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ACORD CERTIFICATE OF <br />OP ID PC DATE(MMIDDIYYYYI <br />LIABILITY INSURANCE OAANG-7 04/14/OB <br />+� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER <br />�t�.�`F'" ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Chapman s Associates <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0522024 /� <br />Xl(. <br />-" ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. 0. Box 5955 <br />Pasadena CA 91117-0455 <br />INSURERS AFFORDING COVERAGE NAlC # <br />Phone: 626-405-8031 Fax: 626-405-0585 <br />INSURERA a Cdq.•ny 13TYB <br />INSURED <br />16691 <br />INSURERS o 126e1� 1 <br />Orangewood Children's <br />INSUREPC B.>,ty=R.P._==eCO— <br />Foundation <br />1575 E. 17th Street <br />INSURER CSP neFa <br />Santa Ana CA 92705 <br />I INS—— E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC-TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFDRDED 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 />POLICY EFFECTIVE I POLICY EXPIRATION <br />NSR KDD'L POLICYNUMBER DATE (MM UD I DATE IMMIDDM'I <br />LTR (NSRC TYPE OF INSURANCE <br />GENERAL UABIUTV <br />A X X COMMERCIAL GENERAL LIABILITY PGL766306 <br />X CL41M5 MADE `—� OCCUR <br />X 'SS Professional <br />X 'Sex Abuse/Molest <br />GEWL AGGREGATE UNIT APPLIES PER <br />PRO- <br />. PDLICY JECT LOS <br />AUTOMOBILE LIABILITY <br />B ANY AUTC <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />GARAGE LIABILITY <br />ANY AUTC <br />UCESSUMBRELLA LIABILT Y <br />OCCUR '� CIAIMSAIADE <br />02/O1/09 <br />LIMITS <br />EACH OCCURRENCE 5 1000000 <br />DAMAGETORENTED 5 50000 <br />02/01/08 PREMISES IEAac <br />MED BARMY me Penon`, 5 1000 <br />PERSONAL k ADV INJURY' S 1000000 <br />GENERAL AGGREGATE S 3000000 <br />PRODUCTS - COMPIOP AGG S 1000000 <br />'Emp Ben. 100/300 <br />COMBINED SINGLE UMI' S 1000000 <br />PAC7575346 <br />02/01/08 02/01/09 EAuneu <br />BODILY INJURY S <br />' j IPer persm; <br />�I <br />O.�100 I SCSI �INIURY <br />FY.�� PERTY DAMAGE <br />V (Peracclaenl <br />` <br />S <br />F <br />V AUTO ONLY EA ACCIDENT <br />ttDCne`I EAAcz <br />OTHER THAN <br />B <br />AUTO ONLY AGC <br />a l <br />S <br />EACH OCOURRENCE <br />l'^ r 1 AGGREGATE <br />5 <br />1f` <br />\ <br />IDS <br />jS <br />DEDUCTIBLE <br />5 <br />RETENTION 5 <br />WC BTATU- IOTH- <br />i,. X <br />I TORV LIMITS ER <br />WORKERS COMPENSATION AND <br />EMPLDYERB' LIABILITY <br />WEN100284002 <br />03/01/08 03/01/09 <br />EL EACH ACCIDEN- 15 1000000 <br />D ANY PROPRIETORIPARTNEWEXECUTWE <br />E.L.DISFASE - EA EMPLOYEE 5 SOOOOOO <br />1 DFFICERIMEMBEREXCLUDED- <br />If Yes, eescnce uneei <br />SPECIAL PROVISIONS BeIPx <br />j EL. DISEASE - POLICY LIMIT s- 1000000 <br />OTHER <br />I <br />B 1 Property Section <br />PAC7575346 <br />02/01/08 02/01/09 <br />02/01/08 02/Ol/09 <br />EE Dishon 500,000 <br />C Crime <br />CCP006190603 <br />DESCRIPTION OF DPERATIONB I LOCATIONS I VEHICLES I EXCLUSIONS <br />ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, it's <br />officers, employees, agents, volunteers and <br />representatives are named as <br />an Additional Insured as respects liability <br />arising from the operations <br />of the Named Insured per <br />the attached Al <br />endorsement. Workers compensation <br />coverage excluded, <br />evidence only. <br />ZO days notice of cancellation <br />for non-payment of premium. XX <br />e1AAIF`C1 I ATInN <br />ULKI IVILAlr NULUcr% - <br />CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILT. —MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />City of Santa Ana — <br />20 Civic Center Plaza <br />AUTM PREBENTAT <br />Santa Ana CA 92701 <br />n acnWI I CnRPDRA I IUN 1988 <br />ACORD 25 (2001/08) <br />