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A� p® CERTIFICATE OF LIABILITY INSURANCE TE DA7/(15/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER J. Gallagher&Co. Insurance Brokers of CA., Inc. 505 N Brand Blvd, Suite 600 CONTACT NAME: Kim Train PHONE g185398618 FAc q, 818.539.8617 .J' noI LF,2s: kim trap a .com INSURER9AFFORDING COVERAGE NAICIF Glendale CA91203 A: Insurance Company of the West 27847 Licenselt 072629INSURER INSURED COMMACT-20 INSURERS: Nonprofits' Insurance Alliance of CA Community Action Partnership of Orange County 11870 Monarch Street — WSURERC: INSURER_D: Garden Grove CA 92841 INSURER E: _ _ INSURER F: COVERAGES CERTIFICATE NUMBER: 123314072 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURWCE ADOL INSQ WVO POUCYNUMBER POLICY EFF MMIDDIYYYYI POLICY UP rMMVDDrYYYYJLIMBS B X COMMERCUILGENERALUABILOY Y 2020-00441 7/1/2020 -7M 1. EACH OCCURRENCE S1,000,00o CLAIMS -MADE FxIOCCUR T EN p PREMISES Eaoccune $500.000 MED EXP (Any one person) $ 20,000 PERSONAL a ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2.000,000 POLICY PEAT El LOC PRODUCTS -COMPIOP AGO $2.000,000 $ OTHER: B AUTOMOBILELWBILITY 20MOD441 V12020 7/1/2021 COMBINEDSINGLEIN LIMIT51,000,000 BODILY INJURY IPer parson) $ ANY AUTO IX OWNED SACHOSEOULEDAUTOS ONLY UT I BODILY INJURY P✓ecdtlenp S HIRED X NON-0WNEO AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per aodd $ S B X UMSRELIAUAB X OCCUR 2020-00441-UMB 7112020 7112021 EACHOCCURRENCE $4.000.000 AGGREGATE $4,000,000 EXCESS DAB OcC:MAOE DEO I X I RETENnONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ME505610700 7/112020 7112021 X I STATUTE ERA E.L. EACH ACCIDENT $1,000,000 OF CEORIMEM PRIETOERPEXCIU ED?ECUTIVE ❑ NIA E.L. DISEASE -EA EMPLOYEE S1,000,000 (Mandatory In NH) N yyea, dnmbo under QESCRIPTION OF OPERATIONS bola+. E.L. DISEASE -POLICY LIMIT S1,000,000 B Deedore Dmoers 2020-00441-DO-NPO 7/1/2020 711/2021 Each Wwo 9kl Ad Rggrngate Lima $1,000.000 $2000 000 $5,000 °ismquimd) DESCRIPTIONOFOPERATIONSI LOCATIONS I VEHICLES (ACORD1a1.AddNional Re �r}q,��WtV Policy: Improper Sexual Conduct REVI Oiayy.'rizirvl=pace Policy#: 2020-00441 � Risk MANACIEMENT DIVISION Policy term: 7/112020 to 7/I/2021 y Carder: Nonprofits' Insurance Alliance of CA Per Claim: $1,000.000. Aggregate Limit: $2.000,000 L Policy: Professional Liability AVILLA See Attached...AL City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1DaR_2nts ervinn rnwannerinM eu d..w�.e�e.,,ad ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD