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^I CERTIFICATE OF LIABILITY INSURANCE I D"Te110$/20"YY"'
<br />_07105/2010
<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 cortlflcato holder Is an ADDITIONAL INSURED, the pollcy(los) must be endorsed. If SUBROGATION IS WAIVED, subject to the
<br />terms and conditions of the policy, certain pollutes may require an endorsement. A statement on this certificate does not confer rights to file
<br />PRODUCER
<br />f U.H`y
<br />.f6!fE Rtldrlg0 �anllaglifif
<br />Dickerson Insurance Services, License #OM20112
<br />Peon[ -`
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<br />gmt9,Rs tnl (323)460m207d... I�iC'M'I
<br />191E Riverside Drive
<br />C.Alna REdrlgoMdlCkufeomgt0up:e0n1 _.
<br />A,a IL
<br />Los Angeles CA 90039
<br />! . INSURSRfsLAIIDROIIIc covERI N41C0
<br />(328) 662-7200
<br />IWSUILERfi YIIaIIYIIIa OIrIUGIDII n BlIri111Cn Company _ %7 �!)�
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<br />INSURED
<br />Charitable Ventures of Orange County
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<br />IJBUIU n NEW _Ybrlt Mar1150 & General hlsl Iral1teo C,elo on WOOR
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<br />4041 MacArthur Blvd , Sullu 510
<br />iNsul¢CI}c,
<br />Newport, CA 02660
<br />INIURPRIJ'
<br />INSURER R:
<br />NSURERFI
<br />COVERAGES CERTIFICATF NIIMRFR-
<br />GRvtelnM MHRAPnD-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 'rriE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHCR DOCUMENT WM7H 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 'PERMS.
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SIIOWMI MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR .."� `."".. _..... _ __.. __- DL S06RI' __. ___. .. .. _.___. Y C IOIICFL.T.'POLICYEx, --.—
<br />TRI TYPEOFINSURANCE \ I POLICY NUMBER AIIIDDNYYY IAMUIYYYY LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />1,A0Q
<br />X
<br />LCOMMERCIALGENERALUABILITY rAf
<br />Pt(Euo_u a
<br />D0g0
<br />5 0,QD_
<br />CLAIMS MADEOCCUR
<br />F'—
<br />.
<br />MED EXP(Ay olmpson)
<br />S5,000
<br />A
<br />_
<br />PI4PK19009II4
<br />071I512019
<br />07115/2020
<br />PER504AL a A(W INduav
<br />s 1,000,000
<br />GCNEIIALAGGREGATE
<br />12,060,060
<br />GEN'LAGGREGAT_E LIMIT APPLIES PER:
<br />PILODUCTS_COLIPIOR AGD
<br />52,000OQO_
<br />X I POLICY ;CIT LOC
<br />—
<br />AUTOMOBILE LIABILITY
<br />17
<br />f
<br />1. 11eItICO IN I Il
<br />1B„c a1 _....
<br />ANY AUTO
<br />BODILY INJURY (Per PtlrSC 1
<br />S
<br />A
<br />AILOWNEE SCHEpGLCO
<br />AUr09 AUTOS
<br />PHPKI990984
<br />07/15/2019
<br />07116/202fI
<br />BODILY INJURY(P. tl A. q
<br />S
<br />X HlliCll LUr{7g X NON OWfNie)
<br />fi,"mo anDAMAGc
<br />-
<br />S
<br />_ NIIOa
<br />Lr PcgYuJ ...__
<br />...
<br />_
<br />y
<br />III
<br />5
<br />occuR
<br />X�
<br />y
<br />I
<br />EACH OCCURRENCE 54,000.090
<br />q
<br />OCCU,11R I8aE
<br />Excess LIAo r"I ,
<br />REX
<br />(
<br />; PHUB070007
<br />07/15/2019
<br />07115/2020
<br />AGGREGATE s 4,000.000
<br />' ,..� A.diQg
<br />riEDLNTI
<br />WORK ERS CO MPENSATION
<br />EMPLOYERS
<br />ATS L\TUB I IL�
<br />RV
<br />AND LIABILITY YIN
<br />LIMITS EIT
<br />B
<br />ANY PROPRIETORIPARTNERIE%ECUrIVEr��-��q�
<br />CIFI'ICE/MEMBER E%CLUDC09
<br />NlA
<br />WD2DT9DQD11228
<br />07115/2018
<br />07/15/20201,gT14SI0D_
<br />CH AGCIOEIIT }
<br />F,'Lo.�,S
<br />(MAnJni ryH Nt1) 1 1
<br />SEASE Eq FhIPlOYE4 31,QDO,9QD
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<br />llLyP I b.L 4.' lAilDNh' ff',¢j♦_��
<br />C.ASC POLICYL.", S L,QD0,000
<br />IT
<br />DESCRIPTIOIJ OF OPEMIIONS I LOCATONS I VEIIICLEM ACOR0101, AEdlllon I ft , rka 6cLOJ, f mm nP^oe li q vodl m
<br />RE, Summer Night Lights Program
<br />City of Santa Ana, officers, agents, employees, slid volunteers are named as additionally insured on this policy pursuant Io Written contricl, ngreem ml. or
<br />mamoraridum of understanding. Such insurance as Is afforded by this policy shall be primary, and any insurance carried by City shall be excess and
<br />noncontributory. Certificate of Insurance shall provide thirty (30) day prior wrlllen notice of cancellation. REVIEWED & APPROVED
<br />By Risk MANAGEMENT DIVISION
<br />k,cr}I Irn.AA is rtvwmH CANCELLATION
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESG 1d V
<br />THE EXPIRATION DATE POLICY
<br />PR1'(_�yllQ �.`f11UIrT. R31��EL1Y11AELn �N
<br />Risk MallBgeme0l Division ACCORDANCE WITH THE POLICY PR 11
<br />20 Civic Center Plaza _
<br />AVTI10R0@D REPRESENTATIVE
<br />Santa Ana CA 92702 1 - 0
<br />Rodrigo Banuelos
<br />01900.2010 ACORD CORPORATION. All Hoists reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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