CHARITABLE VENTURES OF ORANGE COUNTY (26)

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rrancine h. - -- - - Villarealoxooea oe ae as a� o0 A� or CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDIvYYYv 07/30/2020 ) 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: U tits certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION IS WANED, 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 endorsemen s . PRODUCER CONTACT NAYS Nara Wolkoff Dickerson Insurance Services an Ales Group Company 1918 Riverside Drive, Los Angeles, CA 90039 License #OM29112 PHONE 323-895-2g1B FAX Ear.AH NW: noon Nora@1dlckerson-group.com INSURE s AFFORDING COVERAGE NAIC o INSURERA: Philadelphia Indemnity Insurance Company 18058 INSURED INSURERB: Service American Indemnity Company 39152 Charitable Ventures of Orange County INSURERC : 4041 MacArthur Blvd Ste 510 INSURERD: Newport Beach, CA 92660-2503 INSIIREI E: INSURERF: COVERAGES CERTIFICATE NUMBER: 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. IIm NSR TYPE OF INSURANCE DL INAn SU POUCYNUMBER MYIGD�� MNm EXP UNITS fAMMERCUILGENERALLNBhnV CW Ms- E ® OCCUR FSew/al/Physical EACHOCCURRENCE S 1,000,000 PREMISES n $ 100,000 MEDEXP An one men s 5,000 Abuse I PERSONAL I ADV INJURY a 1,000,000 A Y PHPK2137435 07/15/2020 07/15/2021 GENT AGGREGATE UMIT APPLIES PER: POLICY Ea El LOC GENERALAGGREGATE S 2,000,000 PRODUCTS-COMPA)PAGG $ 2.000,000 OTHER: S / PA AGGREGATE s 300.000 AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea actlden[ $ 1,000,000 ANY AUTO BODILY INJURY IF" pemon) S A OWNED SCHEDULED AUTOS ONLY AUTOS FIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y PHPK2137435 07/15/2020 07/1512021 BODILY INJURY (Par a aJoem) S PROPERTY DAMAGE Per eaeoem1 S S LIMB OCCUR EACH OCCURRENCE S 4,000.000 A IUMBRETJA EXCESSUAB CLAIMS -MADE Y PHUB723821 07/15/2020 07/15/2021 AGGREGATE a 4,000,000 DED 1X1 RETENTIONS 10,000 S B WORNERSCOYPE ANDENPLOYERSI-INSM1YIN OFFFICEWEEMMBBERRoccwDEm E � 1 (Mandatary In NH) Iaender DeSCRdIN OF OPERATIONS W. NIA SATIS0326700 07/152020 07/1 $I2021 DARTUTE 1 1 EOTl- E.L. EACH ACCIDENT s 1,000,000 E.L DISEASE - EA EMPLOYEE 1,000,000 E.L DISEASE - POLICY UMR S 1,000,ODO A Property / Equipment Coverage PHPK2137435 07/1512020 07/15I2021 Limit of Insurance $127,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD IM, Additional RamNks Schedule, may W aaaehed "mom epaoe B mqulmd) CITY —Its officers, employees, agents, volunteers, and representatives are Included as Additional Insureds with respect to the operations of the named insured subject to policy terms and conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Managemem Division, 4th Floor 20 CIVIC Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 NORA WOLKIDFF il ©19S8-2016ACORDC0Risk Mmugement0iv(sbn ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD I :'�±\: REVIEWED 6 APPROVED BY: F4 F�:.I.: R, V (f.'a4t Ttisk Managemenl Analyst