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no CERTIFICATE OF LIABILITY INSURANCE
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<br />07105/25I2019
<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 INSURERS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an 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 requlro an endorsement. A statement on this certificate does not confer rights to the
<br />cork icato holder In HOU of such endorsonlant(s),
<br />PRODUCER
<br />CONTACT
<br />flfiplAF f:edfl(jp (')altlipl(14-_. _..
<br />Dickerson Insurance Services, License 4OM29112
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<br />JAI¢,lNp Exll (323) 4502314 �nJc,xnf.
<br />1918 Riverside Drive
<br />r4JAIL RodrlOPf!]i IlickefSGll'gmup.l:nm -.
<br />ADAyPss
<br />Los Angeles CA 90039
<br />(323) 662A200
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<br />IN ERA Inlet a ri11a l tdi molt hllnannrn c'Dm an 21
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<br />INSURED
<br />Charitable Ventures of Orange County
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<br />NSUIiI li Il NC w York MOAT ZZ Cone al losI fanoG 6OI11 tall 16000
<br />4041 MacAdhur Blvd , Suite 510
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<br />Newport, CA 02660
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<br />IN911r1ER B : ''
<br />INSIIREB V:
<br />CUVL,KALitM CERTIFICATE NUMBER; REVISION NUMBER'
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BCLOW HAVE BEEN ISSUCD TO THE INSURED NAMED ABOVE FOR n E 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 POLICICS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS,
<br />ILTR� RE - -�AhbL SUeftf � � � � � POLICY EFF ` POLICY Txp
<br />TR TYPE'Y e1SUMNCE- 1I 1 POLICY NUNIIER YiIMDNYYY MMIa1 "Y LWITS
<br />GENERAL LIABILI rY
<br />EACH OCCURRENCE
<br />$1'000,000
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<br />X GMMFRCIAL OCNERAL LIABILITY
<br />_. ._.
<br />�.AIMS-MADE
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<br />-r1A}1 SE'RIA N!Ed
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<br />IAEO EXP (Any onuV )
<br />S6,000
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<br />PI-IPK1990981
<br />07/1512019
<br />07116/2020
<br />PERSONAL S AOV INJURY
<br />$ 1000_000
<br />GEHEPALAGGREGATE
<br />s 2.000.000
<br />GLN'LAOGBEGATE LIMITAPPLIES PER.
<br />X I- -I PRO'
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<br />IROOUrTS COMPIOPALB
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<br />52,0(00011
<br />POLICY LOC _
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<br />AIIIOr AUTOS
<br />PHPKI900984
<br />/111112011
<br />07116/202(l
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<br />BOUIIY INJURY IPe .Anon
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<br />)( UIIORELLA LIAO X OCCUR
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<br />PAt H VEGURREN(E
<br />5 4,000.000
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<br />E. LAG
<br />IAn BLte18•ME
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<br />PI4UBG7089'7
<br />071151
<br />11 )/2020
<br />AGGREGATE
<br />5 n,oaD,000
<br />�0ED (X
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<br />RETENTIONS
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<br />X OR
<br />AND EMPLOYERSELIABILOIiY YIN
<br />Tr1Gr+Y LII{ITS
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<br />ANY PROPPoLTORIPARTNERIEXECUTNE
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<br />WC•201900011228
<br />07/15120/9
<br />07/15/2020
<br />r:L EACH ACCIDENT $.1,f)Q�iQ�Q.
<br />IAmntlmory In Mil
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<br />FL 61 EA_rMPr OYEI s 1,0p0,OQ0
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<br />EL DISEASC POLICY LIIAII 5 1,000,000
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<br />OE6CRIPTIO14OF OPEMTIONS I LOl`ATIONa l VEIIICLLS (Allncb ACORp 1p1, Atldlllanol Rommkn Ecl,odulu, If nmm nnoep Ic mquirodl
<br />RE Summer Night Lights Program
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally indeed on This policy pulsuanl to wrltten contract, 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 and
<br />noncontributory. Certificate of Insurance shall provide thirty (30) day prior written notice of cancellalian. REVIEWED & APPROVED
<br />By RISk MANAGEMENT DiVVfSION
<br />� ,ww,.n UAINUCL-LA I I VN 11 II IU_�
<br />City of Soma Ana SHOULD ANY OF THE ABOVE f)ESC •.,
<br />THE EXPIRATION DATE UC5'01'� y{p'p - IIyIC[. ty3t�f�.iCL 1�e L �N
<br />Risk Management DIVISIDII ACCORDANCE WITH THE POLICY Pit i iUGll IIYG'C 1
<br />20 Civic Center Plaza
<br />AUTII0RME0 REPPESENTATIVE
<br />Same Ana CA 92702 1
<br />Rodrigo Banuolos `
<br />O 1980-2010 ACORD CORPORATION. All rights reserved.
<br />AL: JI<u 4o tLU'I Ufw) The ACORD name and logo are registered marks o1 ACORD
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