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,ACC)'R a CERTIFICATE OF LIABILITY INSUI',mWigItaII�/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO OR IM BEROW.CATE DOES TH S CERTIFIC ATE OF 11NSURAER TH IVELNCE DOE5AT T TI TI gXNJ 7 TTBETWEEN0, R N H %W,�eOLCIESISREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDE pyy��jg� AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADITION. - S i 5 r be endorse If SUBROGATION IS WAIVED, subject to the terms and nditions of the policy, certain poll may re i an endorsement. A statement on this certificate does not confer rights to the certificate j1dider' u etiilq~e2illi PRODUCER M rtiF t 1$$I, e 2 ate Comprehensive Insurance Services WHONIFAMO '41i0lal 70PMO I F t (949) 709-1668 A o EXI: AID No: 26429 Rancho Parkway South E-MAIL ,je my@thecompr e I r e+ ADDRES`.. _ Suite 120 INSURER S A 0 IdI'i O RATi AIC k Lake Forest CA 92630 lNf JRF A: Nonprofits Insurance Alliance of California 10023 INSURED INSURER B America On Track INSURER C : 600 W. Santa Ana Blvd. INSURER D Ste. 710 INSURER E : Santa Ana CA 92701 INSURER F: rr1VPMAOFC rP0TICICATc MI IIJIRCQ- CL21R505342 ocemm�M ormoce. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AUDL5UBH INSD MID POLICYNUMBER POLICY EFF MMIDDIYVYYl POLICYEXP pMMVDDA`YYYI LIMITS x COMMERCIAL OENERALLIABILITY CLAIMS -MADE I OCCUR EACH OCCURRENCE $ 1.000,000 PREMISES His occurrence $ 500,000 MED EXP (Any one an $ 20,000 PERSONAL A ADV INJURY $ 1,000,000 A Y Y 2021-06180 09/01/2021 09/01129122 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY 0 jRo- ® LOC GENERALAGGREGATE $ 3.OD0.000 PRODUCTS -COMPIOPAGG $ 3,000,000 $ OTHER: AUTOMOBILE UABIUTr COMBINEDSINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 2021-06180 09/01/2021 09/01/2022 BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Peracciden[ $ IDMBRELLALIAB OCCUR EACH OCCURRENCE $ 1,000.000 AGGREGATE $ 1,000.000 A EXCESS LIAB CLAIMS -MADE 2021-06180-UMB 05/18/2022 09/01/2022 DED F 11 RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIEPORIPARTNEWEXECUTIVE El OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatary In NH) If yes, describe under EL.DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Improper Sexual Conduct Liability Social Sewice'Professional Liability 2021-06180 09/01/2021 09/01/2022 $2,000;00011,000l009 $2.000,00011,000,000 Aggregate/Ea Clm Aggregate/Ocurr DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD i0l, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding per attached endorsement CG2026. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. Waiver of Subrogation applies per attached endorsement NIAC E26. 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. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 ,:. Ride Dhirflwl gi+Y en N% MRIVgeTOlt g�� REVIEWED 6 APPROVED Br. ©1988.2015 ACOF Shclll lf�l_y A+f*a ACZV4 A ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD `' Risk Management specialist