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^K" CERTIFICATE OF LIABILITY INSURANCE OATe1'"M0o"YY" <br />071051-2 <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 INBURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: II the cortlflcato holder Is en ADDITIONAL INSURED, the Policy(los) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the Policy, certain Pollclos may require an endorsom nit. A statement on this certificate does not confer rights to the <br />certificate holder In Hall of such endorsomentfal. <br />1OOATACI <br />1*__E Rodrigo OanuMgs__. Dickerson Insurance Services, License #OM29112 PHONE - <br />1AIc NP VXN (32;1) Aa0207A I�G,1Tnl' <br />1918 Riverside Drive Gh1All <br />AOogrss RBdrIgCfL�dlckarsan,group Coll] <br />LosAngelusCA fl0039 IRBuHERIs1APF0N0IUa COVERAGE uAlDa <br />INSURED <br />062-72a0 Ji 1 k L !v <br />... . .. _ . .. _...— - _ .. AUSURrnO NaW York Mark7L K Caneml LISu BIRSO laoy 21 Q;kQ <br />wsulvEo INIti7m xn PlTifntl ITII lufLmll IIIBUPNDCOP <br />Charitable Ventures of Orange County -_ ca Comj7ai]y '10608 <br />4041 MacArthur Blvd , Suite 510 --__.V ..K:-- <br />NeWporI,CA02B60 1 tIRRrn 0; <br />Rlsu RRB: <br />_. ..._—. <br />COVERAGES eFDTIGICATG AUIneacn. _......... <br />THIS <br />IS TO CERTIFY THAT THE POLICIES <br />OF <br />INSURANCE <br />LISTED BELOW HAVE BEEN <br />ISSUED TO <br />THE INSURED <br />R¢ylalylY NUIVIDCll: <br />NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT. <br />TERM OR CONDITION OF ANY <br />CONTRACT <br />OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE <br />MAY BE ISSUED OR MAY <br />PERTAIN, <br />THE INSURANCE AFFORDED <br />BY <br />THE POLICIES <br />DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS <br />AND CONDITIONS OF SUCH <br />_ ........ .....__.�.�_ <br />"'� <br />POLICIES <br />LIMITS SIAOW61 MAY HAVE <br />BEEN <br />REDUCED BY <br />PAID CLAIMS. <br />INFR <br />TR <br />TYPE OF INSVRRANGElN <br />GENERAL LIABILITY <br />-- <br />7 l�U0L <br />5UOR <br />�-P _ _ <br />POLICYNl1M1IBER <br />_ __ <br />IOI ICY FFF <br />MIIIDDIYYYYII"AII <br />POD4N V%Ir <br />OA rVVI <br />' "" _ — <br />LIMITS <br />EACHOOCURRENCE <br />x OOMMERCIAI <br />S j 000000 <br />DAM <br />GENERAL LIABILITY <br />_ 1 LI�111de x] <br />I� <br />f <br />CE TORENYEI, <br />PHI yII5P S1,Eu su 1 5.7!]g 000 <br />A <br />MADE OCCUR <br />MLD EXP(A y n. o l.1) E 5,000 <br />PI,IPK1900984 <br />07/15/2019 <br />07115/2020 <br />PERSONAL A ADV114JURY S1,000000 <br />GENE HAL AGGREGATE s 2,000.000 <br />GE_NTAGGREG_K_fE LIMITAPPLWSPER: <br />50 POLICY � PRP LOC <br />rIlOG06Ts Ca1JPlOP A-, 5 <br />— 2,000,O.QQ <br />F <br />ANTDMOBILE LIABILITY <br />ANY AUTO <br />SCHEDULE ALLOVa9RD SCHEDULED <br />I.,-���- <br />, <br />(I TI a1:e 5 <br />jkua 1 an1'_��__._. S 1a000,Qn0._. <br />BODILY INJURY (Per Parsen7 S <br />A <br />nlllOa AUTOS <br />X NONJ NR1Et1 <br />rintltmTuras X <br />PHPK1900904 <br />07f15/2019 <br />0711 G/2020 <br />BODILY INJURY (Per aml4nns S <br />R0P1:IT ATXACK <br />O P <br />AUT. <br />}( 141oHLL1A LIAR X OCCUN <br />ry <br />II <br />I <br />CACH OCCURNEWE S4.000,000 <br />A <br />Excess LIAR CLAIM IInL'E <br />L QED 7 XM P ENSATIO0N� y �Q _ <br />I PHUB678897 <br />07/15/2019 <br />0711 )72020I <br />AGGREGATE _ s 4,000,660 <br />I AND EMPLOYERS' YIN <br />AND EMPLOYERe LIABILITY YIN <br />ANY PROPRIETORIFAR UIERIE%ECUTIVF <br />r1L utl'TAL .. OIIP y <br />TOgH LI1 eIT <br />B OFFICE/MEM n NIA WC261969811228 <br />ra 'cACM ACCIDEIIi <br />ltT <br />07/15/2019 07/15/2020 ___ S 1,00(100Q_ <br />]0 <br />NNE%CLBpLn] <br />(AlnntlalRryln NRl <br />II Yea, aoscnan urWor <br />1-L o14A.5E EA CMPI DYEF S 1,000.000 <br />_ <br />111'&CHIPr�i1LaE9RC1ir±ILfl05.9"��Y <br />E L 015E 1yC POLICY LIMIT S 1,.000,000 <br />I F <br />4k <br />_ <br />OefiCRiPTION OK OPEnATIONSILODATONGI VENH,LEB (AAncb ACOgp iel, Atldlllonol rla, mrkn 6cpad,l If nnP^oa la rogl Potll <br />RE: Sun7mer Night Lights Program <br />City DI Santa Ana. officers, agents, employees, and volunteers are named as additionally <br />insured on this policy pursuant to written conlrarl, agreement. or <br />memorandum of Understanding. Such insurance as is afforded by I1115 pollcy shall be primary, and any insurance carried by Ctty shall be excess and <br />nonconldbulory. Cedlfcato of Insurance shall provide thirty (30) day prior written <br />notice of cancellation. REVIEWED & APPROVED <br />By RISI( MANAGEMENT DIVISION <br />r•I: n•w¢Rnnrc LUST ncn - - <br />_ <br />�.v1YNC.LLMII MY r7�AV <br />City of Goals Ana SHOULD ANY OF THE ABOVE DES0 6A N �THE EXPIRATION DATE THIiRBOFFF_''fg1lj1��t+� IRisk Management Division ACCORDANCE WITHTHE POLICY IT11 V1 J., {20 Civic Center Plaza <br />AUTHORED REPRESENTATIVESanla Ana CA 92702 Rodrigo Banuelos <br />©1980.2010 ACORD GORPORATION. All rlghts reser..d, <br />1-- —1-1 I TO Awvmu name ana logo are registered marks of ACORD <br />