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Villareal <br />Villarical Dahe. 2021MM2 MSri MAJ'INV <br />A� D® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMDDIYYYY) <br />OB/05/2021 <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 ACONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />PHGNE (949) 709-8800 FAX (949) 709-1668 <br />AC No Ext:INC, No: <br />26429 Rancho Parkway South <br />EMAILJeremy@thecomprehensiveinsurance.com <br />ADDRESS: <br />Suite 120 <br />INSURER(S) AFFORDING COVERAGE <br />NAICe <br />Lake Forest CA 92630 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURER B: <br />America On Track <br />INSURER C : <br />600 W Santa Ana Blvd' <br />INSURER D <br />Ste. 710 <br />INSURER E <br />Santa Ana CA 92701 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CL218505342 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDIL <br />INSD <br />SUmmPOLICY <br />MD <br />POLICY NUMBER <br />EFF <br />D/YYYY <br />POLICY EXP <br />MWDDIVYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE EXR OCCUR <br />EACHOCCURRENCE <br />$ 1,000,000 <br />PREMISES Eaocounence <br />$ 500,OOo <br />MEDEXPAn oneperson) <br />$ 20,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />2021-06180 <br />09/01/2021 <br />OW01/2022 <br />GEN'LAGGREGATE UMITAPPLIES PER: <br />POLICY ❑ JECOT LOC <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILELIVIBIUTY <br />COMBINED SINGLELIMIT <br />l <br />$ 1,000,000 <br />X <br />INJURY person) <br />$ <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />2021-06180 <br />09/0112021 <br />09/01/2022 <br />INJURY accident) <br />$ <br />HIRED NON-0WNED <br />AUTOS ONLY AUTOS ONLY <br />DAMAGE <br />nl8 <br />$ <br />WAGGREGATE <br />UMBRELLA LAB <br />OCCUR <br />URRENCE <br />$ <br />E <br />$ <br />EXCESS LAR <br />CLAIMS -MADE <br />DED <br />I I RETENTION S <br />g <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, describe ure. <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Improper Sexual Conduct Liability Social <br />Service Professional Liability <br />2021-06180 <br />09/0112021 <br />09/01/2022 <br />$2,000,000/1,000,000 <br />$2,000,00011,000,000 <br />Aggregate/Ea Clm <br />A re ate/Ocurr <br />99 9 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. maybe scathed If more space is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or <br />memorandum of understanding per attached endorsement CG2026. Such insurance as is afforded by this policy shall be primary, and any insurance carried <br />by Cityshall be excess and noncontributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for <br />non-payment of premium per policy provision. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana <br />ACORD 25 (2016103) <br />CA 92701 <br />SHOULDANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />CoZFI:I:bbi61 <br />The ACORD name and logo are registered marks of ACORD <br />e yp NaRI anagemacm Until <br />o REmEViEO ✓S< APPROV®Sr. <br />l�LL1J?;' F ..rL+a R. V:CP.LTuI <br />EFIRTRy M,, <br />Risk Management Analyst <br />