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"6 - Lq- ,)'7 - ?6 -- ORANCOU -19 VVXKUMAR3 bATE(MMIDONM) t_ ... CERTIFICATE OF LIABILITY INSURANCE 2111/2014 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). CONTACT .......... ................ PRODUCER uamc. INSURED Insurance Brokers of CA., Inc, Orange County Conservation Corps 1853 N. Raymond Ave. Anaheim, CA 92801 INSURER A aal edt n_n ttirrugr t --I INSURERS _ Nonprofits United 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 CONTRACTOR 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. HNSRT R TYPE OF INSURANCE ANOL S – POLICY NUMBER MM?6DYlYYYY r Mi DIYYri Lt_M_tTS aEF GENERAL LIABILITY EACH OCCURRENCE II $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X PAG5154630 -48 7120/2013 712012014 PREMISES Ea accurreree $ 100,460 CLAIMS -MADE OCCUR MED EXP {Any oneperson) S 5,00 X Professional $1M PERSONAL &AOV INJURY $ 1,000,000 X BBXUaI Abuse-$-1m GENERAL AGGREGATE $ 3,000,000 GENTAGGREOATE IJMITAPPLIES PER: PRODUCTS � COMPIOP AGO $ 3,000,000 POUGY PE� LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 5,000,000 Ea accldenl _ B X ANYAUTO 1$08 711/2013 711/2014 BODILY INJURY(Perpercon) .$ ALL OWNFCI SCHEDULED BODILY INJURY (Par accident) $ AUTOS AUTOS __ X HIRED AUTOS X NON -OWNED PROPERTYDAMAGE AUTOS PER ACCIDENT $ UMBRELLA UAe X OCCUR EACH OCCURRENCE $ 71,000,000 000,000 A X ExcESS UAe CLAIMS -MADE UMS560379506 811712413 $11712014 AGGREGATE $ 000,40 oED X RETEnmoN$ 14,444 __ _ s WORKERS COMPENSATION i00STATU- OIX AND EMPLOYE8B'41ABILITY TORY LIMITS F,j3... _- B ANY PROPRIETORMARTNEWEXECUTIVEY� NIA NPU -WCG 001.2014 111/2014 11112015 E.L. EACH ACCIDENT $ 400,000 OFFICERIMEMBER EXCLUDED? (Mandatory In Nut E.L. DISEASE -EA EMPLOYE $ 000,000 If yes, describe under DE SCRIPTION OF OPERATIONS helow E.L. DISEASE POLICY LIMIT .$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddItIonal Remarks Schedule, If more space Is roqulred) The City of Santa Ana its officers, employees, agents, volunteers and representatives are named additional insured with respect to the operations of the named insured. Endorsement to Follow. Workers Compensation coverage excluded, evidence only. Such insurance is Primary and Non-Contributory. FCC" CERTIFICATE HOLDER ^„ CANCELLATION �c E� Y1CY SHOULD ANY OF THE ABOVE DE�$Lit1B POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The City of Santa Ana 24 Civic Center Plaza �Jhtim�,e u6^x"z� f Santa Ana, CA 92742 O cc. 1988 -2010 ACORD CORPORATION. Alt rights reserved. ACORD 25 (2010145) The ACORD name and logo are registered marks of ACORD EXT41BIT I