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• '""+� KINGCAU•01
<br />. CERTIFICATE OF LIABILITY INSURANCE
<br />C CI
<br />DATE IMMIDDIYYYYi
<br />10/912019
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYANDCONFERS NORIGHTS UPON THE CERTIFICATE HOLDER. .THIS
<br />CERTIFICATE DOES 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(B), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE. HOLDER. _
<br />IMPORTANT; if the certificate holder is an. ADDITIONAL INSURED, the poiicy(ies) must have ADDITIONAL INSURED provisionsor be endorsed.
<br />If SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate, daps not cgnfar ri his to the DsnlffCEte hoiderin ileu of such ondorsement s .
<br />PRODUCER
<br />WSA Insurance
<br />13304 Philedolphia 8t i
<br />Suite 200
<br />Whittier, CA 90601
<br />DrCassisGarcia
<br />IRNRO°QRt Ex1; 562 789.8704 a Na:(862) 298.4123
<br />.0assis wbalnsurance.com
<br />I` s A FoamNG c E GE
<br />N a
<br />B BaAP iladrrl hie Indamnit I suranca Cam
<br />18b
<br />INSURED
<br />Kingdom Caussa dba City.Net
<br />4668 Atiantic Avenue,St 292 i
<br />Long Beach,. CA 90807
<br />s eta e • Nisrox Insur nce Com an
<br />1020
<br />ERc
<br />._..
<br />INSURERD!
<br />INSURER E
<br />INSURER F I
<br />nne e,snm nCCY'ICrr.lTc sulasoeo.: lapVICIned NIIMPIPP,
<br />THIS IS TO CERTIFY THAT THE POLICIES• F INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF=ANY CONTRACT OR OTHER. DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUEECT TO ALL THE TERMS,.
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />TNSR
<br />TYPE OF INSURANCE
<br />ADR.5,00
<br />POLICY NUMBER
<br />(POLICY EFF
<br />?POLICY EXP
<br />LIMITS
<br />A
<br />X I
<br />COMMERCIAL. GENERAL LIABILITY
<br />CLAIMS,MADE 7X OCCUR
<br />j
<br />X
<br />i
<br />!
<br />s
<br />PHPKI900296
<br />,1
<br />i
<br />1/11/2019
<br />:1/1112020
<br />HOCGURRENCE
<br />2�000,000
<br />DAMAGE: oRENteo
<br />s 100,000
<br />D Exp An .ne -oersoaI
<br />$ 5A00
<br />P V. NJ RY
<br />$ 2,000,000
<br />A —
<br />G'NLAGGRP.n ATE LIMIT APP ESPER:
<br />X POLICY LOC
<br />X OTHER:
<br />DATE
<br />ftA GAT
<br />S
<br />P Q UCT5- O Pto
<br />S 4,000,000
<br />SEXUALABUSE
<br />$ 2,000,000
<br />A
<br />AUTOMOBILELIABILIN
<br />X
<br />ANY AUTO r{gpU
<br />AU�qT�03 ONLV AUTyOpSwL�EDp
<br />AV_ ONLY it AUCTOS ONRLY
<br />i
<br />X,
<br />PHPK1906296
<br />.. 1/11/2019
<br />I
<br />1/1112020
<br />COMEINEDSIN©LE LIMIT
<br />1�000,QQQ
<br />BODILY t URY' P0r aee,aent
<br />$
<br />PER m�IAMAGE
<br />a
<br />UMBRELLA LIAS.
<br />EXCESS WAE
<br />OCCUR
<br />OWMS•MAOE
<br />EACH OCCURRENCE
<br />GA
<br />S
<br />DED RETENTIONS
<br />$ .,,......,...�
<br />A
<br />B
<br />WOo AKRRS COMPENSATION
<br />AS EMPLOYERS' LIABILITY ,�/�
<br />5AM' PROPftEETaOERRMARTNERIEKECUTIVE
<br />9ao awry M IEXOLUOEC? l_..0
<br />I4 yyus. tlescrWa under
<br />E� RI llI 4F OPERATIONS below
<br />Professional Ltab.
<br />Cyber Security'Llabi
<br />N!A
<br />}(
<br />x
<br />- PK1906295
<br />MPL1841282.18
<br />i
<br />111112019
<br />10/19/2016
<br />1ti 1/2020
<br />10111012019
<br />PE T OTH-
<br />EACH
<br />L,ACCIDENT
<br />cL DISEASE,EAEMPJ,Q]'
<br />3
<br />'.
<br />EL, pIS SE. LICY UMlT
<br />Claims Madei2mil Egg
<br />1,000,000
<br />11000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES ((ACORD 101, Additional Remarks Schedule, my ee anached it more space is Maumee)
<br />10 Days Notice of Cancellation for oon•paymeln Days Notice other than non-payment. Coverage. is Primary & Non -Contributory
<br />The City of Santa Ana, its officers, ampkayees, agents, Volunteers & representatives are named additional insured with respects to the
<br />operations of the named Insured per the attached CG20261186 endorsement. Such insurance is primary and non-contributory.
<br />' { �}rt ft SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />of Santa Ana 1 2019 ACCORDANCE WITH THE PO CY P ION OATS THEREOF,
<br />IS NOTICE WILL, BE DELIVERED IN
<br />M
<br />(2016/03) 01988.2016 ACORD CORPORATION, All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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