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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD/VYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DUES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(% AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the pclloy(los) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require Sri endorsement. A statement on <br />this Certificate does net center Hahts to the certificate holder In lieu of such endorsamentfat. <br />Arthur J, Gallagher & Co, <br />Insurance Brokers of California, Inc. LIC# 0725293 <br />1255 Battery Street ##450 <br />San Francisco CA 94111 <br />INSURED <br />Orange County Conservation. Corps <br />1853 North Raymond Avenue <br />Anaheim, CA 92801 <br />COVERAGES. _ ._. —_- CERTIFICATE NUMBER:10IS193701 J REVISION NUMBER: <br />THIS IS 1-0 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 199UE� TO Tf`IE�INBUR:EfaNAMED ABOVE FOR THE POLICY PENIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />OERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY <br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXOLUSIONS-AND CONDITI1— OFSUCH-POLICIES. LIMITS -SHOWN MAY HAVEBEENREDUCEDBY PAIDCLAIMS, <br />1-11ONS ... <br />...,...._. ._.. .,A6l4L STidff .... __.. _PaDLIOY <br />IN RIF— <br />.R LICY K.—..Pd.... <br />TYPE OF INSURANCE NUM CR <br />wun <br />I LIMITS <br />COMMERCIALtlENERAL LIABILITY <br />EACH OCCURRENCE Po <br />OOOUR <br />frM'AGC'rtFiiN'7F6 <br />PERSONAL W,ADV INJURY b <br />GEN'L AGG912 #ATjjE UMpIIT APPLIES PEP, <br />OENLRAL AO(MM ATC S <br />POLICY ._..I JLCT _,.� LOG <br />.. ._.. <br />,..„_... <br />PRODUCTS OCMP/OP AtaO & _ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />pOtlILY INJURY Ipar ptursg0) <br />li <br />OWNED ..... SCHEDULED <br />AUTOS ONLY AUTOS <br />_ .. <br />ROtlILY INJURY (par waldenq <br />...,. <br />HIRED NON?OWNED <br />PROPERTY DAMAOL <br />E <br />AUTOS ONLY AU'rg9ONLV <br />(Pjira4Cldenp <br />E <br />_ <br />UMBRELLA LIAR pflCUR <br />EACH OCCURRENCE........._,__.: <br />__.._ ...... <br />EXCESS LIAR CLAIM: -MADE <br />AOGpECATE,.. <br />DEC I I RETF TI NSWOHKEPS <br />_ <br />B <br />A <br />N <br />NPU • VVOG 001.2019 <br />1/f/2010 <br />1/1/2020 <br />X <br />AND EMPDOYbEnSCMPENSATIO'LIARIL <br />ITY Yy ry <br />ANYPROPRIET0I-1/PARTNENlEXEMJ'I'IVE (—"j <br />E.4. EACH AOCIOENT <br />$9O0,0tl0, <br />gF.1,1 RIMhMaena xrLUDEDR L. <br />NIA <br />.. <br />(Mdndydary In NH) <br />E L DISEASE, • CA EMPLOYEE' <br />IR 500 000 <br />II ag,d scribe under <br />C �' N FOPERATION3 below <br />G.L. DISEASE • POLICY LIMIT <br />1 T 540,Og4 <br />'B <br />Exaeee Wnkers'DamP <br />SPp4598➢1 <br />1l112019 <br />1/1I2020 <br />Ulnit Per0coe"nem <br />Slatuloryy <br />E.Lper O0e6A00 <br />2,000,000 <br />I <br />_ <br />XB of G00,000 <br />DESCRIPTION OEbPERATItlN51 LtlCAT10NSI VEHICLES (ACORD 101, Atldllidrvbl p®mel•kg BaNadnle, lnay be attachedll more vpaae l9 requited) n—��•_ <br />OPEN_ <br />l <br />Santa Ana Workforce Investment Board <br />Fran Jutzi <br />1000 East Santa Ana Boulevard <br />#200 . <br />Santa Ana CA 92701 <br />u <br />SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEIJVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 26 (2010103) <br />The ACORD name and logo are registered marks of ACORD <br />rights <br />