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<br />ORANCOU-19 VVXKUMAR3
<br />A�o:fzcY CERTIFICATE OF LIABILITY INSURANCE
<br />°ATOIYYYY)
<br />2//11/211/2014
<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(les) must be endorsed. If SUBROGATION IS WAIVED, sub)ect 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
<br />Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc.
<br />505 N Brand Blvd, Suite 600
<br />Glendale, CA 91203
<br />CONTACT
<br />NAME.
<br />PHONE g18 539.2300 FAx
<br />_(ALC, No E.t:( ) A1C, No: (818) 539-2301
<br />EMAIL
<br />ADOftESs.
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC k
<br />INSURER A: Great American Insurance Company
<br />16691
<br />INSURED
<br />INSURER B: Nonprofits United
<br />INSURER C:
<br />Orange County Conservation Corps
<br />INSURER D:
<br />1853 N. Raymond Ave.
<br />Anaheim, CA 92801
<br />INSURER E
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 />/ ADD
<br />LTR TYPE OF INSURANCE NSR WVD POLI CY NUMBER MMI Om MMI�ONYXVY LIMITS
<br />GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000
<br />A X COMMERCIAL GENERAL LIABILITY X PAC5154680-08 7/20/2013 7/2012014 PREMISES Ea occurrence $ 100,000
<br />CLAIMS -MADE ® OCCUR MED EXP (Any one person) $ 5,000
<br />X Professional $1 M PERSONAL a ADV INJURY $ 1,000,000
<br />X Sexual Abuse $1M GENERAL AGGREGATE $ 3,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 3,000,000
<br />POLICY PRO- JEQTLOC _ $
<br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br />(Ea acddenu 5,000,000
<br />B X ANY AUTO 1888 71112013 7/1/2014 BODILY INJURY (P., person) $
<br />ALL OWNED SCHEDULED BODILY INJURY Per accldenl $
<br />_ AUTOS AUTOS ( )
<br />X HIREDAUTOS X NON -OWNED PROPERTY DAMAGE $
<br />AUTOS PER ACCIDENT
<br />UMBRELLA LAB X OCCUR EACHOCCURRENCE $ 1,000,000
<br />A X EXCESS LIAB CLAIMS -MADE UMB560379506 8/17/2013 8/17/2014 AGGREGATE $ 1,000,000
<br />DED I X I RETENTION$ 10,000 1 $
<br />WORKERS COMPENSATION WC STATU- OTH-
<br />AND EMPLOYERS'LIABILITVYIN _-_ TORY LI MITS ER
<br />B ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDE°? NIA NPU-WCG 001-2014 1/1/2014 111/2015 EL. EACH ACCIDENT $ 1,000,000
<br />—
<br />—
<br />(MandatorylnNH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below I E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ADORE 101, Additional Remarks Schedule, If more space is required)
<br />The City of Santa Ana its officers, employees, agents, volunteers and representatives are named additional insured with respect to the operations of the
<br />named insured. Endorsement to Follow. Workers Compensation coverage excluded, evidence only. Such insurance Is Primary and Non -Contributory.
<br />:.
<br />CERTIFICATE HOLDER _ CANCELLATION - s.r.tv m10YY1�Y
<br />P'$Sl��
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />The City of Santa Ana /
<br />20 Civic Center Plaza
<br />. _LSantt Ana,_CA 92702
<br />© 1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />EXHIBIT I
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