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<br />OP ID: ROLO <br />H rcu CERTIFICATE OF LIABILITY INSURANCE DAT <br />IY) <br /> 1 <br />1118/40 <br />11/18/1 <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) <br />AUTHORIZED <br />, <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 SUBROGATION 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 /> <br />S <br />h <br />i <br />k <br />& C CONTACT <br />NAME: <br />c <br />we <br />c <br />ert <br />ompany 714-436-6499 PHONE FAX - <br />15 Peters Canyon Road A/c No Ext : A/C N01: <br />E-MAIL - <br />Irvine, CA 92606 ADDRESS: <br /> PRODUCER FRIEN-1 <br />CUSTOMER ID #: <br /> <br />INSURED Friends of Santa Ana Zoo INSURER(S) AFFORDING COVERAG <br />INSURER A: Essex Insurance Company NAIC # <br />1801 East Chestnut Ave. <br /> <br />Santa An <br />CA 92701 INSURERB: <br />---- <br />a, - --- -- --- <br /> INSURER C <br /> INSURER D : <br /> INSURER E: <br /> INSURER F : <br />%Iwvammuma CERTIFICATE NUMBER: REVI <br />SION 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 <br />S <br />THI <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDI MD POLICY EFF POLICY EXP -- <br />LTR TYPE OF INSURANCE POLICY NUMBER MM1DD/YYYY MM/DD/YYYY LIMITS <br /> GENERAL LIABILITY <br />EACH OCCURRENCE <br />Z 1,000,000 <br />$ <br /> <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />3DD1423 <br />06/30110 <br />06130111 <br />AVAGETOTt-E CT <br />PREMISES (Ea occurrences _ ------ <br />I <br />$ 50,0001 <br /> CLAIMS-MADE X] OCCUR MED EXP <br />A l <br />d <br />d <br /> ( <br />ny one person) $ _ exc <br />u <br />e <br /> PERSONAL & ADV INJURY $ 1 <br />000 <br />000 <br /> $1,000 DEDUCTIBLE GENERAL AGGREGATE , <br />, <br />2 <br />000 <br />000 <br /> - , <br />$ <br />, <br /> GEN'LAGGREGATE <br />LIMIT <br />PRO- PRODUCTS -COMP/Op AGG <br />- ----- $ included <br /> <br />- 1 <br />POLICY <br />LOC --- - --"- <br />$ I <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> <br /> <br />ANY AUTO <br />(Ea accident) $ <br />_-- -? <br /> - ALLOWNEDAUTOS BODILY INJURY (Per person) <br />_ __ _ $ <br /> <br /> <br />SCHEDULED AUTOS <br /> <br />•^'" <br />BODILY INJURY (Per accident) <br />____ - <br />$ <br /> HIREDAUTOS <br />4 <br />' PROPERTY DAMAGE <br />(Per accident) i <br />$ <br /> - NON-OWNEDAUTOS APP OVE TO FO <br />T M ----"-------- <br />------ $ -----I <br /> ----------- ----------------- <br /> UMBRELLA LIAB -? <br />OCCUR "•^?, <br />-•- <br /> <br />EXCESS LIAB 1 <br />CLAIMS -MADE ??, <br />J EPH W <br />FLETCH <br />R EACH OCCURRENCE <br /> <br />AGGREGATE $ <br />-----' <br /> <br />DEDUCTIBLE <br />CITY A <br />TORNEY <br />- $ <br />-----? <br /> <br /> RETENTION $ $ 1 <br /> WORKERS COMPENSATION WC STATU- OT H- <br />I AND EMPLOYERS' LIABILITY <br />YIN TORY LIMITS <br />ER <br /> <br />ANY PRO PRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br /> <br />N/A <br />_ <br />i <br />E.L. EACH ACCIDENT <br /> (Mandatory in NH) <br />If E.L. DISEASE - EA EMPLOYE $ <br /> <br />yes, describe under <br />DESCRIPTION OF OPERATIONS below _ <br /> <br />E.L. DISEASE -POLICY LIMIT S <br /> <br /> <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />The City of Santa Ana, its officers employees <br />agents <br />volunteers and <br />, <br />, <br />representatives are hereby named as additional insured as res <br />ects th <br />p <br />e <br />liability arising out of the activities or operations of the named insured. <br />Insurance is Primary and Non-Contributory wording applies to the Cit <br />of <br />y <br />Santa Ana. <br />!.-A 1 ? 11 <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />i <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. I <br />AUTHORIZED REPRESENTATIVE <br />01 ? <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD