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D101tafly x0nod by Fm W pq R <br />Frandne R, VIIlarea) YN..ml <br />Da&n=10a717M <br />AC RV CERTIFICATE OF LIABILITY INSURANCE <br />L4 0700 <br />DATEIMMMO <br />1 0 n <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 certificate holder la an ADDITIONAL INSURED, the pollcy(Ies) must he" ADDITIONAL IN6UITE4 provisions or he endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditlons of the policy, certain policies may require an endorsement. A statement on <br />Ihts certificate does not confer rights to the Certificate holder in ileu of such andorsement s . <br />PRODUCER <br />Bewermaster & Associates <br />10808 Holder St <br />Ste 350 <br />NAM"Ei °T Lizelte Orozoo _ <br />P ° E • 714-733.8246 <br />'n'UL lorozao bawermaster,com <br />Cypress CA 90630 <br />INSURE a AFFORDING COVERAGE <br />NAICB <br />INSUR A I Philadelphia Indomnit insumnee <br />16058 <br />INeUREO atupbU-01 <br />F is Street <br />1091IlluminationBatavia <br />1091 N. Batavia Street <br />INSURERS: Redwood Flre &Casual Insurance <br />11673 <br />INSURERC: Nonprofits' Insurance Alliance of California <br />INSUMD: <br />Orange CA 92867 <br />INeDRERa: <br />INBURERFI <br />GERIIFICATE <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 />Iim NBR <br />TYPE Of INSURANCE <br />=0441 <br />POLICYNUMBER(IPMOILDIM91 <br />POL P <br />LIMn3 <br />C <br />X <br />OOMMERCIALGBNERAL LIABILITY <br />CLAIM8ddADE 71 OCCUR <br />ProNahllity <br />Y <br />2020.24712 <br />_ <br />911512020 <br />9/1512021 <br />EA��t1�URRENCE <br />81.000000 <br />" a ante <br />MEDEXP a ape arson <br />$500.000_ <br />X <br />$20000 <br />PERSONAL &ADV INJURY <br />s1000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />X POLICY g� LOG <br />OTHER: <br />GENERAL AGGREGATE <br />$3.000.000 <br />PRODUCTS•COMPlOPA00 <br />$300Q000 <br />$ <br />0 <br />AUTOMOBILEUABILITY <br />X <br />X <br />ANYAUro <br />OWNED SCHEDULED <br />AUTOS ONLY AUT0.4 <br />Autos ONLY x ON-OWNED <br />ONLY <br />2020.24712 <br />0/1612020 <br />011512021 <br />a msl EUM <br />$1,000,000 <br />BODILY INJURY (PorParaon) <br />S <br />90GLV INJURY (Per acadanq <br />S <br />ROPER DAMAGE <br />$ <br />$ <br />C <br />X <br />UMBRELLALIN X <br />EXCESS LIN <br />OCCUR <br />CLAIMS -MADE <br />2020.2r1712-UMB <br />8f1a12020 <br />a11572021 <br />EAcxOeGVRRENCE <br />$7400,000 <br />AGGREGATE_ <br />$7000000 <br />DED I I REreNT10N <br />$ <br />a <br />WORKERBCOMPRNSATION <br />AND EMPLMRS' LIABILITY YIN <br />NYPROPRIEroP/PARTNFPJEXECUTNE <br />OFFICERIMEMOERFJ:CLUDED9 El <br />(Mamktary In NH) <br />Ityaa, AMPTI ba Wear <br />bE9CRIPnON �OREpAnONS bat <br />NIA <br />ILVV0107887 <br />1/1/2020 <br />1IM021 <br />X I 55 <br />E,L. EACH AOCItlkY1T <br />IrIA ,D00 <br />E.L.DISEASE-EAEMPLOY <br />$1,000000 <br />E.L. DISEASE •POLICY LIMIT <br />$1,000000 <br />A <br />G <br />Cmurimlal Cyba LlnbOXy <br />Improper SexuelCalAud <br />PHS131576488 <br />2020-2A712 <br />911rV2020 <br />9f95/2020 <br />9Ji6/2021 <br />W1512021 <br />A88 O,WO,OWIEatl1 <br />Aw: 1,000,000Each <br />$1,000,000 <br />$1,00000 <br />DE$CPJ"ION OF OPSRATIONSILOOATIONS IVENCLES (ACORD 001, Addlltonnl Remarko aahedolu, may bo attached Amore opaoa b requlre,q <br />City of Santa Ana, Its officers, employees, agents, and volunteers are Additional Insured with respects t0 General LIab8lty per attached endorsement form; <br />Primary and Nan -Contributory warding applies per attached endorsement form. <br />30•day nD6De of cancellation Is provided per policy provlslons. <br />Cify 0' <br />Santa Ana <br />Risk Management Division <br />20 Civio Canter Plaza, 4th Fir <br />USA Ana CA 92702 <br />SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POUCYPROVISIONS. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />1tla4ManggeMNiElHvtetgrl <br />CCR MMKO&ApAP1P,R,.On�VaFE��)�S�r�d <br />r'M144A4r4 Tv I<i*AVkwd <br />RgkMan0y0mentAnRMI <br />