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Tori Pierson oat"e...0 085 TortPierson A� & CERTIFICATE OF LIABILITY INSURANCE DATE/(MMID212YY) 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 (OC) Heffernan Insurance Brokers 18004 Sky Park Circle, Suite 210 Irvine CA 92614 CONTACT PHONE FAX - 949-771-3400 c o : 949-771-3401 n DRESS: INSURERS AFFORDING COVERAGE NAICO INSURER A: Nonprofits Insurance Alliance of California 1184 Lice se : 0564249 INSURED 211OC-0000 People for Irvine Community Health dba 2-1-1 Orange County INSURERS: Travelers Casualty and Surety Company of America 31194 INSURER C: msuRERo: 1505 E. 17th Street, Suite 108 Santa Ana CA 92705 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 725273463 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 INSURANCE ADDLB BR POLICYNUMBER POLICYEFF MMIDD POUCYEXP MM/OD/YYYY LIMITS A X COMMERCIALGENERALUABILITY CLAIMS -MADE Fx] OCCUR Y 2022-03104 2PI/2022 2/1/2023 EACH OCCURRENCE $1,000000 PREMISES Ea ocwneET RELATE nrs 8500,000 MED EXP (Any oneperson) $ 20.000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT FX] LOC GENERAL AGGREGATE $2,000.000 PRODUCTS-COMPIOPAGG $2.000,000 $ OTHER: A AUTOMOBILE LIABILITY 2022-03104 2/1/2022 2/1/2023 COMBINED SINGLE LIMIT Ee .cadent $1,000.000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS I INJURY Per accident BODILY I ( ) $ X HIRED X NON NED AUTOS ONLY AUTOSS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR 2022-03104UMB-NPO 2/1/2022 2/1/2023 EACH OCCURRENCE $8,000,000 AGGREGATE $8.000.000 EXCESS LIAB CLAIMS -MADE DIED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ AN W ROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED4 NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below B Crime 107377947 2/1/2022 2/1/2023 Employee The 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Agreement #A-2021-069-05. The City of Santa Ana, its officers, agents, employees and volunteers are included as additional insured (and primary) on General Liability policy per the attached endorsements, if required. 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. 'RE/SEENT/ATIVE ` RWr Manageamtpmmam tEl 1VRR.7n75 ArnRn r( RskM.nage„mrClaiulAide ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD v N