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NONPRUNIT <br />CERTIF'iCATE OF LiA~i~,iTY INSUF~ANCE DATE tMMIDDIYYYY) <br />A CORD,,. 612 812 0 0 8 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Commercial Specialties 650-639-6965 F ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ABD Insurance & Financial Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />305 Walnut Street <br />Redwood City, CA 94063 <br />INSURED Orange County Conservation Corps <br />1653 N Raymond Ave <br />Anaheim CA 92801-1117 <br />COVERAGES <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: NonProfiis' United Ins Vehicle Pool <br />INSURER B' <br />INSURER C. <br />INSURER D. <br />INSURER E _ <br />_ __ .....~....,,.,,~ ~r,o rur= onl Icv PERIOD INDICATED. NOTWITHSTANDING <br />THE POL ICIES OF INSURANCE LISTED BELOW HAVE BEtIV 155Utu I v i n~ u..~~.~.~~ •-• ••••-- <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAT <br /> <br />CH <br />AIJY REQ UIREMENT, TERM OR CONDITION OF ANl' COIJTRACT OR <br />POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS HND CONDITION S OF SU <br />IdA I' PEP THE INSURANCE AFFORDED B <br />,TAIN Y THE <br />CLAI <br />' <br />PO LICIE , <br />S. AGGREGATE LIMITS SHOWN MAY P <br />PAID <br />HAVE BEEN REDUCED Bl <br />POLICI' EXPIRATION <br />IMITS <br />IIJSR DD' L <br />LICY EFFECTIVE <br />POLICY NUMBER DATE MMIDDIYY DATE MMIDDIYY <br />LTP. N SR 7yPE OF INSURANCE E:,CH OGCURREi:CE s <br /> GENERAL LIABILITY I DAMAGE TO RENTED S <br /> PR EId ISES Ea occurrence) <br /> COMMERCIAL GEIJERAL LIABILITY i <br />PAED EXP fAny one person) <br />S <br /> CLAIMS MADE ^ OCCUR <br />PERSONAL S ADV INJURY <br />S <br /> GENERHL AGGREGPTE S <br /> <br />' PRODUCTS - COMPIOP AGG S <br /> <br /> GEIJ'L AGGREGATE LIMIT APPLIES PER: <br /> PRO- <br />POLICY JECT L0~ <br />A AUTOMOBILE LIABILITY NPU1000-DB 7!1!2008 711!2009 COMBINED SINGLE LIMIT <br />IEa accitlentl ~ ~,DOO,D00 <br /> AIJ 1'.4UTG <br />BODILY INJU Rl' <br />~, <br /> ALLOWNED AUTOS (Per person) <br /> SCHEDULED AUTOS <br /> 80DIL\' RJJURI' S <br /> HIRED HUTOS (Per accident) <br /> NON-OWIJED AUTOS <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> <br /> AUTO ONLY - EA ACCIDENT c. <br /> GARAGE LIABILITY ~~ <br />~ ~ EA ACC S <br /> HNl AUTG ~T '~'D OTHER THHN <br />~O V ~' `„"°`^' HUTO ONLI`. AGG <br />S <br /> K EACH OCCURRENCE S <br /> I EXCESSIUMBRELLA LIABILITI' G <br />~ O`\V <br />pov <br />AGGREGATE <br />~ <br />~ <br />~ <br /> OCCUR CI CLAIMS MADE OC <br />`I Qtt <br />~ <br />~,SF-. ~ <br />C ~`I ~ <br /> yL <br />Sis~a~~ <br />~ .'n <br /> DEDUCTIBLE . <br />_ <br />~ <br />~ ' q, <br /> RETENTIOlJ $. WC STHTU- OTH- <br />Y c ~: <br /> WORKERS COMPENSATION AND <br />' <br />E.L. EACH HCCIDENT <br />S <br /> LIABILITY <br />EMPLOYERS <br /> HNl' PROPRIETORlPARTN ERlEXECUTIVE E.L. DISEASE - EA EMPLOYE E Z <br /> OFFICERlM EMBER EY.CLUDED? <br />MIT <br />S <br /> li yes, describe under EL. DIS EHSE -POLICY LI <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> ON OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> DESCRIPTI <br />r the NPU Vehicle Insurance Program. Evidence of coverage. PROOF OF INSURANCE ONLY. <br />d <br />t <br /> e <br />o un <br />RE:Member #1560 Any Auto means any covered au <br />ATE HOLDER <br />Citv of Santa Ana <br />SNorkforce Invesimeni Board <br />P. O. Box 1988 M-73 <br />Santa Ana CA 92702 <br />ACORD 25 (2001108) 1 of 2 172679 <br />CANCELLATION Ten Day Notice for Non-Payment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL a0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HDLDEP. NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE n ~f/~~~// <br />O ACORD CORPORATION 1988 <br />