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CUCA It ° CERTIFICATE OF LIABILITY INSURANCE DAT /2312D/Y1 6/23/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (805) 965 -0071 Brown & Brown Insurance P.O. Box 1469 Santa Barbara, CA 93102 -1469 _ NAME: Ruth East PHONE FAX AICA Lo Ext : (805) 690 -2624 (AC, No): (805) 690 -2724 ADDRESS: yeas bbofcal.com PRODUCER LEGAAID -01 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Legal Aid Society of Orange County 2101 No. Tustin Ave., Santa Ana, CA 92705 INSURER A: Philadelphia Insurance Company PHPK707391 T� T O V ED E. tnt INSURER B: �lll/2012 j1J�l y INSURER C $ 1,000,00 INSURER D: $ 100,00 INSURER E: x 5.00.. INSURER F: COVERAGES CERTIFICATE Nl1MRFR- 0 =vIQInIJ K] IMt2oo. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY C AMAS MADF '.J_ OCCUR X PHPK707391 T� T O V ED E. tnt �+7/11+/201gy -r a TO r STORK 'Ity AttOrn �lll/2012 j1J�l y EACH 950u= $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) x 5.00.. PERSONAL & ADV INJURY $ 1,000,00 GENE RALAGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHPK707391 1 711/2011 7/1/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X $ $ A UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE PHUB342021 71112011 7!1!2012 EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000,00 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Abuse & Molestation PHPK707391 7/1/2011 7/1/2012 Per Occurrence $2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate Holder & Its Officers, Agents, Employees are included as Aditional Insured(s) under the General Liability per the attached form PI- GLD -HS (04/07). City of Santa Ana - CDBG M -25 Community Development Agency P.O. Box 1988 M -15 Santa Ana, CA 92702- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1985 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD