ORANGE COUNTY ASIAN & PACIFIC ISLANDER COMMUNITY ALLIANCE - 2014

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-%� 4RANCNT-01 GVILLACIS CERTIFICATE OF LIABILITY INSURANCE DATE tMMiDo Y -•^ 11113/2013 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. . _ ._ — _. _ ------,----- —_ _.____. ......_dors_ __-_.___ .___— dodo. 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 endorsoment(s). --_._ _....._..._.. dodo_-- PRODUCER -__ -- NAME:�-.......... Catifornta PHONE -- (PAX °PO Boz 742886 1AICNO E,g ----- , _-__ __ Lac Hato_ EMAIL Los Angeles, CA 90074-2888 ADDRESS,_ INSURED Orange County Asian & Pacific Islander Community Alliance 12900 Garden Grove Blvd #214A Garden Grove, CA 92843 OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _. ......_..._-_—___-_- dodo- dodo...__. ._-...._ ........._.- ......... - __._.._...-._...__- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED f0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 NIHICH 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. -Rf6D1-SO Al ---- ( POLICY EFF POLICY EXP -- - - '-� a TYPEO€ NSURANc',E INS yyy,D POLICY NUMBER ___, I jMM/DDlYYYy) I IMMfDONYYV} LIMITS -_ _ _ __.T _ ..._.... _. _.. I GENERAL UABILnY ( FAt`H nrt:t lRRPNr'E I4 1.000.0 A X COMMERCIAL GENERAL LIABILITY X I j CLAIM MSADE j X i OCCUR X Prot Liability Inc] , X Sox Abus o Included I LIMIT APPLIES PER'. AUTOMOBILE LIABILITY A -I ANYAIJI`O --� ALL OWNED �- SCHEDULED 1 AUT(1S AUTOS NON -OWNED X ; HIRED AUTos LX_� AUTOS UNIBRE,LA UAd 4 OCCUR L EXCESS.. UAB �� CLAIMS MADE D"t7 ! RETENTIONS _ _ _- I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIEI'OWPARTNFVEXECUTVE I� " NIA OFFICHOMEMBER EXCLUDED' A lEmployee Dishonesty A ,Forgery & Alteration 1011572013' 1011512014 MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG 10115/2013 10/15120141 BODILY INJURY (Per person) 1 $ BODILY INJURY(Peralla.id); $ PROPERTY DAMAGE t $ g, JI (PER ACCI_DEND _ TORY LIMITS j E L EACH ACCID6 I' EL. DISEASE - EA 101151201311011512014 Deductible: $1,000 10115/2013 i 1011512014 Deductible: $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD I01, Addlllonal Remerke Schedule, If more soa" is rayutred) OCAPICA 12900 Garden Grove Blvd Suites: 210A, 214A, 220A, 2228, 225B and 2248, Garden Grove, CA 92843 !City or Santa Ana, its officers, employees, agents, volunteers, and representatives are named additional insured with respect to the operations of the named insured. Such insurance is Primary and Non -Contributory per endorsement attached CG 20 20 07 04. City of Santa Ana 1000 E. Santa Ana Blvd. Suite 200 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHq/ORIIZEED. REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD EXI-BBIT I