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acc�frc� CERTIFICATE OF LIABILITY INSURANCE OnTE1MMloorcvvrl <br />�--"� 07/0$12010 _ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(Ios) must be endorsed. If SUBROGATION IS WAIVED, subject to file <br />terms and conditions of the policy, certain policies may regalro an endorsement. A statement on this certificate does not senior rights to the <br />certificate holder In Ilan of such andorsomantlsl. <br />PRODUCER <br />CONinCr <br />pneE I'lnrlri;gl_Oanuoloh <br />Dickerson Insuranco Services, License #01020112 <br />_ <br />X <br />.AsFAIi° aril, (020) iI50207d_ 1r4, Nap <br />19 10 Riverside Drive <br />ADDRESS; RadrigaYtgdickursOn,pragl,uom _. <br />Los Angeles CA 90039 <br />INSURER0J_AIIDRUING I"OVLRAnB DAIC6 <br />(323) s62-7200 <br />Phi l�irlt§IUlve fu[h rnRily hlwanto CnmpRny 210,14 <br />INSURED <br />Charitable Ventures of Orange County <br />n4soal n u: 'Now, York Mnrinc & Gonawl Insurance Company 1600B <br />-- <br />4041 MacArl Blvd , Suite 510 <br />IN6vRCal:: _ _ _ _ _ _ <br />Newport, CA 02660 <br />NgUP yR p: <br />INSUlnyug! <br />_ <br />INSURf!R F: j <br />COVERAGES GFRTIFIr:ATF MHMRFR• oFInRInr.I MI Mgcco. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POI; THE POLICY PERIOD <br />INDICATED. NOTWITHSI'ANOING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPrcr TO WHICH 7111S <br />CkRTWICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 'rrRMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTRjj - 77ADOL SUefl POLICY EFF POL'I�Y xh' - — <br />LTR TYPE OF e15URANDE IIoSR V POLICY NUMBER I NlAIenIYYYV lDl y{y LIMITS <br />GENERAL LIABILITY <br />X _COMMERCIAL GENERAL LIABILITY <br />. l ] <br />CIAl45 MADE OCCUR <br />I <br />EACH OCCURRENCE <br />DAN.CFTRFTO <br />fRr1R <br />MLD O(P In y_ nR )elivll <br />S 1,000000 <br />' <br />O0Q0, <br />S 5,000 <br />A <br />_ _. _ <br />PHPK1990984 <br />07M512019 <br />07M5/2020 <br />PERSONALS ADV INJURY <br />s 1,000,000_ , <br />GENERAL AGGREGATE <br />1 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />. Xai POLICY1Ga LGC <br />i <br />PRODUCTS -CCMK)PAoG <br />52.00g�q�O <br />AUTOMOaILE LNSIL1iY <br />- <br />� Y <br />�I <br />it l II SET, SINGLE LI If -� <br />ciagsud.-51 <br />A <br />JNYAUTO <br />AILUVYlCIt SCHEDULED <br />AIITOfi AUFOB <br />jC NUN. <br />. I FPREDAUBIS %�. AIIr(°mle1l <br />— <br />PHPK19909B4 <br />07M5/2019 <br />07/16/2020 <br />BODILY INJURY (Per parse) <br />BOOMYINJURY (P R II p <br />In2'i11 RiY-DnMnGh <br />PODPERTYl <br />S <br />$ <br />A <br />X UIJBRELI-AUAU }: I OCCUR <br />EXCESS LIAe ( CLAIIdB.LlgDU <br />1 <br />Y^r <br />I <br />I <br />PHUB678807 <br />07/15/2019 <br />07/15/2020 <br />EACH U'CURIiERCE <br />AGGREGATE — <br />14.000,000 <br />14,000,000 <br />ro..� <br />B <br />Dan % RETEI` ONS 0(v <br />AND COMPENSATION <br />YIN <br />NY PROPHIETORIPARTNERIEXECUTIVE <br />DiI-ICEIMEMOER EXCLUDEm <br />IM ndnlary In Nil) <br />Ily a, dmMbe, wdor <br />.ul?ZrLyy,lrFOpfflAilO <br />NIA <br />uv <br />WDZ919DB91122B <br />07/i5/2019 <br />07115/2020 <br />�.. -... <br />X TUfiy411:1PU% I iff <br />r L EACH ACCID@_ D <br />rL DISCARE EA FNINOYE <br />- <br />ELOSEA$C POLICY LIM <br />B <br />$ 1.0-09.000 <br />S 1,800,O00 <br />- - <br />11,00"D0 <br />DESCRIPTION OF OPERATIONS' LOCATIONS I VEHICLES (AencB ACORe 101, Addlllonal Uomorks SCLadRlq if nmm apace la royulrodli <br />RE: Summer Night Lights Program <br />City of Santa Ana, olOcers, agents, employees, and volunteers are named as additionally insured On this policy pursuant to written coniracl, agreement Or <br />nlemofandum of understanding. Such Insurance as Is afforded by This policy shall be primary, and any insurance carried by City shall be excess and <br />nonconlribulory. Cedifcate of Insurance shall provide thirty (30) day prior written notice of cancellation. REVIEWED & APPROVED <br />By RISk MANAGEMENT DIVISION <br />bcnui I*+--rlurvr,n GANUILLLA I ION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DFSC,b L0511mr <br />—& - - <br />THE EXPIRATION DATE TI CREOIrTIVNI'Fl.lYfllfE_01 LN <br />Risk MBltagemeUl DivIEl011 ACCORDANCE WITH THE POLICY Ial1RRVV1` LlN`LIt <br />20 Civic Center Plaza <br />AVTIIORRED REPRESENTATIVE <br />Santa Ana CA 927C2 1 - 0 <br />i Rodrigo Banuelos <br />CcJ 1988.2010 ACORD CORPORATION. All rights reserved. <br />AU UHU L5 (eulurub) The ACORD name and logo are registered marks of ACORD <br />