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LAURA -1 OP ID: SH CERTIFICATE OF LIABILITY INSURANCE DAT 08/3EIMM /OD/YVYV) 1/12 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 LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED PRESENTATIVE 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 949 - 253 -8000 CONTACT NAME: Shell y Hehner Friedmann & Friedmann Ins Svcs CA License #0759373 949- 253 -8009 HO Na EXtL 949 -017 -2641 jaD No). 949 - 253 -8009 3990 Westerly Place Suite 100 Beach, CA 92660 ELMAIL s: shelly@fandfins.com Laverne Friedmann INSURERS AFFORDING COVERAGE NAIC# INSURERA: Zurich American Insurance Co 16535 $ INSURED Laura s HOUse Laura Kelly INSURER B: X - --- 999 Corporate Drive, Suite 225 INSURER C: INSURER D Ladera Ranch, CA 92694 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 ADDL SUB POLICY NUMBER POLICY EFF MM /DD /YYYY POLICY EXP MMIDDIVVYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ -ffAM=T0 RENTED PREMISES Ea occurrence $ _ COMMERCIAL GENERALLIABILITV X ] CLAIMS -MADE 1:1 OCCUR MED EXP(Any one person) $ PERSONAL& ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIESPER: PRODUCTS AGO $ JECT POLICY PRO LOC $ AUTOMOBILE LIABILITY W.M. BINED SINGLE LIMIT ccident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS _ BODILY INJURY Per accident ( ) $ NON OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION$ $ --JUMBRELLA A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory In NH) NIA WC684064500 09/01/12 09101113 X I WC STATU- OTH- TORY LIMITS ER_ E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 Ryes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT T$ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Emergency Shelter Grant Funds (ESG) R V£p pg TO � :P2�UtI, E SJORCY, ISA t pttofnBY A551stant C Y CITYS -8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • ielt of Santa Ana Community THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y y ACCORDANCE WITH THE POLICY PROVISIONS. Development Department M -25 20 Civic Center Plaza, 6th FI AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 !/ , A' v © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD