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ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 1 �� 6/7/2018 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(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 Bowermaster & Associates 10805 Holder St Ste 350 Cypress CA 90630 CONTACT NAME: Melissa Woods PHONE E . 714-733-6200 alt No:714-252-8253 EMAIL ADO -Ess: mwoods@bowermaster.com INSURERS AFFORDING COVERAGE NAICN INSURERA: Philadelphia Indemnity Insurance 18058 INSURED ILLUPOU-01 Illumination Foundation INSURER B: INSURERC: 2691 Richter Avenue Suite 107 Irvine CA 92606 INSURER D: INSURER E: INSURER F : i9 N L 10 LW_1II IP PI VI I:1 a:RaaKUltalc W 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 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. LTR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDOM'VY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y PHPK1712176 9/152017 9/15/2018 EACH OCCURRENCE $1,000,000 PREMISES Ea occo ante $100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: X POLICY[]JECTPRO- ❑ LOC GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP/OP AGO $3,000,000 $ OTHER: A AUTOMOBILE LIABILITY PHPK1712176 9/15/2017 9/15/2018 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident)$ $ A X UMBRELLA LIAB X OCCUR PHU2600483 9/15/2017 9/15/2018 EACH OCCURRENCE $1,000,000 E%CESS LIAB CLAIMS -MADE AGGREGATE $1,000,000 DED I X RETENTION$ 10 000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICER/MEMBER EXCLUDED? NIA PER OTH- STATUTE WIPF EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Improper Sexual Cond Professional Liability PHPK1712176 9/152017 9/152018 Per Occurrence 1,000,000 Agg:$3,000,000/Each 1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The following endorsements apply in favor of the City of Santa Ana, their officers, employees, agents, volunteers and representatives to the extent required by a written contract: General Liability: Additional Insured per form PIGLDHS1011. Primary and Non -Contributory wording applies per form PIGL0050712. Jb City of Santa Ana 20 Civic Center Plaza, M-25 Santa Ana CA 92701 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 5 ACORD CORPORATION. All Hants reserved. ACUKU 25 (2U15/U3) The ACORD name and logo are registered marks of ACORD