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/--- 4 KINGCAU-01 <br />C A CI <br />DAE(MMDrf�l <br />1812020 <br />CERTIFICATE OF LIABILITY INSURANCE <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 />H 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 endorsement(s). <br />RIODUCER License # OD79617 <br />AJWCT Cassie Garcia <br />WBA Insurance <br />13304 Philadelphia St <br />Suite 200 <br />aCC,NE..Eal: (562) 7895704 FaAc,No:(562) 298d123 <br />.Cassie bainsurance.com <br />Whittier, CA 90601 <br />INSUREPASI AFFORDING COVERAGE NNLa <br />INSURER A;Philadelphia lndemni 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 />COVFRAr.FS CFRTIFICATF NIIMRER- REVISION NUMBER: <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 SUBJECTTOALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />AOD <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMSWADE �X OCCUR <br />X <br />PHPK2061SU <br />1/11/2020 <br />1/1112021 <br />EACH OCCURRENCE <br />f 2,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea �u <br />100,000 <br />MED EXP One <br />5,000 <br />PERSONAL& AOV INJURY <br />f 2,000,000 <br />GENL AGGREGATE DRMIT� APPLIES PER'. <br />IA TEI <br />X POLICY u JFECpT LOC <br />OTHER'. <br />GENERALA AGGREGATE <br />4.000, 000 <br />PRODUCTS -COMPIOPA <br />4,000,000 <br />SEXUAL ABUSE <br />f 2,000,000 <br />A <br />AUTOMOBILE <br />LU,BILITY <br />ANY AUTO <br />O\UMTNDONLYNAuHE0ULE0 <br />EE�� SCy8SRUUE <br />ALRTOS ONLY AUTOS ONLq <br />X <br />PHPK2061648 <br />1/11/2020 <br />1/11/2021 <br />COMBINEDSINGLELIMIT <br />1,000,00g <br />BODILY INJURY Pm aeon <br />BODILY INJURY (Per <br />Ix <br />PRwOaERttnl MACE <br />P <br />f <br />f <br />UMBRELLA LIAO <br />EXCESS LUIB <br />OCCUR <br />CLAIMS4AADE <br />EACH OCCURRENCE <br />f <br />AGGREGATE <br />f <br />DED I I RETENTIONS <br />f <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABLL I'li YIN <br />AOFFICERONFIJE.tT9O�Rp EXCLUDEp ECUTIVE ❑ <br />'MmCetory in NN) <br />If yas, describe urMet <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER FORTH' <br />TUT <br />EL EACH ACCIDENT <br />E.L. SEASE - EA EMPLOYE <br />II <br />E.L. DISEASE - POLICY LIMIT <br />S <br />A <br />B <br />Prof. Liability <br />Cyber Security Liabi <br />X <br />X <br />PHPK2061648 <br />MPL1B41282.19 <br />1MI12020 <br />10/1912019 <br />1/11/2021 <br />10/1912020 <br />Claims Made/2mil agg <br />1,000,000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES CORD 101, AikIftm1 Ram *1 Sclwlu , may W aaache0 N m span M requiradl <br />1A <br />10 Days Notice of Cancellation for non -pays V 30 Days Notice other than non-payment- Coverage is Primary 8 Non -Contributory <br />The City of Santa Ana, its officers, employees, agents, volunteers 8 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 />4BYRWED & APPRUV t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CI of Santa Ana MANAGEMENT DiVi$i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Divisio20 Civic Center Plaza, 4th1 7 Z02�Santa Ana, CA 92701AN 1 AUTHORIZED REPRESENTATWE <br />The ACORD name and logo are registered marks of ACORD <br />