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nIII CERTIFICATE OF LIABILITY INSURANCE J OATEIM6'1200YYYY,
<br />07l05l2019
<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 cortlfloato holder Is an ADDITIONAL INSURED, the policy(IoeJ must be endorsed. If SUBROGATION IS WAIVED, subject to the
<br />tenor and conditions of the policy, curtain policies may require an endorsement. A statement on this certificate does not center rights to the
<br />curtllicate holder hl III of such endorsamentiRt.
<br />"`""""`" j/Fiey Rndrign [ianuNiaa _
<br />Dickerson Insurance Services, License dON129112
<br />tNL+a Exlp, (023) 430 207d... Inlc, nNl.
<br />1919 Riverside Drive 4rip.HL Rudrige(¢ldioY,ersom<grdup:eont ._ -
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<br />Los Angeles CA 90030 INSUTUER t I'UkOIAIG CpvaeAr E IInIC a
<br />(023)G0242D0. _.___..__.._._. ..__._.. _.. IIis"EHA Rllilnthsipida glcfem1111y lnauranrn Cgrppany 1211
<br />INBUPEe fISUIRA NLwyom-Wa a&General noyr[IITQti"GOlm loll 1860i0
<br />Charitable Ventures of Orange County I y-
<br />4041 MacArthur Blvd. Suite 510 IN6URNtC
<br />Newport, CA 02660 wsagr:T y:
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<br />THIS IS TO CERTIFY IHAT THE POLICIES OF INSURANCE LISTEU BELOW HAVE BEEN ISSUF;D TO THE INSURED NAMED ABOVE POR 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 15 SUBJECT TO ALL THE TERh15,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INFRI-._. _. __ __AbeLaUdkf. __. .._... _._____ POLICY EFF POTIY G%fi,._.'
<br />ITN TYPE OP INSURANCE POLICYNUM115" Mlla]DIYYYY 1 11111 'iyy LIMBS
<br />G ENERALUAnILITY
<br />EACH OCCURREIJCE
<br />$ 1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
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<br />B714GF TQ I]BIED
<br />PIi11115E5 LEu <u c c I
<br />s),(1i)DOD
<br />OCCUR
<br />MEO EXP(Ny ona prsa,)
<br />55,000
<br />A
<br />_ _
<br />PI-IPK1990984
<br />07/15/2019
<br />07/1512020
<br />PERSONAL n ANY INJURY
<br />51000000
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<br />GENFRALAGGREGATE
<br />52000000
<br />GEN'LAGGREO_ArE LIMIT APPLIES PER
<br />X I .
<br />I I PRQ
<br />rAODUUS CDHPIDP AL,B
<br />Sp,000 gQO..
<br />POLICY OC
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<br />AUTOMOBILE LIABILITY
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<br />ANYAUTOBODILY
<br />INJURYiperpolsenl
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<br />At.1,OY:61ra SdHppULEB
<br />AUTor NO -O
<br />NOfbGk41F.11
<br />PHPKI900984
<br />07/15/2010
<br />07145/2020
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<br />00011.YINJURY IAs uum.Pn
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<br />HerED dU'I09 X AII
<br />pmHPAkT�OATAGE'
<br />X UAIURBLLA LIAp OCCUR
<br />tx
<br />rY
<br />�f~I
<br />EACH OCCURRENCE
<br />54,000.090
<br />A
<br />EXCESS LIAn IcLAlras.l,l.,ue
<br />IPHUB67680'7
<br />07M512019
<br />OVIS/2020
<br />_
<br />AGGREGATE
<br />54,000,000
<br />( KER NET 1,Q,Ogq_
<br />e
<br />OM NSANONNs
<br />COMPENSATION
<br />1 WOBNERS COMPENSATION
<br />LANDMPLOYFRSLIAWLITY YiN
<br />IMEMBEn E%CLBDEOy r�N!Ar-
<br />m
<br />WC201900011229
<br />07/1.5/2010
<br />07l1372020Am
<br />[ 5TAiU• 0111•
<br />X TTJf1Y UISITS EI1OPRIETORIPARTNERIEXECUTJVE
<br />S1,000,I)Oqi.q
<br />In NHlr:L
<br />nISrASE EA EMPI OYEZ i I,D60,OgOomwa
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<br />LI1GfJ..oFMrnA rT1LnP(wvW
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<br />r: L DISCASC POLICY LIIAII 5 1,000,000
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<br />DESCRIPTIO140FOPEnAIIONSILOCATONSIVE410LEe (Allneb ACORO f01, M1EAllianol nomorkn Sclmdolu Ern ern npmo is mgnNodl
<br />RS: Summer Night Lights Program
<br />Cily of Santa Ana, clOcers, agents, employees, and volunteers are named as additionally insured on this Poltcy PULS110m to Wrliten cDII agreement, or
<br />memorandum of understanding, Such Insurance as Is afforded by this policy shall be primary, and any insurance carried by City shall be'�eXCess aid
<br />nonconlribulory. Cerlifican of Insurance shall provide thirty (30) day prior written notice of cancellation. REVIEWED & APPROVED
<br />By Risk MANAGEMENT niVISiON
<br />L.crxnnrJMIL: rIVLUGIa CANCELLATION v
<br />City of Santa Ana SHOULD ANY OF THE AROVE mibC I R n a,r
<br />THE EXPIRATION DATE THERSOY1_rfri(Q ,'NJItt tYitnF.IREA N
<br />Risk Mallagarnerlt Division ACCORDANCE WITH THE POLICY PR 1, ill IVC !C
<br />20 Civic Center Plaza I
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 1 - 1
<br />Rodrigo Banuelos
<br />Cf
<br />01988.2010 ACORD CORPORATION. All rights reserved,
<br />vUumw 4D Izu luruol 1 no ACORD name and logo are registered marks of ACORD
<br />
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