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A-2020-148 <br />CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIVELY 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 />IS WAIVED; <br />Michael Gelfre Insurance Agency <br />32392 Coast Hwy Ste 260 <br />Laguna Beach, CA 92661 <br />INSURED <br />s an ADDITIONAL INSURED, the polloy(les) must have ADDITIONAL INSUR D provlalons or bo endorsed. <br />to the terme and cond.Mons of the polley, certain policies may require; Sri endoreement. A statement on <br />URBAN FUTURES, INC. <br />dba 1$OM ADVISORS <br />17821 E.17TH ST. STE 246.266 <br />THI3 IS TO CERTIFY TWAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INBURED.NAMED' AttOYE 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 MY PAID CLAIMS. <br />1 BR <br />TYPNOFINSURANCE <br />a EN <br />IO EFF <br />M <br />PO C E% <br />M DDI <br />LIMITS <br />A <br />j( <br />COMMERCIALGENENALLIABRRY <br />CLAIMS•MADE ®OCOUR <br />Y <br />Y <br />CPSZ184222 <br />12127/20 9 <br />PACH CCUR NCE <br />1-nOD 000 <br />1212712D20 <br />SE ` a <br />EG'E%P a -. rpbR <br />PERSONALSADVINJURY <br />$1,00,001) " <br />S S,'D00 ' <br />$1.000,000. " <br />GNN'L AGGREOAT LpIA1kTAPIpW�Ea.PER: <br />POLICY �jHC L`I LOG <br />OTHER, <br />GENERALAGOREOATE <br />2,0001000 <br />'PRODU°T tE ft P AGO <br />s Not'Covered <br />_• <br />$ <br />'C; <br />AU.TCM7ONILeLIASIUTY`1r000'000 <br />X <br />AANWAY�y..AUT➢ <br />RUgTOBQNLY X w"oa C6° <br />AUT080NLY 3i ALTOS ONLY <br />y <br />606900024 <br />03Hi/201e <br />Q01•(,{J!('�j'¢D.aCU1LYINJU�[iY <br />- •,•, <br />ROPILYINJURY(Pereagan) <br />$ . <br />(Pal ecdtlAnt) <br />a tlentl G <br />4 T� <br />S � <br />A <br />jI <br />UMBRELLA LIAR <br />B%G106 UA8 <br />WCUR <br />GLA&L <br />ESUDIS360619 <br />12197/2018 <br />FACHODQUARENCE <br />a 2r000,0 0 <br />f2127/2020 <br />ArQREGATE <br />41210001200 <br />ED <br />NTI <br />, <br />WORKERS COMPENSATION <br />ANC EMPLOYORS'LIASILITY <br />pM ROPRIETgDWPARTNER E%ECUTIve <br />1MNIIUCpIarryy�n NH)E%CLUPEPT m <br />II ep,dgwl6appAdw <br />B RIPn OP OPERATID a below <br />NIA <br />N0915 07 09 <br />D31111201,Q <br />ER <br />T TUTE 1+ <br />_ <br />03111i2020 <br />E.L,EACHACCIDENT <br />. 1.,(1D0,DDQ <br />E .OISEASE•EAEMPLOYE <br />_ <br />s 1 0.00,000 <br />E.L. DISEASE=POLICY LIMIT <br />S 1,000400. <br />A <br />SEXUALIPHYSICALABUS.E <br />CP83164222 <br />421271201912127120Z0 <br />OCCURRENCE <br />A,.PGREGATE <br />625.000 <br />$50.000 <br />OE$CPIPTIONOf ORERRTIONe i LOOb7WN8YVENICLaB (AGGRO fOY, AddlDangl'RpmplltY eahedVle4,dq'LeaflPahad 11Niare pPYPe'IIYOyelrld) <br />THE CITY OF SANTA.ANAIS 41STED AS ADDITIONAL INSURED, WAIVER OPSUBROGATION ANDI PRIMARY AND <br />H.ONCONTRIBUTORY WORDING`-TS INCLUPRD. 80 DAY N.OT(CE OP' CANCELLATION <br />REYjMED & APPROVED <br />Vr l T yr CA" 1l ^IYM <br />RISK MANAGEMENT :DIVISIOM' FEB U SHOULD ANY OF THE ABOVE DESCRIBED POLICUES BE CANCELLED BEFORE <br />THE .EXPIRATION DATE THEREOF; NOTICE WILL BE DELIV90.13: IN :1 <br />20 CIVIC CENTER PLAZA, 4THYLOO .-ACbDRBANCEWITHTHEP000Y7ROV13'IONS. <br />SAANTA ANA, CA 92701 FRr�NCINE R. VILLARE t <br />AO PRE. TIV <br />AGORD 20 (2010103) The ACORD name and logo are reglotered.marka of ACOFID <br />