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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 Venture PaC111C Insurance Services. Inc. T CONTACT NAME: Venture Pacific IOSurance S'Brvinas Inn 111 Corporate Driv Ladera Ranch, CA INSURED OC Human Relations 1801 E. Edinger Suite 115 Santa Ana CA 92705 1111P1 Lic# OD 10299 CnvFRAn Fa rCOTIcrr ATe Mn.aCeD. v - 949_297-4911 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. ILTP TYPE OF INSURANCE ADD INSE, BUBB MCI POLICYNUMBER POLICY EFF POLICY UP MM/DD ri UNITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F1 OCCUR EACH OCCURRENCE S DAMGE TO RENTED PREMISES IE. mkrao,tt 3 NED UP Any one person) 3 ._ _. PERSONAL S AOV INJURY $ GENERAL AGGREGATE It GEN'L AGGREGATE LIMIT APPLIES PER: C- POLICY E JECT LOC _ JE PRODUCTS-COMP/OP AGG S 3 OTHER AUTOMOBILE LIABILITY GUNIMNtuSIN LE LIMIT e accident 3 BODILY INJURY (ParPerson) S ANY AUTO J OWNED SCH ._ AUTOS ONLY AUTOSEDULED BODILY INJURY Par acciden0 3 HIRED NON -OWNED , AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per sccidentl 3 3 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CWMS-MADE S DED RETENTIONS A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? FN NIA ORWC006718 10/1/2019 10/12020 ,,PERTUrE Eft E.L. EACH ACCIDENT S1000000 E.L. DISEASE -EA EMPLOYEE $ 1,000000 (Mandatory In NN) II yesdesaiba under EL. DISEASE -POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS below B Accident Liability PHPA034157 5/102020 5/10/2021 Max $100k DAD $25k Up to $50k DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Sehodule, may be attached If more apace Is reeulrad) The above scheduled policies will not be canceled, reduced in coverage, or changed in any other material aspect without thirty (30) days prior written notice to the City of Santa Ana. REVIEWED & APPROVED CERTIFICATE HnL. nFR VRisk MANAILItIVItnilrANCF1 I ATInN Ci of Santa An I ( 2020 tY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza 4th Floor I-KAIVLANI: R. VILLAREAL AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 James Barton ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 56099526 1 19-20 NC 1 20-21 Ass I Jimmy Jan, 1 6122/2020 1D,22,42 AM (PDT) I Page 1 of I