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Francine R. Digits l ly signed by <br />Francine F. Villareal <br />Villareal Date: 2020.08.14165653 <br />o7aa <br />ACORO CERTIFICATE OF LIABILITY INSURANCE <br />DAM(MMIDDIYYYY) <br />1 <br />`/ <br />08/142020 <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 certHieate holder Is an ADDITIONAL INSURED, the poilcy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WANED, subject to the farms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this ceri ificato does not confer rights to the certificate holder In lieu of such endorsemen e . <br />PRODUCER <br />Dickerson Insurance Services an Alera Group Company <br />1918 Riverside Drive, Los Angeles, CA 9GD39 <br />License #OM29112 <br />AMMTe T <br />N Nora Wolkoff <br />=01C 323-805-2918 FAAIX <br />EDOAa Nom@dickerson-group.com <br />INSURE s AFFORDING COVERAGE <br />NNC■ <br />INSUFERA: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />Charitable Ventures of Orange County <br />INSURERS: Service American Indemnity Company <br />39152 <br />INSURER C: <br />4041 MacArthur Blvd Ste 510 <br />INSURER D: <br />Newport Beach, CA 92660-2503 <br />INSURER E: <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: RPVISInN 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 />ILTP <br />TYPE OFINSURANCE <br />e11BB <br />POLICY NUMBER <br />MNCY EFF <br />FMNp ENP <br />lJMlrs <br />COMMERCIALGENERALUABaM <br />CLUMSMADE ®OCCUR <br />Saxual l Physical Abuse <br />EACH OCCURRENCE <br />f 1.000,000 <br />PREMISESIE..mal <br />S 100,000 <br />NED EXP (My am Piman <br />f 5.000 <br />I <br />PERSONAL a AOV INJURY <br />f 1,000,000 <br />A <br />Y <br />PHPK2137435 <br />071152020 <br />07/152021 <br />GENL AGGREGATE UNIT APPLIES PER: <br />POLICY JEcT LOC <br />GENERAL AGGREGATE <br />E 2,000,000 <br />PRODUCTS AGG <br />f 2,000,000 <br />OTHER: <br />S I PA AGGREGATE <br />s 300,000 <br />AUTOMOBILELIABILRY <br />ANY AUTO <br />COMBINED INEEO IN LIMIT <br />S 1,000,000 <br />BODILY INJURY (Par pemon) <br />S <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED ON BONED <br />AUTOS ONLY NNON-OWN <br />Y <br />PHPK2137435 <br />07/152020 <br />07/15/2021 <br />BODILY INJURY (Par ao l ) <br />s <br />PROPERTY DAMAGE <br />f <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACHOCCURRENCE <br />f 4.000,000 <br />A <br />ExMCESSLIAB <br />c�NMSMADE <br />Y <br />PHUB723821 <br />07115/2020 <br />07/IM021 <br />AGGREGATE <br />S 4,000,000 <br />OED <br />IX <br />I RETENTIONS 10,000 <br />E <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'UABIUTY YIN <br />ANYPROPRIETORIPARTNER/IXECUnVE <br />OFFICERIMEMBER EXCLUDED? �Y <br />(Manda"M NH) <br />IlryeoA l` w�s under <br />DESCRIPTION OF OPERATICNS Oalow <br />NIA <br />SATIS0326700 <br />07/15/2020 <br />071152021 <br />PER OTH. <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />f 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />f 1.000,000 <br />E.L.DISEASE-POLICY LIMIT <br />f 1,000.000 <br />A <br />Property/ Equipment Coverage <br />PHPK2137435 <br />071152020 <br />07/152021 <br />Limit of Insurance <br />$127,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addieanal Remarim Sehol may M analit a i ifmom span Is mqulmd) <br />CITY —its offlcers. employees, agents, volunteers, and representatives are InClUded as Additional Insureds with respect to the operations of the named Insured <br />subject to policy terms and conditions. <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 />NORA WOLKOFF <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Risk Mwvgement Division <br />i <br />REVIEWED6 APPROVED BY: <br />�! <br />Risk Management Anatyst <br />