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LEGAL -3 OR ID: JM
<br />CERTIFICATE OF LIABILITY INSURANCE 0A7E`MM'°D)17
<br />�—•--^" 09/1912017
<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 be endorsed. If SUBROGATION IS WAIVED, subject 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(O.
<br />Rancho Mesa Insurance Services
<br />250 Riverview Parkway #401
<br />Santee, CA 92071
<br />INSURED Legal Aid Society of Orange �
<br />2101 North Tustin Avenue
<br />Santa Ana, CA 92705
<br />Markel insorence C NyPanY
<br />Now Ynrk Made. 8 Daniel fns Co
<br />COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 1'0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF
<br />ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
<br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />tNSR—TYPE OF INSURANCE ADD U I
<br />LTR _ _ POLICY NUMBER
<br />— POCKY EFF POLICY EXP
<br />(MMRYDIYYYYi MMCDiYYYY LIMITS
<br />A 1�( G�OMMGRCtAL GENEft�Al LiABIUtY {
<br />EACH OCCURRENCE
<br />i OLAIMR-MADE CCCUR I X iHUP2133.01
<br />0710112017 07!0172618 PRE sEs E. ocwr s
<br />C� _
<br />MED EXP {Any ane person) S
<br />_1,006,00
<br />10,00
<br />4 i
<br />PERSONAL B ADV INJURY I$
<br />1,000,00
<br />I GEN! AGf142EGATELIMITAPPLIES PER
<br />—I
<br />GENERAL AGGREGATE $
<br />2,000,00
<br />_.
<br />PRO.
<br />POLICY)ECT LOU
<br />PRODUCTS-COMP/CP AGG S
<br />2,000,00
<br />.—
<br />OTHER:
<br />S
<br />SANTA ANA CA 92701
<br />AUTOM08ILE LIABILITY
<br />j COMBINED SINGLE LIMIT S
<br />accl
<br />Ea dentj_
<br />!!
<br />1,000,000
<br />A Ir ANY AUTO HUP2133.01
<br />1i 0 710112 01 7 07/0112018 BODILY INJURY (Per p n)1s
<br />ALLOWNFDSCHEDULED
<br />AUI'C1`t AUTOS
<br />8001LV INJURY (Per catl ne� 8
<br />X X NON -OWNED
<br />HIREDAUTOS AUTOS f 4
<br />—�
<br />PROPERTY DAMAGE S
<br />I �reccitlent _
<br />eY i
<br />X UMERELIA LIASOCCUR E ( J
<br />( EACH OCCURRENCE , s
<br />2,000,00
<br />EXCESS LIAri CLAIMs-MADE, :HUU2134-01
<br />0710112017 07101?2018 LGCREGATE 3 s
<br />2,000,00
<br />_ _,.
<br />DED J X �
<br />'
<br />.._.IFFY....
<br />iWORAFRS COMPENSATION
<br />LIABILITY
<br />X STATUTE ERH I
<br />IFFY— —
<br />YINO�
<br />B AFI°YPRO RIFI'OR IPARTNERIEXECUTIVE PIOY(19700016959
<br />09/01@017 0910112018 E L EACH ACCIDENT l s
<br />1,00_0,00
<br />OrFICERIMEMBER N/A'
<br />�(MandateryinNH)
<br />I �—_
<br />EL DISEASE - EAEMPLOYEC S
<br />1,000,00
<br />Ifyes na,nmbeundm'
<br />DESCRIPTION OF OPERATIONSbelow
<br />— -
<br />EL DISEASE -POLICY LIMIT IS
<br />1,000,00
<br />A (Sexual Abuse and i I!HUP2133-01
<br />107!0112017! 07/0112018 Per Polic
<br />2,000,00
<br />Molestator Liab ! IHUP2133.01
<br />I
<br />''Per Prsn
<br />1,000,00
<br />_ _
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD idt, Additional Remarks Schedule, maybe annueed if mora space Is required) t
<br />RE: OPERATIONS OF THE NAMED INSURED AS CERTIFICATE HOLDERS INTEREST MAY
<br />APPEAR SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. CERTIFICATE
<br />HOLDER IS INCLUDED AS ADDITIONAL INSURED PER FORM MGL 1242
<br />03 14 ATTACHED.
<br />,
<br />CERTIFICATE HOLDER CANCELLATION
<br />M 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />SANTAA2
<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 />CITY OF SANTA ANA
<br />ITS OFFICERS, AGENTS, AND
<br />AUTHORIZED REPReseNTA LIVE
<br />EMPLOYEES AND VOLUNTEERS
<br />k
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA CA 92701
<br />M 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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