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<br />ACORDN <br /> <br />CERTIFICATE OF LIABILITY INSURANCE INTER-5 DAT~~7;;~) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO <br /> <br /> <br />PRODUCER <br />Chapman & Associates <br />License #0522024 <br />P. O. Box 5455 <br />Pasadena CA 91117-0455 <br />Phone:626-405-8031 Fax:626-405-0585 <br /> <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />A-~OO'7-091 <br /> <br />INSURER A: Rive rt Insurance Company <br />INSURERB: Everest National <br />INSURER C: <br />INSURER D: <br />INSURER E: <br /> <br />Interval House <br />P.O. Box 3356 <br />Seal Beach CA 90740 <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IINSK ~~[ TYPE OF INSURANCE POLICY NUMBER DATE lMMlDo/Wf '1:k~"e'f;'MIDDrm LIMITS <br />LTR <br /> GENERAL UABILITY EACH OCCURRENCE $ 1000000 <br /> - 10/01/07 PREMISES (E~~~~nce) <br />A ~ COMMERCIAL GENERAL LIABILITY RICOO07536/$0 DED. 10/01/06 $ 100000 <br /> =:J CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5000 <br /> - <br /> ~ Prof LiabHity $0 DEDUCTIBLE PERSONAL & ADV INJURY $ 1000000 <br /> ~ Sexual Abuse Liab $0 DEDUCTIBLE GENERAL AGGREGATE $ 3000000 <br /> GEN'L AGGREGATE LIMIT APAS PER: PRODUCTS - COMP/OP AGG $ 3000000 <br /> I n PRO- Prof Liab 1mil/3mil <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT <br /> - $ <br /> ANY AUTO (Ea accident) <br /> I-- <br /> f- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> f- <br /> HIRED AUTOS BODILY INJURY <br /> I-- $ <br /> NON.OWNED AUTOS (Per accident) <br /> f- <br /> I-- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABIUTY EACH OCCURRENCE $2,000,000 <br />A ~ OCCUR D CLAIMS MADE RELOO07537 10/01/06 10/01/07 AGGREGATE $2,000,000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $0 $ <br /> WORKERS COMPENSATION AND X ITORYLlMITSl xlu~1t <br />B EMPLOYERS' LIABILITY 6600000287071 02/01/07 02/01/08 $ 1000000 <br />ANY PROPRIETORlPARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ 1000000 <br /> If yes. describe under $ 1000000 <br /> SPECIAL PROVISIONS below E.L. DISEASE. POLICY LIMIT <br /> OTHER <br />A Crime RICOO07536 10/01/06 10/01/07 Empl Dish $110,000 <br /> Blkt Cont $290,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS -, <br />City of Santa Ana, its officers, employees, agents, volunteers and ~ ..- .i ':":...' - <br />representatives are named additional insured with respect to the General ~!!'{ <br />Liability policy of the named insured per the attached CG 2026 endorsement. <br />Such insurance is Primary and non-contributory. Workers Compensation. . <br />coverage excluded, evidence only. 10 days notice of cancellation (Co~t<;\,). ---... ~ ~ - ~. - <br /> .. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Community Development Agency <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br /> <br />C ITY016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOF, THE ISSUING INSURER WILl .OMAlL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> <br />ACORD 25 (2001/08) <br /> <br />