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Villareal e,,.. zozonao.o.. am A� �® CERTIFICATE OF LIABILITY INSURANCE F DATE(MMID) 020 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 CONTACT Mark Ulrich NAME: Poms &Associates Insurance Brokers p/c NfJo Ext: (800) 578-8802 A Np: (818) 449-9321 CA License#0814733 E-MAIL muIdch@pomsassoc.com ADDRESS: 5700 Canoga Ave.#400 INSURERS) AFFORDING COVERAGE NAIC# Woodland Hills CA 91367 INSURERA: Philadelphia Insurance Company 18058 INSURED INSURERS: Insurance Company of the West 27847 Working Wardrobes For A New Start INSURER C : 2000 E McFadden Ave INSURER D : Suite 100 INSURER E: Santa Ana CA 92614 INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 MASTER 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 TYPE OF INSURANCE INSD MD POLICY NUMBER POLICYEFF MM/DD/YYYY POLICYEXP MMIDD/VYYY LIMITS X COMMERCIAL GENERALLIABILITY CLAIMS -MADE Fx—] OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurnmcal $ 100,000 X MED EXP(My one person) $ 5,000 Sexual/Physical Abuse PERSONAL&ADV INJURY $ 1,000,000 A Y PHPK2038430 09/17/2019 09/17/2020 GEN'LAGGREGATE LIMITAPPLIES PER %I POLICY PRO- ❑ JECT LOC GENERALAGGREGATE $ 3,000,000 PRODUCTS 3,000,000 Employee Benefits Benefi $ 1$ $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Par person) $ ANYAUTD A OWNED SCHEDULED AUTOS ONLY AUTOS PHPK2038430 09/17/2019 09/17/2020 BODILY INJURY (Par accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000.000 A EXCESS LIAB CvdMS-MADE PHUB693743 09/17/2019 09/17/2020 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEIECUTiVE ❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes,descdbe under DESC DESCRIPTION OF OPERATIONS below NIA WVE504081202 04/17/2020 04/17/2021 X STATUTE PER OTRH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Professional Liability PHPK2038430 09/17/2019 09/17/2020 Each Incident Aggregate 1,000,000 3,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101,AddlOonal Remarks Schedule, maybe attached if more space Is required) RE: The City of Santa Ana Program P2E Certificate Holder, its officers, employees, agents and representatives are named Additional Insureds with respects to General Liability per attached form. Primary non contributory applies(fonn to follow). Cancellation applies per attached form. City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza 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. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD REVIEWED & APPROVED BY: e� Flex Z Ya(A"d Risk Management Analyst