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KINGCAU-Cl Uigitall I� N RAS <br />CERTIFICATE OF LIABILITY I i by A gp631812 DI022 <br />_ 3/8/22 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON Tr,E � QOLDER. THIS <br />CERTBELOW CATHIS CERT F CATEFIRMATOF INSURANCE DOES NOTTE DOES NOT AFIVELY ORLCONSTIV U,TEXND AECONTRAP IF ' I" .FW9 R Ill n5X <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. i <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIO14A'_ INSURED provisions or be en orsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may ,equire an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(sl. <br />PRODUCER ­1" n " <br />WBA Insurance <br />13304 Philadelphia St <br />Suite 200 <br />Whittier, CA 90601 <br />INSURED <br />Kingdom Causes dba City Net <br />4608 Atlantic Avenue, Ste 292 <br />Long Beach, CA 90807 <br />[AZ, IJo, Ext): (562) 789-5704 1 ('a/c, No): (562) 789-5804 <br />E-MAIL... maadaftwbainsurance.com <br />INSURER F : <br />Philadel <br />COVERAGES CERTIFICATE NUMBER: REVISION Nl1MRPP- <br />18058 <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MIDD <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />X <br />PHPK2368078 <br />1/11/2022 <br />1/11/2023 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 100,000 <br />MED EXP (Any oneperson) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY JECT LOG <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />$ <br />BODILY INJURY Perperson) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X <br />PHPK2368078 <br />1/11/2022 <br />1/11/2023 <br />BODILY INJURY Per accident <br />$ <br />PROPERTYDAMAGEAUOS <br />Per accident <br />$ <br />X <br />N-VVNED <br />HIRED E�NO <br />ONLY ATOS ONLY <br />UM13RELLALIA13 <br />H <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEgEXCLUDED? <br />(Mandatory m NH) <br />If yes, describe under <br />NIA <br />STATUTE �RH <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liabili <br />X <br />PHPK2368078 <br />1/11/2022 <br />1/11/2023 <br />Claims Made/2mil agg <br />2,000,000 <br />A <br />Sexual/PhysicalAbuse <br />X <br />PHPK2368078 <br />1/1112022 <br />111112023 <br />Or Molestation -Occur <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />10 Days Notice of Cancellation for non-payment/ 30 Days Notice other than non-payment- Coverage is Primary & Non Waiver Subrogation <br />-Contributory. of <br />Included. <br />The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named additional insured with respects to the <br />operations of the named insured per the attached CG20260413 endorsement. Such insurance is primary and non-contributory. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />"rahri <br />REVIEWED & APPROVEDBY: <br />ACORD 25 (2016fO3) ©1988-2015 ACORD 1 — `� Risk vhnQment spci,list <br />A,$s:ti A <br />The ACORD name and logo are registered marks of ACORD <br />