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CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER (916) 784-9070 FAX: (916) 784 -0158 THIS CERTIFICATE IS ISSUED AS A <br />All Insurance Agenay ONLY AND CONFERS NO RIGHTS <br />HOLDER. THIS CERTIFICATE DOES <br />DATE (MMIDDmYY) <br />3/18/2011 <br />OF INFORMATION <br />'HE CERTIFICATE <br />ENO, EXTEND OR <br />505 Vernon Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Roseville CA 95678 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURERA:NOnprOfitS Ins Alliance of CA <br />Southwest Minority Economic Devolpomant INSURERB;NOrth American Elite Ins. <br />DBA: Southwest Community Center INSURER C: <br />1601 West 2nd Street INSURER D: <br />Santa Ma CA 92703 INSURER E: <br />n,wrewneee <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED 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 />INSR <br />ADDI <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EPPECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />_LTR <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 11000,000 <br />PREMIS 8 RENTED <br />fEa occurrence) <br />S 5001000 <br />MED EXP (Arvy one pwsonj <br />$ 20,000 <br />A <br />X <br />I CLAIMS MADE OOCCUR <br />2011- 02312MPO <br />3/25/2011 <br />3/2512012 <br />PERSONAL &AOV INJURY <br />8 1,000 000 <br />X PROFESSIONAL LIAR, <br />$110001000 /11000,000 <br />GENERAL AGGREGATE <br />8 2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPfOP AGG <br />8 ' 2000, 000 <br />POLICY PRC- <br />X LOG <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Eaaccldent) <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />A <br />X. <br />X <br />ALL OWNED AUTOS <br />SCHEDULED AlJT09 <br />2011- 02312NPO <br />3/25/2011 <br />3/25/2012 <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />X <br />HIRED AUTOS <br />NON- OWNEDAUTOS <br />PROPERTY DAMAGE <br />(Per aatdenl) <br />S <br />GARAGSLIABIOTY <br />AUTO ONLY -EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />AUTO ONLY' <br />S <br />ANY AUTO <br />�p <br />}� S o <br />i� <br />S <br />EXCESS I UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />FIRETENTIO <br />- <br />_ <br />CIS <br />t <br />�' <br />v RCjK <br />E` SAttor <br />t CAI <br />jeY <br />EACH OCCURRENCE <br />I <br />AGGREGATE <br />$ <br />$ <br />$ <br />$cgtS <br />p� <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUnVE <br />T3 <br />WC STATU- I OTH- <br />TaRY LIMEES <br />E.L. EACH ACCIDENT <br />$ <br />E.L. 0I8EASE -EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUOED7 <br />(Mandatory in NH) <br />E.L. DISEASE - POLICY LIMIT <br />I $ <br />If yyes desalbe under <br />SPEGIIAL PROVISIONS below <br />B <br />OTHER13MPLOYBE DISHONESTY <br />CwB 0000 295 -09 02312 <br />3/25/2011 <br />3/25/2012 <br />LTMITS 10,000 <br />FORGERY /ALTERATION <br />DEDUCTIBLE$ 1,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGPINTS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS ARE NADZD ADDITIONAL INSURED AS A <br />FUNDING SOURCE. PRIMARY WORDING, SEVERABILITY OF INTEREST, AND FORM CG 20 26 APPLIES. <br />*10 DAY NOTICE OF CANCELLATION FOR NON — PAYMENT OF PREMIUM <br />(714) 647 -6549 <br />CITY OF SANTA ANA <br />ATTN: LUCY FLORES <br />20 CIVIC CENTER PLAZA, M -25 <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />ACORD 25 (2009/01) <br />SHOULD ANY OFTHEABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUR40 INSURER WILL liQ1 WMA1L *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, YVlV)Q%)Q)(XO1[l O("M <br />Aw"%xXx <br />AUTHORIZED REPRESENTATIVE <br />INS025 (nowipi The ACORD name and logo are registered <br />