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EXHIBIT J
<br />' 'c ,ff CERTIFICATE OF LIABILITY INSURANCE
<br />�-"�
<br />DATE
<br />23120 f/YYV)
<br />2/23/2020
<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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Arthur J. Gallagher & Co.
<br />Insurance Brokers of CA., Inc.
<br />505 N Brand Blvd, Suite 600
<br />Glendale CA 91203
<br />CONTACT
<br />Annie Lee
<br />PHONE Fax
<br />818.539.8601 Alc rvo:618.539.8701
<br />EDoaless: Annie Lee@ajq.com
<br />INSURER B AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Great American Alliance Insurance Company
<br />26832
<br />Lice se#: 0726293
<br />INSURED ORANCOU-19
<br />Orange County Conservation Corps
<br />1853 N. Raymond Ave.
<br />INSURER B : Great American Insurance Company of NY
<br />22136
<br />INSURER C: Navigators Insurance Company
<br />42307
<br />INSURER D :
<br />Anaheim, CA 92801
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 824139259 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUER
<br />VAID
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMiD [YYYY'l
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE F OCCUR
<br />Y
<br />PAC 515468015
<br />10/l/2019
<br />10/1/2020
<br />EACH OCCURRENCE
<br />$1,000,000
<br />A A E
<br />PREMISESS EEa a occurrence)
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$20,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />PRO-
<br />POLICY PRO- ❑OC
<br />JECT
<br />GENERAL AGGREGATE
<br />$3,000,000
<br />GEN'L
<br />X
<br />PRODUCTS - COMP/OP AGG
<br />$3,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />CAP 099124906
<br />10/1/2019
<br />10/1/2020
<br />COMINED LIMIT
<br />$1,000,000
<br />X
<br />ANYAUTO
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />X
<br />comp$500 X cell$500
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X OCCUR
<br />UMB 560379515
<br />10/1/2019
<br />10/1/2020
<br />EACH OCCURRENCE
<br />$4,000,000
<br />EXCESS LIAB
<br />CLAIMB-MADE
<br />AGGREGATE
<br />$4,000,000
<br />DED X1 RETENTION$ in non
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y/N
<br />ANYPROPRIETOR/PARTNERIEXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />N/A
<br />I PER OTH-
<br />STATUTE ER
<br />E, L. EACH ACCIDENT
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$
<br />(Mandatory In NH)
<br />If yes, describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$
<br />DESCRIPTION OF OPERATIONS bo.
<br />C
<br />Di'ea.rs&Officers
<br />NY19DOLV03181NV
<br />10/1/2019
<br />10/1/2020
<br />Per Claim
<br />$2,000,000
<br />,71
<br />Aggregate
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (AC ORD 101, Additional Remarks Schedule, may be attached if more space Is ran ulred)
<br />Policy, Abuse and molestation
<br />Policy #: PAC 5154680 15
<br />Carrier :Great American Alliance Insurance Company
<br />Policy Term: 10/0112019-10/01/2020
<br />Per Claim:$1,000,000 ,Aggregate:$3,000,000
<br />Policy: Professional Liability
<br />Policy#: PAC 5154680 15
<br />See Attached...
<br />City of Santa Ana
<br />Risk Management Division, 4th Floor
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<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 />AUTHORIZED REI
<br />RQfEt4 1;a
<br />All rights reserved_
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />25B-328
<br />
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