10/22/2006 10/22/2007 ACH OCCURRENCE [$ 1,000,000 <br /> X AiiAGe TO RENTED S 300,000 <br /> COMMERCIAL GENERAL LIABILITY REMISES (Eo OOClI""_l <br /> I CLAIMS MAOETXT OCCUR ED. EXP (Arry one person) Separate <br />A X INC ATHLETIC PARTICIPANTS ERSONAL & ADV INJURY ~ 1,000.000 <br /> GENERAL AGGREGATE 2,000.000 <br /> \ RODUCTS-COMP/OP AGG. 1,000,000 <br /> POLIC~ !:,:g: I I LOC <br /> AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT <br /> ANY AUTO Ea accident) <br /> ALL OWNED AUTOS j;!ODIL Y INJURY <br /> I SCHEDULED AUTOS Per person) <br /> HIRED AUTOS BOOIL Y INJURY S <br /> NON-OWNED AUTOS Per acx:idenl) <br /> ROPERlY DAMAGE ~ <br /> Per acx:idenl) <br /> GARAGE LlABn..JTY I"UTO ONLY - EA ACCIDENT $ <br /> AN'( AUTO OTHER THAN EA ACC <br /> AUTO ONLY: AGG !t <br /> lexCESS I UMBRELLA LIABILITY /:ACH OCCURRENCE <br /> OCCUR I I CLAIMS MADE ~GGREGATE <br /> DEDUCTIBLE <br /> RETENTION $ S <br />WORKERS cpMPENSAl10N AND TWC STATU- I I "TI.I"" <br /> MPLOYERS LIABILItY <br />ANY PROPRlETORIPAFmlERlEXECUTJVE .L. EACH ACCIDENT <br />OFRCERlMEMBEREXCLUDED? L. DISEASE-EA EMPLOYEE <br /> yes, describe under ~ <br /> PECIAL PROVISIONS below .L DISEASE-POLICY LIMIT <br />OTHER: $ <br />DESCRIPTION OF OPERA TIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS <br />Youth Mentoring / California <br />Policy Deductibles: $0.00 per each bodily injury I $500,00 per each property damage claim. <br />Additionallnsured(s): City Of Santa Ana, All participants, staff and facilities as scheduled with the company are added as additional insured in regards to <br />the operations of the insured. <br /> <br /> .- .- u <br />City Of Santa Ana .~ ~ . -' ~_/ /..::.....) , . l"".\~,..j' :li~LD AN'( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />20 Civic Center Plaza ~j~:,~---- DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAlL 30 DAYS WRITTEN NOTICE <br />Santa Ana, CA 92702 TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE <br />NO OBLIGATION OR LIABILITY OF AN'( KIND UPON THE INSURER. Irs AGENTS OR <br /> REPRESENTATIVES <br /> ~~~~~ <br /> / '--..... ~~ _.-:' /'.:l...:'- .~\ <br />Attention: Bob Leid <br /> <br />COVERAGES <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />@ACORDCORPORATION1988 <br /> <br />ACORD 25 (2001/08) <br />