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Tori Pierson"oalts:202zo,z,0s;'�seo,op ACCA?& CERTIFICATE OF LIABILITY INSURANCE DATE(MM)DD/YYYY) 3/22/2022 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($), 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 NAME:FAX PHONE ' 949-771-3400 Alc No.949-771-3401 ADDRESS, INSURERS AFFORDING COVERAGE NAIC# INSURERA: Nonprofits Insurance Alliance of California 1184 Licenset, 0564249 INSURED z11oc-0000 Pao People for Irvine Community Health dba 2-1-1 Orange County INSURERS: Travelers Casualtyand SuretyCompany of America 31194 INSURER C: INSURER D: - 1505 E. 17th Street, Suite 108 Santa Ana CA 92705 INSURER E : INSURERF: 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. INTR TYPE OF INSURANCE ADDLSUBR POLICYNUMBER POLICY EFF MM/DDIVYYY POLICY EXP MMLICYA YV LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y 2022-03104 2/1/2022 2/1/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Eeoccunence $500,000 MED EXP (Any one person) $ 20,000 PERSONAL$ ADV INJURY- $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY 0 PRO- JECT LOG GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 2022-03104 2/1/2022 2/1/2023 EeeBBINEDD(SINGLE LIMIT $1,000,000 BODILY INJURY (Per percent $ - ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ A HIRED OS ONLY X AUTOS ONLY X PeOr rad.rdt GE A X UMBRELLA LIAB I X OCCUR 2022-03104UMB-NPO 2/l/2022 2/1/2023 EACH OCCURRENCE $8,000,000 AGGREGATE $8,000,000 EXCESS LIAB CLAIMS -MADE DED F I RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y/N PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE OFF ICERIM EMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below B I Odme r — 107377947 2/1/2022 I 211/2023 Emplcyee Theft 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requ lead) 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. q! T PRESENTATIVE ALdeblrtagonglt Dhbfon ttsvlEwFnsnrraaameY: Sib °7wAisebart n 1QRR-VRlA A(:nRn rr RhkM+na9nnmtaMCJAIac ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ''I