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<br /> ACORD,. CERTIFICA TE OF LIABILITY INSURANCE OA TE (MMIDOfYYYY) <br />- 6/11{2007 <br /> DUCER (949)215-5431 FAX: (949)215-550~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />..genQfitsouree Insuranoe CA:OE36358 HOLOER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 92 1u;-gonaut A-2007 -105-005 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Suite 150 <br /> A1iso Viejo CA 92656 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER />; MoLrk91 Insurance Company <br /> Boys And Girls Cl"Ub Of Santa lUla INSUREI't8: St.ate Comp Ins Fund <br /> 950 West:. Highland IHSUREI\ c: NiOl t . Union. J;".ire ins. Co. <br /> -' IN$URER 0: <br /> San.ta Ana. CA 92703 INSURER E: <br /> 'l'HE ?QUOtES OF INSURANCE U5TEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSiANDING ANY <br /> REQUJREME:NT, TERM OR CONDlTlON OF ANY CONTRACT OR Oll1E:R DOCUMENT WITH Re:SPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br /> THE INSURANCE AFFORDED 1;IY THE POLICIES DESCIl!IBED HEREIN IS SUSJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF' SUCH POLICIES. <br />AGGREGATE UMITS SHOI/"vN MAY HAVE g"'FN REDUCFD BY PAlrJ ClAIMS <br />,IN$R ~I!L TYPE OF INSURANCE POUCY NIJ!lBER P&~:~&-%E Pgk'fl(~'"t~ UMITS <br /> GENERAL LIABlUlY ....r.... I'lr.CURRENCE $ :1.,000,000 <br /> r- DAMAGE T I RE/'oITIOD 100,000 <br /> r- 5MMERClAL GENQ<AL lIABiliTY PIlEM1!'>FIl E$ OOCU~1 I <br /> A f- CUIlMS MADE 0 ocCuR 19502c:t283270 1/1/200? 1/1/2008 MED EXP IAnv cr'Ie O<nonl $ S,OOO <br /> PERSoNAL 8. ArM IN.Jt.RV $ 1,000,000 <br /> , <'IF'''ERAl ACGREC'.ATE $ 3,000,000 <br /> Gfl'LAGr;~EnEUMIT nES p~: ?RODUCTS - COMPIOP ACr.: ~ 1,000,000 <br /> X POUCY ~fg: LOC <br /> ~TOMOBILE LlAlSlUlY COM~INEO SINI3LE LIMIT $ 1,000,000 <br /> (Ea 'IlCXXIeol) <br /> - ^"" AuTO <br /> A - ALL OVll'lEO AUTos 1002CY283271 1/1/2007 1/1{2008 BODILY INJURY <br /> (P"'l*"'"'l $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS OODILYINJtJRY $ <br /> ...ON-QVl'NED AUTOS (Per ac:iIlenl) <br /> 'X COIIlP- 1,000' PROPERlYOAMAGE <br /> X CoU- 1 000 (Per aoc:idefrt) $ <br /> GARA~ UABlUTY AUTO ONI Y - EA ACCIDENT $ <br /> R N~Y AVTO OTHER THAN EA ACC $ <br /> AUTO OrolL y, AM $ <br /> EXCESSIlJIIIBRELLA L.lAB/UlY FAl:H DCf'lIRRENCI" $ 5,000,000 <br /> ~ ,OCCUR o CLAllhS IMOE A~GREGAT" $ <br /> $ <br /> A ~ DEDUCTIBLE 4602C~2a3273 1/1{2007 1/1/2008 $ <br /> RETENTlCiN' S $ <br /> B wo~s COMPEN6AnON AND I WCSTATV-: I O~ <br /> EMPl-OYERS' UABlLITY E.L EACH ACCIDENT 1,000,000 <br /> ANY PROI'RIETORlPARTNER/El<E!OLJTlVE $ <br /> OFFICERlM6MBER EXCLUDED? "/23-06 6/1/2006 6/1/2007 E.L DISEASE. EA EMPLOYEE $ 1,000,000 <br /> "yeo, d~iI>e Uf)der <br /> SPECIAL PROVISIONS belcw E.L, DISEASE. POLICY lIMIT $ 1 000,0000 <br /> C 07>l1!~ Di:r:acto~s and 1-M151? 60 6/1/2006 6{1/2007 1,000,000 <br /> Officers ,. ~.- .... - . , - <br /> 01/01/2007 -. -, '.- '- .-" . -,. ""-' <br /> A Bu~inQss Persoal p 8S0cr283270 01/01/2008 ~- 5S,000 <br /> DESCRIpTION OF oPERATIONSlLOCA nON$IVEHIC~Cl.USlONll ADDED BY I!HDO~ENTfSPECI.'oI. PIlOVllllON$ .~d~r6_ <br /> ce.ri;;i.f';'Qata Bo.ld,u: is Additional Insu&III:l:L <br /> ._- , , -- : . ," <br /> <br />C~T'FICATe HOLD~R <br /> <br />e - WOlt.... Ki<.lW\;f Financll5l Sertic= <br /> <br /> <br />III! CANCaLED BEFORE TilE <br /> <br />The City of Santa Ana <br />The Santa Ana. R8de"o"Q~oplllent Aqency ClJ"9G <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />ACORD 25 (2001108) <br />INS025 (0108).08 AMS <br />EG/~0 39~d <br /> <br />TION 1988 <br />P~il'" 1 012 <br /> <br />~~nSNI 38~nOS1I~3N3a <br /> <br />6GSSS1~5t>6 <br /> <br />6E:~1 L0G~/1T/90 ~ ,~t \ <br /> <br />