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Francine R.° I°I'IB'P9T°a3 <br />Villareal u,..zoan.D6«0..a.,M <br />ON <br />COlCLi CERTIFICATE OF LIABILITY INSURANCE OATE(MN1YYYI <br />oTr3a202zoao <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: R the certificate holder Is an ADDITIONAL INSURED, the pollcy(tes) must have ADDITIONAL INSURED provisions Or be Bodo; ed. <br />It SUBROGATION IS WAIVED, subloct to the terms and conditions of the policy, celfaln policies may require an andamoment A statement On <br />PA0011cm <br />Dickerson Insurance Servioos on Alcm Group Company <br />1918 Riverside Drive, Los Angeles, CA 90039 <br />License Y.0M29112 <br />INSURED <br />Charitable Ventures of Orange County <br />4D41 MacArthur Blvd fie 10 <br />Newport Beach, CA 92960.2503 <br />COVFRAGFR CERTIFICATE NUMBER' <br />Fill. /w.1Tt-T <br />Ic1iIIFTr 1?B1tll ;1=1;i:A <br />39152 <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 />N R <br />TYPEOPINSURANCE <br />CY U WR <br />LI <br />N <br />LIMITS <br />A <br />COMMERCVU-SENEPALDABILITY <br />CLAIMS -MADE ® OCCUR <br />Sexual / Physical Abuse <br />Y <br />PHPK2137435 <br />071162020 <br />07116/2021 <br />PACN OCCU gENCa <br />s 1.000A00 <br />I A FERTk o <br />ED BxP tA.v cue pemon <br />$ 100,000 <br />6,000 <br />PERSONALSADVINJIIRY <br />1,000,000 <br />GENI-AGGREGATE LIMIT APPLIES PER: <br />POUCY ❑,ECT L1LOC <br />GENERAL AGGREGATE <br />a 2,000,000 <br />PRODUCTS- PAGO <br />S 2,060.000 <br />S/PA AGGREGATE <br />1 300,000 <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />°Urea° $CHfiWlEO <br />HIRED IR ONLY <br />HAD <br />AUTOS ONLY AUrO80NLY <br />Y <br />PFIPK2137435 <br />071152020 <br />07/152021 <br />BI DSINDL6 LI IT <br />5 1,000,000 <br />BODILY INJURY War Pamun) <br />S <br />BODILY lwuiFy ewdeml <br />s <br />A a <br />_ <br />= <br />d <br />A <br />uMBREUALIAD <br />MDESS LIAS <br />(=UR <br />CLAIMS -MADE <br />Y <br />PHUB723821 <br />07/1512020 <br />07/162021 <br />EACH OCCURRENCE <br />4.000,000 <br />AWREGATa <br />S 4,000.000 <br />DED 10,000 <br />a <br />B <br />wOfUERSCOMP SATION <br />AND EMPLOYERS• LIABllltt <br />ANY PROR41MWPARTNZPJFXECAnME YIN <br />oFRcewNeNe excwoem �Y <br />IMandefory In NH <br />It S. ddeddbd <br />Sc <br />MIA <br />SATIS0326700 <br />0%/182020 <br />07H 82021 <br />fi.L. EACH ACCIDfiNT <br />1,000,000 <br />H.L. WBfiASH-EA fiMPI.OYfi <br />a 1,000,000 <br />BL DISEASE -POLICY LIMIT <br />9 1,000,000 <br />A <br />Property l Equipment Coverage <br />PHPK2137435 <br />07/1b2020 <br />07I16120T-1 <br />mite Insurance <br />1 7,000 <br />DESCPoPnON OF OPERATIONS ILOCATIONS f VEHx1LES (ACORD 101. Additional RemaMa SeNdub, mar M aaecred If mo,o spew Is towi:oH) <br />CITY --Its officers, employees, agents, volunteers, and representatives are Included as Additional Insureds with respect to the operations of the named Insured <br />subject to policy terms and conditions. <br />ACORD 26 <br />City of Santa Ana <br />Risk Management Division, 41h Floor <br />20 Chic Center Plaza <br />Santa Ana, CA 92702 <br />ncil <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTNOR122ORHPRESENTATME <br />NORA WOLKOFF <br />1 <br />— 313 <br />Nw*eo 6 APPRCMeD BY: <br />Rick Mand9rmant Analyst <br />