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�1. <br />ACORD" CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMMDNYYY) <br />`� <br />07/17/2019 <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(ies) 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 lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />26429 Rancho ParkwaySouth <br />Suite 120 <br />709-8800 a No):(949) 709-1668 <br />PNHONN M;�)ieremy@thecomprehensiveinsumnm.com <br />E-MAIL <br />gooREss: leremy@thecomprehensiveinsurance.com <br />Lake Forest CA 92630 <br />INSURE b AFFORDING COVERAGE <br />NAICN <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURER B <br />America On Track <br />INSURER C : <br />600 W. Santa Ana Blvd. <br />INSURER D : <br />Ste. 710 <br />INSURER E <br />Santa Ana CA 92701 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER- CL188803543 REVISION NUMBER. <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />I <br />WVD <br />POLICY NUMBER <br />MNMDDY� <br />MMIUDDYIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE �X OCCUR <br />PREMISES EaE� OR <br />manse <br />$ 500,000 <br />MED EXP An one rson <br />$ 20,000 <br />PERSONALSADV INJURv <br />$ 11000,000 <br />A <br />Y <br />2018-06180 <br />09/01/2018 <br />09/01/2019 <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />❑ <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />POLICY JEST ❑X LOC <br />$0 Deductible <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />ANY AUTO <br />Ea accNenl <br />BODILYINJURY (Per person) <br />$ <br />qOWNED <br />I <br />SCHEDULED <br />AUTOS ONLY AUTOS <br />2018-06180 <br />09/012018 <br />09/01/2019 <br />BODILY INJURY Per accldent <br />( ) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Par. ifart <br />$ <br />$0 Deductible <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DIED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />ANDEMPLOVERS'LIAHILITY YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNERIEXECUTNE <br />OFFICERMEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />(fyes.doryln NH) <br />It yes. descries In NH) <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />Improper Sexual Conduct Liability Social <br />$1,000,000/1,000,000 <br />Aggregate/Ea Clm <br />A <br />Service Professional Liability <br />2018-06180 <br />09/01/2018F09/01/2019 <br />$2,000,000/1,000,000 <br />Aggregate/Ocurr <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aeached If more spec- Is requinw) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or <br />memorandum of understanding per attached endorsement CG2026. Such insurance as is afforded by this policy shall be primary, and any insurance carried <br />by City shall be excess and noncontributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for <br />non-payment of premium per policy provision. <br />REVIEWED &APPROVED <br />CERTIFICATE HOI OFR YAN GEMENT IVISION,...,....r,..., <br />222019 <br />DESCRIBED SHOULD ANY OF THE ABOVE POLICIES CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />SAMA T14 M. LAMBERT <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92701 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />