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ncoREIi _CERTIFICATE OF LIABILITY INSURANCE
<br />16 " DATEpa nvo0rcvvrl
<br />0710512019
<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 pollcy(los) must be endorsed, If SUBROGATION IS WAIVED, sub)oct to file
<br />tors and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confor rights to the
<br />certificate holder In HAD of such endorsmnontfsl.
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<br />Dickerson Insurance Services, License #OM29112
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<br />1918 Riverside Drive
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<br />L06 ApgEoa CA 90039
<br />(023) G62-7200
<br />INSUIIER6LA1%FONn11GCCIVHRAGE- IIAICM
<br />INgpRLNA I'ITtlatlrllpllia (lalemtlily (Inulmnee Cnmpnny 2104A
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<br />Charitable Ventures of Orange County
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<br />4041 MacArthur Blvd , Suite 51 D-
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<br />THIS IS TO CERTIFY 1I"IAT 1'HE POLICIES OF INSURANCE LISi'CO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE: POLICY PERIOD
<br />INDICATED. NOTWITJ151'ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TFIIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE: POLICIES DESCRIBCD HEREIN IS SUBJEC'r TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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<br />L OPOLICY NUMBER OIMJIIDDIYYYY I MMJDDA11eyYI LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
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<br />`TONE.IT@eP�I!hII6GaSE_vnunca)
<br />S 1, 000,000
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<br />PHPK1900984
<br />07115/2019
<br />07115/2020
<br />rFHSONALBADVINJURY
<br />$1,000,000
<br />GENERALAGGREGATF
<br />s 2,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER.
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<br />5 2,000,080.
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<br />41$7.IGTISINRLF LI�fIF"�'
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<br />PHPK1990984
<br />07/1512010
<br />07116/2020
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<br />PROPERTY OIIMAGC
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<br />EA%H (/„CLIRRENCE
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<br />PIIUB678897
<br />07/1612019
<br />07115/2020
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<br />AGGREGATE_
<br />s 4.000,000
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<br />WORKERS COMPENSATION
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<br />AND EMPLOYERS LIABILITY YJN
<br />TrMly LIVI S ' ER
<br />ANY PROPRICTORIPARTNERIEXECUTIVE
<br />B NIAI VVC201900011228 07/15/2019 07/15/2020
<br />oEElcsrMEkmFR Excwprm M
<br />EL EncHncciosrn z1,00f),000_
<br />(AUndaloq In ALL
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<br />FL DISEASE GA EMPI OYEF s 1,000,000
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<br />L D16BASE •POLICY LIMIT $ 1.OpO000
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<br />DESCRIPTIONOFOPLnAT1ONSILOCATIONSIVEi11CLEB(Allocb ACOR0101,nEdllionol Roinolko echmulu, Irnlo,nrvP... is,.,WAa)
<br />RE: Summer Night Lights Program
<br />City of Santa Arco, officers. agents, employees, and volunteers are named as additionally insured on this policy pursuant
<br />to written conlract, agreement. or
<br />memorandum of unclelslanding. Such Insurance as Is afforded by this policy shall be primary, and any insurance carried
<br />by City shall beexcess and
<br />noncontributory. CerliOcato of Insurance shall provide thirty (30) day prior written notice of cancellallon.
<br />REVIEWED & APPROVED
<br />By Risk MANAGE/MENT r/IViSION
<br />..,a.,i. rv,ri, •-, w.r.,.,_,• _ LHIVLCLLHIIVN M 111 _.
<br />City Of Santa Ana SHOULD ANY OF THE ABOVE BERC1%' R 1y�Cr- y� Vi
<br />THE EXPIRATION DATE T it. I I . 6QIII IJ . JN I` IVIL"I jgRfN
<br />Risk Management Division ACCORDANCE WITH THE POLICY 1 I S.
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 I -
<br />Rodrioo Banuelos �` `
<br />O 1988.2010 ACORD CORPORATION. All rights reserved,
<br />AwrcU zD tzuvI Uruo) The AUORD narne and logo are registered marks of ACORD
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