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Tod Pierson Tori Pierson DaM 20219m1213001D -DJ'DD' ACORO® CERTIFICATE OF LIABILITY INSURANCE DAM(MMIODNYYY) 1 `I 4121 /2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Venture Pacific Insurance Services, Inc. 111 Corporate Drive Suite 200 Ladera Ranch, CA 92694 NAMEACT Tracy Mullins PHONE AM. No. Exth 949 421-3540 FM nL Na: g4g-297 4911 EMAIL oDRESS: TMullins v isrisk.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Burlington Insurance Company 23620 www.venturepacificinsumnce.com Llc#OD10299 INSURED Protection America, Inc. 21350 Nordhoff St. #104C INSURER B : INSURER C: INSURER D: Chatsworth CA 91311 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: R131437Q REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEJHM ADDL SUER POLICYNUMBER POLICY EFF MMIDD/YYYY1 POLICY EXP (MMIDDlYYYYI LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1Z OCCUR ✓ 398BG02530 4/15/2021 4/15/2022 EACH OCCURRENCE $1000000 DAMA ETO RENTED PREMISES fEa occunence $1 OO 000 ✓ MED EXP (Any one arson) $10 000 Errors S Omissions PERSONAL B ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE' LOG GENERAL AGGREGATE $2,000,000 PRODUCTS -COMPIOP ADS $2000000 $ OTHER: AUTOMOBILE LIABILITY COMBINEOSINGLE LIMIT Ea..do t $ BODILY INJURY (Parperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Par assistant ) $ HIRED F I NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIM& ADE DED I I RETENTION$ $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINI IPER I OTH- STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETORIPARTNERIEXECUTIVE OFFICEWMEMBEREXCLUDEDT NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory, In NH) If yes, desodbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, and representatives are named as additional insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Coverage is primary and non-contributory. 30 Day Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2015 ACORD C(L) ""aolc ""OCJX1O` ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 61314379 21-22 GL W/A1 WOS I Tracy Mullins 1 4/21/2021 3:39:06 PM (PDT) I Page 1 f 4 This car ificate cancels and supersedes ALL previously issued certificates.