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OP ID. nG
<br />ACORL7
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIODIYYYY)
<br />F 04116/12
<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 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 415 - 512 -2100
<br />Sweet & Baker Ins. Brokers Inc 415 512 1115
<br />44 Second Street - -
<br />San Francisco, CA 94105 -3440
<br />Beau Freyermuth (415) 512 -2138
<br />CONTACT
<br />FAX
<br />PHONE o E (A/C, No)!
<br />noDRESS:
<br />PRODUCER GROWT -1
<br />CUSTOME l0 .
<br />INSURER (S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED Growth Sector Company
<br />Attn: Beth
<br />6080 Jericho Turnpike, #308
<br />Commack, NY 11725
<br />INSURER A: Nonprofits' Insurance Alliance
<br />GENERAL LIABILITY
<br />INSURER B: Landmark American Insurance Co
<br />INSURER C: The Hartford
<br />INSURER D
<br />EACH OCCURRENCE
<br />INSURER E:
<br />A
<br />INSURER F:
<br />r'nVFRAGiFC CFRTIFICATF NIIMRFR- RFVICIf1N NI IMRFR-
<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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUB
<br />POLICY NUMBER
<br />MMIDD�
<br />MMIUDDNYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE O OCCUR
<br />201224942NPO
<br />03/04/12
<br />03/04113
<br />AMAGE
<br />PREM5ES Eaoccurrence
<br />$ 500,000
<br />MED EXP (Any one person)
<br />$ 20,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOPAGG
<br />$ 2,000,000
<br />POLICY PRO- D LOC
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />201224942NP0
<br />03104112
<br />03/04/13
<br />CCMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ALL OWNED AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />SCHEOULEDAUTOS
<br />HIRED AUTOS
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />$
<br />$
<br />X
<br />NON -OWNED AUTOS
<br />$
<br />X
<br />UMBRELLA LIAB
<br />HCLAIMS-MADE
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />A
<br />EXCESSLIAB
<br />201224942UMB
<br />03104/12
<br />03104113
<br />DEDUCTIBLE
<br />$
<br />-
<br />$
<br />X
<br />RETENTION $
<br />WORKERS COMPENSATION
<br />WC STATU- OTH-
<br />C
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED? El
<br />(Mandatory in NH)
<br />I A
<br />57WECEP6121
<br />09/14/11
<br />09/14/12
<br />E.L. EACH ACCIDENT
<br />$ 1,000,00)
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ - 1,000,00
<br />Ifyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />-
<br />-
<br />E.L. DISEASE - POLICY LIMIT
<br />$ - , 000,00
<br />B
<br />Errors & Omissions
<br />L
<br />03/05/12
<br />03105/13
<br />PP
<br />OVER T 1,0(10,00
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
<br />92702;its officers, employees, agents and volunteers are named as Additional k- `' ---" S ORCK
<br />Insureds with regard to General Liability as respects agreement with �►SA E
<br />insured. Insurance is Primary and noncontributory. 30 Days notice for City Attorney Y
<br />non a ment of premium. 51st ant
<br />CFRTIFICATF Hn1 nFR CANICFI I ATtf)NI
<br />CITYOFS
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Community Development Agency
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana
<br />P. O. BOX 1985
<br />Santa Ana, CA 92702 -1988
<br />AUTHORIZED REPRESENTATIVE
<br />,
<br />01988 -2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
<br />
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