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""nny""b, rand„. n. <br />Francine R. Villareal V11flaraal <br />"'e"'.... sa:"9 (P ID: MN <br />A4cli`�✓ CERTIFICATE OF LIABILITY INSURANCE <br />GATE06110/20211012021 <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 is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Alliance Mgt. & Insurance Sew <br />355 Via Vera Cruz #7 <br />CA AgentlBroker Lic#0737966 <br />San Marcos, CA 92078 <br />Michelle A. Nowell <br />CONTACT Michelle Nowell <br />PHONE FAX <br />AICNOEXt:760-471.7116 A/c,Ne:760-471-9378 <br />E-mnowellamiscorMAIL <br />ADDREss: mnowell@amiscorp.com <br />PRODUCER <br />CUSTOMER ID #: RCSIN-1 <br />INSURER 5 AFFORDING COVERAGE <br />NAIC # <br />INSURED RCS Investigations & <br />Consulting, LLC <br />PO Box 29798 <br />Anaheim, CA 92809-9798 <br />INSURERA:Peleus Insurance Company <br />34118 <br />INSURER B <br />INSURER C : <br />INSURER D : <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />III <br />TYPE OF INSURANCE <br />DDL <br />UBR <br />POLICYNUMBER <br />MMIDDmVV <br />MMIDCY EXP <br />DIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADEIII OCCUR <br />X <br />X <br />PKV0000663 <br />06/1912021 <br />06119/2022 <br />PREMISES Ea occurrence <br />$ 100,00 <br />MED EXP(Any one person) <br />$ 5,00 <br />PERSONAL&ADV INJURY <br />$ 1,000,00 <br />X Errors & Omission <br />GENERAL AGGREGATE <br />$ 4,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGE <br />$ 1,000,00 <br />X POLICY 7 PRO- El LOG <br />- <br />A <br />$-AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />PKV0000663 <br />0811912021 <br />0611912022 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,00 <br />BODILY INJURY(Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY(Peraccident) <br />$ <br />X <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(PER ACCIDENT) <br />$ <br />X <br />NON -OWNED AUTOS <br />$ <br />$ <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 1,000,00 <br />AGGREGATE <br />$ 1,000,00 <br />A <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />UMV0000182 <br />0611912021 <br />0611912022 <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION s <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE❑ <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />WC STATU- OTH- <br />TORYLIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Professional Liab <br />PKV0000663 <br />0611912021 <br />06/1912022 <br />Occurrence 1,000,00 <br />Aggregate 5,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1 1, Additional Remarks Schedule, If more space Is required) <br />Cit ,Qf Santa Ana its officers,a ents emplo ees, n voluunteers are named as <br />additional insured with respec�s to the woryk pe ormed by named insured. <br />Primary Wording and Waiver of Subrogation Included. <br />Investigation, CA - - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza 4th FI AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702-1988 ll��, RkIrManaganardDMNmt <br />:y \�� REVIEWED & APPROVED By. <br />©1988-2009 ACORD CO I 444'i4#+e Z, V1," <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 1 1111 Risk Management Analyst <br />