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KINGCAU-01 <br />Cf,ARCIA <br />1411c"RE11'x CERTIFICATE OF LIABILITY INSURANCE <br />`--''�� <br />DATE v) <br />10/912019/9/2 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />WBA Insurance <br />13304 Philadelphia St <br />Suite 200 <br />CONTA <br />A E:CT Cassie Garcia <br />PHONE FAX <br />IAIC, Na, Est): (562) 789.5704 IAIc, No):(562) 298-4123 <br />Ad°bhlk .cassie@wbainsurance.com <br />Whittier, CA 90601 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A:Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />INSURER B: Hiscox Insurance Company <br />10200 <br />INSURER C <br />Kingdom Causes dba City Net <br />INSURER D <br />4508 Atlantic Avenue, Ste 292 <br />Long Beach, CA 90807 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER' RFVIRInN NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF 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 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />rypE OF INSURANCE <br />ADDLSUBR <br />POLICYNUMBER <br />POLICY EFF <br />DO <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7XT OCCUR <br />X <br />PHPK1906295 <br />1/11/2019 <br />1/11/2020 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />DAMAGE TO RENTED <br />PREMISES Fa occurrence) <br />100,000 <br />MED EXP (Any one arson <br />5,000 <br />PERSONAL &ADV INJURY <br />1 2,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT LOD <br />GENERAL AGGREGATE <br />4,000,000 <br />GENL <br />X <br />PRODUCTS - COMP/OP ADD <br />4,000,000 <br />SEXUAL ABUSE <br />21000,000 <br />X <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />$ <br />BODILY INJURY Per person)$ <br />ANVAUTO <br />X <br />PHPK1906295 <br />1111/2019 <br />1111/2020 <br />BODILY INJURY Per accident <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />MOaccident AMAGE <br />$ <br />X <br />AUTOS ONLY X AUTOSONLV <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />I PER OTH- <br />STATUTE ER <br />E, L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOMPARTNER/EXECUTIVE <br />(rAantlatolryEn NH�EXCLUDED4 <br />If yes, describe under <br />NIA <br />E. L. DISEASE - EA EMPLOYE <br />$ <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />A <br />Professional Liab. <br />X <br />PHPK1906295 <br />1/11/2019 <br />1/11/2020 <br />Claims Made/2mil agg <br />1,000,000 <br />B <br />Cyber Security Liabi <br />X <br />MPL1841282.18 <br />10/19/2018 <br />10/19/2019 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />�16Pays Notice of Cancellation for non-payment/ 30 Days Notice other than non-payment- Coverage is Primary & Non -Contributory <br />The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named additional insured with respects to the <br />operations of the named insured per the attached CG20261185 endorsement. Such Insurance is primary and non-contributory. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2016/03) @ 1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />