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ACOR& CERTIFICATE OF LIABILITY INSURANCE D01/28/2021IDD/YY/28 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ProAction Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />710 E. Parkridge Ave. Suite 103 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Corolla, CA 92879 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURED I A: TDC SPECIALTY INSURANCE COMPANY -- <br />360 Health Plan Inc. <br />3660 Park Sierra Dr. Ste 110 <br />Riverside, CA 92505 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD'L <br />INSRD <br />TYPE OF INSURANCE <br />POLICYNUMBER <br />POLICY EFF DATE <br />(MMIDDIYYYY) <br />POLICYEXP DATE <br />JMMIDDIYYYY <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />%i. CLAIMS MADE ❑ OCCUR <br />Retro Dale: 9/8/2020 <br />MFP-01594- <br />20-00 <br />9/8/2020 <br />9/8/2021 <br />EACH CLAIM <br />$11000,000.00 <br />AGGREGATE <br />$ 3,000,000.00 <br />FIRE&WATER LEGAL LIABILITY <br />(SUBLIMIT) <br />$ 250,000.00 <br />EACH CLAIM DEDUCTIBLE <br />$ 5,000.00 <br />DAMAGE TO RENTED <br />PREMISES <br />$ 50,000.00 <br />MEDICAL EXPENSES <br />$ 5,000.00 <br />EACH LEGALOEFENSE <br />PROCEEDINGS <br />$ 50,000.00 <br />AGGREGATE for all LEGAL <br />DEFENSE PROCEEDINGS <br />$ 50,000.00 <br />WORKERS' COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />X <br />WC STATU- <br />TORY LIMITS <br />OTHER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE -EA EMPLOYEE <br />E.L. DISEASE -POLICY LIMIT <br />A <br />PROFESSIONAL LIABILITY <br />Retro Date: 9/8/2020 <br />MFP-01594- <br />20-00 <br />g/8/2020 <br />9/8/2021 <br />EACH CLAIM <br />$ 1,000,000.00 <br />AGGREGATE <br />$ 3,000,000.00 <br />PHYSICAL <br />HYSICMISCOLASE I SEUAL <br />$ 100,000.Bo <br />PHYSICAL ABUSE/SEXUAL <br />MISCONDUCT (SUBLIMIT) AGO. <br />$ 300,000.00 <br />EACH CLAIM DEDUCTIBLE <br />$ 5,000.00 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />AUTHORIZEZRENTATIVE <br />f � ` <br />