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A � CERTIFICATE OF LIABILITY INSURANCE Francine R. nigkallysigned by Frandne R. Villareal Villareal Date: 2021A9.020g5p00-0700' DATE IMMIDp/YYYY) ub/uplzurt 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 NAMEp T Certificate Issuance Team Comprehensive Insurance Services Alc No (949) 709-1668 PHONEn. (949) 709-880SAIllance 26429 Rancho Parkway South _ E, IL ADDRESS: Jeremy@thewm.com Suite 120 INSURER GE NAIC N Lake Forest CA 92630 10023 INSURERA: Nonprofits Insurifornia 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: rnvclanr-ee ...- .vn THIS IS TO CERTIFYTHATTHE 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. LTR TYPE OF INSURANCE IN D yWp POLICY NUMBER MMIUDY/YYFF YY MMIDOIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 PREMISES Me occurrence $ 500,000 CLAIMS -MADE OCCUR MED EXP Anyone person)$ 20,000 A Y 2021-06180 09/01/2021 09101/2022 PERSONAL SADV INJURY $ 1,000,000 GENT. AGGREGATE LI MIT APPLIES PER: POLICY JEST � LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY ANYAU O OWNED SCHEDULED AU OS ONLY AUTOS HIRED NON -OWNED AUTOSONLY AUTOS ONLY 2021-06180 09/01/2021 09101/2022 COMBINED SINGLE LIMIT Ea accident)$ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per PERTYt $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) yes, describe under NIA PER OTH- STATUTE ER $ E.L. EACH ACCIDENT $ E.L. DISEASE EA EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L. DISEASEPOLICYLIMIT $ A Improper Sexual Conduct Liability Social Service Professional Liability 2021-06180 09/01/2021 09/01/2022 $2,000,000/1,000,000 $2,000,000/1,000,000 Aggregate/Ea Clm Aggregate/Ocurr DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, 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. rvorm,r.r� L,..r mr•.. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana ACORD 25 (2016103) CA 92701 SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988.2015 ACORD The ACORD name and logo are registered marks of ACORD Risk Maragement Division BY: [REVIEWED&((A�PPROppV5ED L Risk Management Analyst