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AC`t�RC►� <br />YI <br />CERTIFICATE OF LIABILITY INSURANCE OAT---- <br />- <br />2-0 07/10 <br />118 <br />THIS CERTIFICATE IS ISSUED A5 A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />BELOW, <br />POLICIES <br />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 CO -Moe holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION 19 WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement <br />A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s), <br />PRODUCER <br />Dickerson Insurance Services, License #OM29112 <br />_Ng°Lni7 Rodrigo _Banualos.___ <br />1918 Riverside Drive <br />yn��ot 1 <br />'�'A.Ws.EXfll.l328)r9502374------- .._.IPAL� xo L----------_..... <br />Los Angeles CA 90039 <br />A,.,. <br />dt <br />1323)662.7209 <br />_.....�...,—,. INSURER($AFPOROINBCOVERAGE �— <br />INsuasw A: Phllatlephia Indemnit Iv nsura I[�ce Company_.,_._.__ <br />_NAICa__ <br />21044 <br />-- ---- ____ _ <br />INsuREo~ '� <br />Charitable Ventures of Orange County <br />INSURER B: New York Marine and General Insurance Com en <br />— p, y_ <br />76808 <br />_ <br />4641 MacArthur Blvd., Suite Si <br />INsuREac:_ <br />-- - <br />Newport, CA 92660 <br />COVERAGES CFGTICICATC all laaot•n. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN <br />ISSUED TO <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />THE INSURKLVISION ED NAMES ABOVE FOR THE POLICY PERIOD <br />OR <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED <br />BY <br />PAID CLAIMS, <br />4TR <br />TRI TYPE OF INSURANCE POLICY NUMBER PoD EFf <br />�___.,__..�_�___...._._. _. _._ <br />MMND EXP <br />GENERAL LIABILITY <br />LIMITS <br />X COMMERdAL GENERAL LIABILITY <br />I Y F. <br />EACHOCCURRENCE S1000000 <br />-OAKTIGi ETG'RENTED-- —''----+-------- <br />PRpMI$ESj€e S(¢' <br />CLAIMe-MADE OCCUR <br />xcuRence <br />.. ,.WI <br />-- <br />MEDEXP(Anyalapewn) $5000 <br />.__.___.___. PHPK1990984 07/15/2019 <br />07115/2020 pERSONAL3ApV INJURY $ 1,00_.0000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $ 2,00Q,000 <br />X POLICY PRO' LOC <br />PRODUCTS-COMPIOPAGG <br />- <br />3 <br />AUTOMOBILE <br />UAOIUTY <br />1 L L 1—L <br />Y AUTO <br />aaccitlenl <br />BODILY INJURY (Per parson) <br />S <br />A <br />TO5 <br />PHPK19909E4 <br />0]/15/2019 <br />0]/151202QBRELLAACESSLIA <br />BODILY INJURY(Per aWdem) <br />sebAUTD <br />1ALLOWNED <br />PHU6678897 <br />07/15/2019 <br />07/15/2020 <br />EACH DCCURRENCEMADE <br />X <br />AGGREGATE <br />s4,000,000D <br />- <br />WORKERSCOMPENSATION <br />$ <br />AND EMPLOYERS' LIABILITY YIN <br />ANY XECUTIVE <br />X �Y IAj U• OTH- <br />B <br />OFf CEWeMERREXCLUDED'I ❑Y <br />N/A <br />WC201900019924 <br />o75 zQ19 <br />Q]5rzn2aE.L <br />EACH_ACCIDENT <br />g9 QQo <br />{MandalanIn NH) <br />Ilyea, descn4e under <br />E4. 015EA5E•EA EMPLOYE <br />. _ _.._.._.._.__�__.__ <br />E.L. DISEASE -POLICY LIMIT <br />_ <br />s 1 00O 00a <br />_. 1,_. _,-_.._.__._........ <br />$ 1,000,QOO <br />FI <br />�` <br />DESCRIPTION OF OPERATIONS LOCATION51 VEHICLES (Attach ACORp lei, Additional RemarW Schadule, h more apace Is <br />requlrad) '�--- <br />The City of Santa Ana, its officers, employees, agents and representatives are included as additional insured <br />as respects to the <br />subject to policy terms and conditions. <br />operations of the policy holder <br />CERTIFICATE HOLDER ,..,,...,... _._.. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana <br />CA 02701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Banuelos <br />ACORD 25 (2010/05) The ACORD name and 1tR1�Bea}�d��narks of ACORD <br />