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OP ID: ROLO <br />� -"" CERTIFICATE OF LIABILITY INSURANCE DAT11 /18DIYYYY) <br />11I18I10 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATfON IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER 714 -436 -6400 <br />CONTACT <br />NAME:_ <br />Schweickert & Company 714 -436 -6499 <br />15 Peters <br />PHONE - - — -- -- <br />FAX <br />Arc a R): 1 FAX <br />Canyon Road <br />y <br />Np� -_- <br />- -_._. _. -__ _— -- <br />E L <br />Irvine, CA 92606 <br />-MAIL <br />ADDRESS: -_- <br />_ <br />- eXCludedi <br />PRODUCER -- <br />_CUSTOMER ID #: FRI __ j <br />- - - -- --- - - - - -- ----- - -. - -_ _ _ <br />INSURED Friends Of Santa Ana ZOO <br />INSURER(S) AFFORDING COVERAGE _NAIC <br />INSURER A ESseX Insurance COmp�ny <br />1801 East Chestnut Ave. <br />T - <br />Santa Ana, CA 92701 <br />SURER <br />INSURER, - e ___ 1 <br />2,000,0001, <br />INSURER C: <br />'.. OCCUR <br />'CLAIMS -MADE <br />INSURER D: <br />$ <br />INSURER E <br />L_ <br />COVERAGE <br />) <br />__ -__ - - -_ - -- -- _..- -- --- �I <br />INSURER F <br />-- <br />S CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ADD UB - - " -_ -- - -- <br />POLICY EFF t POLICY EXP - - - -- - - -- <br />JSR TYPE OF INSURANCE �,uT - - - -- _ orn Iry w u.o�o -- - -- -- <br />GENERAL LIABILITY <br />X X COMMERCIAL GENERAL LIABIU rY <br />-1 CLAIMS -MADE X OCCUR <br />GEN L AGGREGATE LIMIT APPLIES PER <br />--- - - - -_i PRO - l <br />POLICY JEC T LOC_ <br />AUTOMOBILE LIABILITY <br />- -i ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />3DD1423 <br />I <br />$1,000 DEDUCTIBLE <br />j I <br />MMIDDMlYY <br />MM /DD /YYY�._— LIMITS <br />PROPERTY DAMAGE $ <br />EACH <br />! <br />FORM <br />APP OVE TO F0 <br />1 050,000 <br />06/30/10 06/30111 DAM�ETGRENTED <br />_ PREMISES (Ea occurrence, <br />$ <br />$ <br />!i MED EXP_ (Any one person) <br />_ <br />$ - <br />_ <br />- eXCludedi <br />! -- - -- - -. <br />PERSONAL & ADV iNJURY <br />• <br />I $ <br />1,000,00UI <br />T - <br />GENERAL AGGREGATE <br />!i $ <br />2,000,0001, <br />PRODUCTS. COMP /OPAGG S <br />_- <br />'.. OCCUR <br />'CLAIMS -MADE <br />- - -- - --- — <br />$ <br />,` <br />COMBINED SINGLE LIMIT <br />!Ea accident) $ <br />I- <br />BODILY INJURY (Per person) , $ <br />BODILY INJURY CPer accident) S <br />representatives f San are hereby named as dditfonal CORstot, Additional Remarks Schedule, <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (A ,i <br />ttach A if more space is required) <br />The City of Santa Ana, Its officers, em to ees, agents, volunteers and <br />insured as respects the <br />liability arisen out of the activities or operations of the named insured. <br />Insurance is Primary and Non - Contributory wording applies to the City of <br />c...f� A— <br />CERTIFICATE H <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />TION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />! <br />PROPERTY DAMAGE $ <br />NONDAU DAUTOS <br />! <br />FORM <br />APP OVE TO F0 <br />(Peracadenti <br />- - - <br />- <br />I <br />$ <br />I ! <br />! <br />! -- - -- - -. <br />- -- - --- <br />T - <br />- --- <br />- -- - - - -- <br />$ <br />F ` <br />UMBRELLA LIAB <br />! <br />- r EXCESS LIAB 1 <br />'.. OCCUR <br />'CLAIMS -MADE <br />�._ <br />,` <br />1• <br />:EACH OCCURRENCE $ I <br />- - -- <br />J EPH W <br />FLET <br />E �R <br />i Ir <br />1 E <br />I <br />CITY ATTORNEY <br />AGGREGATE $ <br />- - �- <br />-_ _I <br />$ <br />RETENTION <br />1— <br />--- _-- <br />WORKERS COMPENSATION !, <br />_ - - - -- -- - - - - -- - -_ - -- <br />AORKERSCOMP LIABILITY <br />li <br />WC STATJ- 0TH - <br />YIN <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />TORY LIMITS <br />FFICERIMEMBER EXCLUDED? I N / A !, <br />EL. EACH ACCIDENT <br />(Mandatory m ) <br />If es, describe under <br />i <br />E L DISEASE - EA EMPLOYEE $ <br />DESCRIPTION OF OPERATIONS below <br />F---- ----- --- ----- - - -- -- -- `-- -�- - -- --- --- <br />- - - --- ------ '-.. --- <br />- _ - - <br />E.L. DISEASE --POLICY LIMIT 1 $ <br />representatives f San are hereby named as dditfonal CORstot, Additional Remarks Schedule, <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (A ,i <br />ttach A if more space is required) <br />The City of Santa Ana, Its officers, em to ees, agents, volunteers and <br />insured as respects the <br />liability arisen out of the activities or operations of the named insured. <br />Insurance is Primary and Non - Contributory wording applies to the City of <br />c...f� A— <br />CERTIFICATE H <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />TION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />