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DTORRE ONE0000-01 CERTIFICATE OF LIABILITY INSURANCE DAT12512DIVYYY) 2lIMMiD 22 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 endorsements . PRODUCER License#0757776 HUB International Insurance Services Inc. 4695 MacArthur Court Suite 600 Newport Beach, CA 92660 CONTACT Diana DeLaTorre NA E PHONE (AIC, No, Ext: _ _ (AIC, No): ADOA E s: diana.delatorre@hubinternational.com INSURER AFFORDING COVERAGE NAIC M INSURER A:Philadelphia lndemnitylnsuranceCompany 18058 _ INSURED OneOC 1901 E. Fourth Street, Suite 100 Santa Ana, CA 92705 INSURER B : INSURER C INSURER D INSURER E : INSURER F : RF\ILCVIM NI IMRFR- COVERAGES �cnTHIS 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. ILSR TYPE OF INSURANCE ADDL D SUBR POLICY NUMBER POLICY EFF D VY 1/1512022 POLICY EXP DD 11111512023 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X PHPK2369594 EACH OCCURRENCE - $ 1,000,000 DAMAGE TOED Eaolccure $ 1001000 MED EXP (Any one persom $ 5,000 PERSONAL &ADV INJURY 1,000,000 GE N'L AGGREGATE LIM IT APPLIES PER: X POLICY❑jEO7 LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMPIOP AGG $ 3,000,000 A OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accl $ 1,000,000 BODILY INJURY Per arson $ ANYAUTO X X PHPK2369594 1/15/2022 1/1512023 BODILY INJURY Per accident $ OWNED X SCHEDULED AUTOS ONLY AUTOppSWWNNEEpp X AUTOS ONLY X ARO$ONLV fe0r aicRdent AMAGE $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE - PHUB800132 1/1512022 111512023 EACH OCCURRENCE $ - 4,000,000 AGGREGATE 4,000,000 DED XI RETENTION$ 10,000 MPOY'IALIIT ANUELERSLBIY YIN ANY PROPRE1ABER EXCLUDED' CUTIVE ❑ (Mandatary in NH)EXCLUDED? NIA PER OTH- ER _�. E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE- POLICY LIMIT Each Abuse 1,000,000 A If yes, describe under DESCRIPTION OF OPERATIONS below Sexual Abuse PHPK2369594 1115/2022 111512023 A. Prof. Liability PHPK2369594 1/1512022 1/1512023 Aggregate Limit 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mores ace Is required) RE: MPNA GREEN Programs Revive: Santa Ana Food Supply/Distribution Programs RFP: No.: 22.009A City, Its officers, officials, employees, and volunteers are additional Insured on a primary and non contributory basis as respects to General Liability as required by written contract. General Liability Waiver of Subrogation also applies per same form as required by written contract. Automobile Liablity Additional Insured on a primary and non contributory basis as respects to General Liability as required by written contract applies as per form to follow from carrier. Automobile Liablity Waiver of Subrogation also applies per same form as required by written contract as per form to follow from carrier. SEE ATTACHED ACORD 101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza PO Box 1988 Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE �(�Y['A"• ��- 1 y � REVEEWER^^& gAaPnPRenO/rtrrVDDBY.' � Pf rlGdUrc�4 ACORD 25 (2016/03) ©1988-2015 ACORD I The ACORD name and logo are registered marks of ACORD Risk Management spedalist