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AC"I?bP CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYV) <br />6/26/2018 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In /lou of such endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & Co. ' <br />Insurance Brokers of CA. LIC. # 0726293 <br />505 N Brand Blvd, Suite 600 <br />Glendale CA 91203 <br />CONTACT Danielle DUOOt1Ue s <br />PHONE � FA% <br />�A�, No Exn 818.539.8605 (AiC No); 818.539.8705 <br />E MAl � 19 <br />ADDREss: Danielle Donohue a com <br />INSURERI8 AFFORDING COVERAGE <br />NAICN <br />wsuRERA: Non rofits' Insurance Alliance of CA <br />20182205ONPO <br />INSURED <br />Public Law Center <br />INSURER B: <br />EACH OCCURRENCE <br />— <br />601Civic Center Drive <br />INSURER C: <br />INSURER D: <br />$ 20,000 <br />Santa Ana, CA 92701 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 959572036 REVISION NIIMRFR- <br />THIS 15 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 />/CY <br />LTR <br />TYPE OF INSURANCE <br />IVSDSABBE <br />SWVD UER <br />POLICY NUMBER <br />EFF <br />MMIDDYY <br />MPOLICY EXP <br />MLODIYYYV <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE OCCUR <br />V <br />20182205ONPO <br />2/112018 <br />21112019 <br />EACH OCCURRENCE <br />$1,000,000 'l <br />RENTED <br />PREMISES Be occurrence) <br />$ 500,000 <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO - <br />ECT El LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L <br />X <br />PRODUCTS - COMPIOPAGG <br />$2,000.000 <br />Abuse & Momation <br />_ <br />$1MbiM <br />OTHER: <br />I <br />A <br />AUTOMOBILELIABILITY <br />20182205ONPO <br />211/2018 <br />21112019 <br />COMBINED SINGLE L_MIT <br />Ea accident)_ <br />$1,000000 ` <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />ODLY INJURYPeltlent <br />BIacci <br />( ) <br />$ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />2018-22050-UMB <br />211/2018 <br />21112019 <br />EACH OCCURRENCE <br />$1,000,000 <br />AGGREGATE <br />$1,000.000 <br />EXCESS LIAS <br />CLAIMS -MADE <br />DED X RETENTION$ <br />$ <br />WORKERS COMPENSATIONPER <br />OTH- <br />ANDEMPLOYERS'LIABILITY YIN <br />STATUTE ER <br />EACH ACCIDENT <br />NT <br />$ <br />ANYPROPRIETORIPARTNERIEXECUTIVEE.L <br />OFFICEWMEMBER EXCLUDED? ❑ <br />NIA <br />EL DISEASE -EA EMPLOYEE <br />-— <br />5 <br />IMdnddtorylnNH) <br />If Yyes, describe under <br />EL.DISEASE -POLICY LIMIT <br />- <br />5 <br />DESCRIPTIONOFOPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It 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 named <br />insured. <br />Such insurance is primary and non-contributory, Written notice shall be provided at least ten (10) days in advance of cancellation for non-payment of premium,. <br />and thirty (30) days in advance for any other cancellation or policy change. <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <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 RE <br />t'�.YA.Nae..,, <br />©1988-2015 ACORD CORPORATION. All riahts reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />