ORANGE COUNTY FAIR HOUSING COUNCIL INC.

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ACOR®® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDMYY) `,,,/' 04/19/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT CERTIFICATE ISSUANCE TEAM NAME: Comprehensive Insurance Services r PHONE (gqg) 709-8800 -- F (949) 709-1668 AIC No Exl: AIC No: 26429 Rancho Parkway South EMAIL Jeremy@thecomprehensiveinsurance.com ADDRESS: Suite 120 I NSURER(3) AFFORDING COVERAGE NAICN Lake Forest CA 92630 INSURERA: State Compensation Insurance Fund 35076 INSURED INSURER B: Orange County Fair Housing r INSURER C: 1516 Brookhollow Drive, Suite A INSURER D: INSURER E Santa Ana CA 92705 INSURER F: COVERAGES CERTIFICATE NUMBER: WC REVISION NUMRER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICYEFF MMIDDIYYYY P EXP (POLICY YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 71 OCCURI EQ UAMAUET RE cu PREMISES Ea occurrence $ MED ESP (Any oneperson) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLI ES PER: POLICY ❑ PECRPT F-1LOGPRODUCTS J GENERAL AGGREGATE $ - COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acadent BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per eccitlent $ ) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peraccidenl $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE V❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N/A 9099740-18 05/16/2018 05/16/2019 %� STATUTE �RH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - 11000,000 EA EMPLOYEE $ If yes, describe m,der DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) yn' q yr i vv�Uh, CERTIFICATE HOLDER CANCELLATION @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ,_ ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1988, M-25 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 '— @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD