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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMODWYYY) <br />04/19/2018 <br />THIS CERTIFICATE VS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGFITS UPON'ri-IE CERTIFICATE HOLDER. rl'HS <br />CERTIFICATE. DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY T14E 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 />hIAPORTANT: IT direcertifficate holder Is an ADDITIONAL INSURED, the policy(les) Crest have ADDITIONAL INSURED provisions or ha endorsed. <br />IY SUBROGATION IS WAIVED, eeh)ect to the terms and conditions of the policy, certain proodcias may require an endorsement. A statement o0 <br />_ this cer4_I6dcste does not confer rights to the certificate holder In flan of such endomenoemt(s). <br />PRODUCER <br />NAcoME:NTACT CERTIFICATE ISSUANCE TEAM <br />Comprehensive Insurance Services <br />PHONE (949) 709-8800 FAl( (949) 709-1668 <br />AlC No. Ell: uVC No: <br />26429 Rancho Parkway South <br />—"MAIL jercmyQthecomprehenslveinsurance.Com <br />ADDRESS: <br />Suite 129 <br />INSURERS) AFFORDING COVERAGE <br />NAICA <br />Lalke Forest CA 92630 <br />INSURERA: State Compensation Insurance Fund <br />35076 <br />INSURED <br />INSURER B <br />Orange County Fair Housing <br />INSURER C: <br />1516 BI"ookhollow Drive, Suite A <br />INSURER D: <br />INSURER E: <br />Ionto Arta CA 92705 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: WQ REVISION NUMBER: <br />TI -115 IS TO CERTIFY 'THAT TFIE 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 />IRTffR <br />LTR <br />TYPE OF INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE u OCCUR <br />Aw9UHR <br />INSD <br />VIVID <br />POLICY NUMBER <br />POLICYEFF <br />MM/DDIYWYI <br />P Dc E)(P <br />MMIDDIYWV) <br />LIMITS <br />EACH OCCURRENCE <br />$ <br />ACI�"i6'RC <br />PREMISES Ea accurtence <br />$ <br />MED EXP(Any one person) <br />$ <br />PERSONALBADV N.IURY <br />$ <br />_ <br />Umn-APPLIES <br />ljPIER: <br />POLICY n JECr l� LOC <br />GENERALAGGREGATE <br />$ <br />GE_N'LAGGREGATE <br />PRODUCTS-COMPIOPAGG <br />$ <br />$ <br />OTHER: <br />AUl"OMOSILELIABIL.ITY <br />COMBINED SINGLE LIMIT <br />EaanL119U) <br />_-_ <br />_ <br />BODILY INJURY (Per person) <br />_._ <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BOD <br />BODILY INJURY (Per accitlenq <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE <br />(Peraccldent) <br />_ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CIAIMS-MADE <br />_ <br />AGGREGATE <br />$ <br />OED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYFRS'LIABILITY <br />ANY PROPRIETOWPARTNERIEXECUTIVE YIN <br />OFRCERIMEMBER EXCLUDED? <br />(Mgntlgtory in Nn) <br />If yes, OO , be under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />9099740-18 <br />0.5/16/20'18 <br />05/16/2019 <br />PEROTI{. <br />STATUTE ER <br />E.L.EACFI ACCIDENT <br />$ 1,006,006 <br />E.L. DISEASE - EA EMPLOYEE <br />_ <br />$ 1069,909 <br />E.L. DISEASE - POLICY LIMIT <br />$ '1,000,060 <br />DESCRIP1ION OF OPERATIONS/ LOCADONS I VEHICLES (ACOP.D 101, AtlAitlonal Remarks Bcbetlule, may be atkacheri if more space Is requirod) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Sante Ana <br />ACCORDANCE INITH THE POLICY PROVISIONS. <br />PO Bo)( 1988, III -25 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />/n� 1%✓""' <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />