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® CERTIFICATE OF LIABILITY INSURANCE A DATE 9/30/2017D) THIS CERTIFICATE IS ISSUED AS A 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 A 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(ies) 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 endorsements . PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC # 0726293 505 N Brand Blvd, Suite 600 CONTACT NAME: Annie Lee PHONE . 818-539-2300 FAX . 818-539-2301 E.MAaEd) y.Annie_Lee@ajg.com INSURERS AFFORDING COVERAGE NAIC9 Glendale CA 91203 INSURERA:Great American Alliance Insurance Cc 26832 INSURED INSURER B;GreatAmerican Insurance Company of NY 22136 Orange County Conservation Corps INSURER C:Navigators Insurance Company 42307 1853 N. Raymond Ave. Anaheim, CA 92801 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 438147840 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE.RIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR LTR rypE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM DOIYYYY POLICY EXP MMIDDM'YY LIMITS A X COMMERCIAL GENERAL LIABILITY Y PAC 515468013 10/l/2017 10/1/2018 EACH OCCURRENCE $1,000.000 CLAIMS -MADE El OCCUR PREMISES Ea occu ence $100,000 MED EXP(Anycne person) $5,000 PERSONAL& ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $3,000,000 SENT PRO- OC POLICY❑JECTPRO- ❑ PRODUCTS-COMP/OPAGG $3,000,000 $ OTHER: B AUTOMOBILE LIABILITY CAP 099124904 10/l/2017 10/1 /2018 -7OMffM0-SNGUE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANYAUTO SCHEDULED AUTOS ONLYNX BODILY INJURY (Per aceldent) $ % AUTOS ONLY AURED OTOS ONLY ROPERTY DAMAGE Per accident $ X Comp $100 Coll $500 1 1$ A X UMBRELLA LIAB X OCCUR UMS 560379513 10/l/2017 10/l/2018 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED 'X I RETENTION$ 10.000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN I PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE. EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ C C Directors& Officers Directors& Officers NY17DOLV03181NV NY17DOLV03181NV 10/1/2017 10/1/2017 10/1/2018 10/1/2018 Per Claim; $2,000,000 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Policy : Abuse and molestation Coverage Policy #: PAC 5154680 13 Carrier :Great American Alliance Insurance Co NAIC: 26832 Term: 10/01/2017-10/01/2018 Each CDC 1,000,000 Aggregate:3,000,000 See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana, Workforce Investment Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1000 E. Santa Ana Blvd., Ste. 200 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 AUTHORIZED REP ESENTATIVE 1"4lk�t.A+.2n+. @ 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD