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Olgltally nlgned by rmndne R. <br />Francine R, Villareal Villareal <br />ACGOR a� CERTIFICATE OF LIABILITY INSURANCE D DATE (MMIOD VYYY) <br />4/21/2021 <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, ANDTHE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(los) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement($). <br />PRODUCER Venture Pacific Insurance Services, Inc. <br />111 Corporate Drive Suite 200 <br />Ladera Ranch, CA 92694 <br />°rA E Al Trao Mullins <br />ON1.E i0. 949-421.3540 PAXJAM No • 949.297-4911 <br />.MAIL <br />ADDRESS, TMulllns v Isrisk.mm <br />INSURERSAFFORDINO COVERAGE <br />NAIC# <br />www.venlurepacificlnsurance.com I..IdF0D10299 <br />INSURERA: Burlln Ion Insurance Company <br />23620 <br />INSURED <br />Protection America, Inc. <br />21350 Nordhoff St. #104C <br />INSURER e: <br />INMURENC: <br />INSURERS: <br />Chatsworth CA 91311 <br />INSURERS: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 91a1AN79 REVISION MNMRFR- <br />'PHIS 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 />ILTR <br />TYPE OF INSURANCE <br />ADOL <br />also <br />BURR <br />MAID <br />POLICYNUMBE <br />PDLICYEFF <br />MMmO <br />POLIC <br />DDY EXP <br />LIMITS <br />A <br />OOMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE 7 OCCUR <br />Errom & Dmlaalon& <br />398BG02530 <br />4/15/2021 <br />4/15/2022 <br />EACH OCCURRENCE <br />$1000000 <br />PREMISES euow,mnne <br />$100000 <br />MED EXP (Anyone .man) <br />$10 Ogg <br />PERSONAL& ADV INJURY <br />$1000000 <br />GENLAGGREGATE UMfT APPLIES PER: <br />POLICY❑✓ JECTPRO, LOG <br />OTHER: <br />OC•NERALAGGREGATE <br />$2A00,000 <br />PRODUCTS-COMPIOP ADD <br />$2000000 <br />$ <br />AUTOMOBILELIABILITY <br />ANY AUTO <br />OWNED aCHEOULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTO$ ONLY AUTOS ONLY <br />CO BINEDSINGLE LIMIT <br />Ea aaddent <br />$ <br />BODILY IWURY(Par person) <br />$ <br />BODILY INJURY Peracddeol <br />I I <br />$ <br />PROPERTY DAMAGE <br />per esddenl <br />$ <br />d <br />UMDRELLA UAD <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEO RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS- LIABILITY y)N <br />ANYPROPRIETORIPARTNEWEXECUTIVE ❑ <br />OFFICERIMEMBEREXCLUDEDY <br />(Mandaten/ Ile NH) <br />If yes, deecdbe under <br />DESCRIPTION OF OPERATIONa b.1W <br />NrA <br />P OTH- <br />STATUTE E <br />E.L. EACH ACCIDENT <br />$ <br />E.L.msEASE-EAEMPLOY <br />$ <br />E.L.DISEASE•POLICYLIMIT <br />$ <br />DESCRPTION OF OPERATIONS f LOCATIONS I VEIIICLCS (ACORD IOU Addlttsnol 130MURB schedule, may be aflaehad R mote apace w regelmd) <br />The City of Santa Ana, its officers, employees, agento, and representatives are named as additional Insured on this policy pursuant to written <br />contract, agreement, or memorandum of understanding. Coverage Is primary and non-wnlrlbutory. <br />30 Day Notice of Cancellation with 10 Days Notice for Non -Payment of Premium In accordance with the -policy provisions. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELWERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />The ACORD name and logo are registered marks of ACORD <br />@REA0419) & APPROVII7 BY: <br />r'4acadkW Z Vt" <br />Risk ManapRment Analyst <br />a131437e �aL-aa nc w/nx caBOR I Tracy Mellins n/za/xoza s,av:os PN (nDs) I ea Toe a <br />This car ificate ncels and supersedes ALL previously issued certi Etastes. <br />