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Francine R. Villareal vaaraai - <br />CERTIFICATE OF LIABILITY INSURANCE °^*E,M�Yyy <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 1 <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIEI <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEI <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate h Id <br />If SUBROGATION IS WAIVED, subject to the Dterms a DIdLconditionDs of <br />this certificate does not confer rights to the certificate holder In lieu of <br />PROBUCER <br />Arthur J. Gallagher & Co. <br />Insurance Brokers of CA., Inc. <br />505 N Brand Blvd, Suite 600 <br />Glendale CA 91203 <br />INSURED <br />Orange County Conservation Corps <br />1853 N. Raymond Ave. <br />Anaheim, CA 92801 <br />certain policies may require an endorsements A statement of <br />sement(s). <br />THIS IS TO CERTIFY THAT THE POLICIES OFUI INSURANCE LISTED BELOW HAVE BEEN ISSUED ri THE INSUREDENAISIOIi MED ABOVEB OR, THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM A CONDITION D 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R Aool-sueR R TYPE OF INSURANr.P <br />A X COMMERCIAL GENERAL LIABILITY Y <br />ru4GY NUMBER <br />MM%DD%Y`ryy <br />PM/DD—EXJ <br />' <br />CLAIMS-MADElxl OCCUR <br />PAC 5154680 17 <br />10/1/2021 <br />10/1/2022 <br />EVIL AGGREGATE LIMIT APPLIES PER: <br />X <br />POLICY ❑ JECOT 0 LOC <br />OTHER: <br />B AUTOMOBILELIABILITY <br />X ANYAUTO <br />CAP 0991249 08 <br />1 D/l/2021 <br />10/1/2022 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />A X UMBRELLA LIAR X <br />OCCUR <br />UMB 560379517 <br />EXCESS LIAR CLAIMS -MADE <br />10/1/2021 <br />10/l/2022 <br />DED X RETENTION$ <br />WORKERS COMPENBATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICERIMEMBEREXCLUDEDI ❑ N/A <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A Abuse and molestation <br />PAC 5154B80 17 <br />10/1/2021 <br />1 D/1/2022 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1a1, Additional Remarks Schedule, may be t atached If more space Is required) <br />Policy: Professional Liability <br />Policy #: PAC 5154680 17 <br />Carrier :Great American Alliance Insurance Company <br />Policy Term: 10/01/2021-10/01/2022 <br />Per Claim: $1,000,000 /Aggregate: $3.000,000 <br />Abuse is included under the Umbrella. <br />RE: Agreement Number: A-2021-112.- A-2020-142 I Project: Youth and Dislocated Worker Training, <br />See Attached... <br />City of Santa Ana <br />Risk Management Division, <br />20 Civic Center Plaza, 4th floor <br />Santa Ana CA 92701 <br />$1,000,000 <br />BODILY INJURY (Par acvidenf) $ <br />� ae�wouu <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2016/03) <br />The ACORD <br />„-ea.,so �MA+�LmunED[viafon <br />C Qt. REVIEWED&APPROVED By. <br />©1988-2015 ACORD C I i" - <br />im"110 f .: A 11.1hs-. _.a <br />