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OP ID: PC CERTIFICATE OF LIABILITY INSURANCE DATE (MM D D/YYY\7 01 /27/„ THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON SS THE CERTIFICATE HOLDER. THIS CERTIFICATE DOE 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 to the rights certificate holder in lieu of such endorsement(s). PRODUCER 626-405-8031AMF. Chapman PHONE jf�626-405-0585 C No Ex)- I ac No: License #0522024 ADDRESS: P. O. Box 5455 Pasadena, CA 91117-0455 CUSTOMER ID #: INTER-5 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Interval House P.O. Box 3356 INsuRERA. Riverport Insurance Company 36684 INSURER B : Everest National 10720 Seal Beach, CA 90740 INSURER C : INSURER D : INSURER E : INSURER F : rSCV—l"M MUMCiCri: 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. I NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICCY EFF PMLICY EXP LIMBS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 15c] OCCUR Professional Liab X RIC0011318 10/01/10 10/01/11 EACH OCCURRENCE $ 1,000,000 PREMISES Esoccurrs $ 100,000 MED EXP (Ay,,, person) $ 5,000 X PERSONAL $ ADV INJURY $ 1,000,000 X SBXual AbUSe Liab GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY j RO LOC AUTOMOBILE LIABILITY ANY AUTO PRODUCTS - COMP/OP AGG $ 3,000,000 Prof Liab COMBINED SINGLE LIMIT (Es accident) $ 1 mil/3m11 $ ALL OWNED AUTOS BODILY INJURY (Per person) S BODILY INJURY (Per scarf—) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per eccitle M) $ NON -OWNED AUTOS $ $ A B A A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE .1A REL0013,9 6600000287111 RICOOI t31R RICOOt131a 10/01/10 02/01/11 10/01/10 10/01/10 10/01/11 02/01/12 10/01/11 10/01/11 EACH OCCURRENCE $ 2,000,000 AGGREGATE g 2,000,000 DEDUCTIBLE X RETENTION S WORKERS COMPENSATION AND EMPLOYERS` LIABILITY ANYPROPRIETOR/PARiNEWEXECLfrIVEY/N OFFIGER/M EMBER EXCLUDEDy (Mandatory In NH) If yes, tlascriba untler DESCRIPTION OF OPERATIONS below Property Coverage Crime Coverage X LATUIMITX T ER $TORY I E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT Blkt Cont Empl Dlsh $ 1,000,000 42D,OD 200,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, A dltlonal Remarks Schedule, If more space Is required) Re: Contract #A-2010-061-002; A-2009-133; A-2009-133A. City of Santa yAna, its officers emplo ees, agents volunteers and representatives are named additional insure with respeci to the General Liability policy of the named Insured per the attaached CG 2026 endorsement. Such Insurance Is primary and non-contributo per the attached endorsement. Workers Compensation Contd. C ITY016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Community Dev. Agency (M-25) Attn: Frank Hernandez AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza, M-25 � n Santa Ana G CA 92701 R- — m 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD