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AC Rn® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) Ill 09/13/2019 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 endorsement(s). PRODUCER CONTACT Certificate Issuance Team NAME: Comprehensive Insurance Services PHONE (949) 709-8800 FAx (949) 709-1666 A1C No 26429 Rancho Parkway South E+u1AiL jeremy@thecomprehensiveinsurance.com ADORl, INSURERS AFFORDING COVERAGE NAIC # Suite 120 INSURERA: Nonprofits Insurance Alliance of California 10023 Lake Forest CA 92630 INSURED INSURER B INSURER C America On Track INSURER D : 600 W. Santa Ana Blvd. Ste. 710 INSURER E : INSURER F Santa Ana CA 92701 COVERAGES CERTIFICATE NUMBER: CL19823Q4210 REVISION NUMBER: 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 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. R LTR TYPE OF INSURANCE AUDLISUBR INSD WVD POLICY NUMBER POLICY EFF MM/DOIYYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR E P 2EM SES Ea occurrence1 500,000 $ MEO EXP (Any oneperson) $ 20,000 PERSONAL B ADV INJURY $ 1.000,000 A Y 2019-06180 09/01/2019 09/01/2020 LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 •.-LN'LAGGREGATE JECT POLICY ❑ PRO � LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1.000.000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 2019-06180 09/01/2019 09/01/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED 1. 1 RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? El N / A (Mandatory In NH) E.L DISEASE - EA EMPLOYEE $ It yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ $2,000,000/1,000.000 Aggregate/Ea Clm A Improper Sexual Conduct Liability Social Service Professional Liability 2019-06180 09/01/2019 09/01/2020 $2,000,000/1,000,000 Aggregate/Ocurr $0 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding per attached endorsement CG2026. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. REVIEWED & APPROVED CERTIFICATE HOLDER uy 1%I�lC IVIRIVAk,itivlLINI I-AIVI5MNCEILLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana 3 2019POLICIES CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN t (} CORDANCE WITH THE POLICY PROVISIONS, FRANCINE R. VILLAR HORIZED REPRESENTATIVE CA 92701 tr••j �'" © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD