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CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDYYYY; <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER?THit <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P R THIf <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE[ <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: 111 the certificate holder is an ADDITIONAL INSURED, the policy(tes) must hwe provisions or be endorsed <br />coADDITIONAL INSURED <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). require an endorsement. A statement or <br />PRODUCER <br />Arthur J. Gallagher & Co. NAMEcoNTACT <br />; <br />Insurance Brokers Of California, Inc. LIC# 0726293 PHONE <br />1255 Battery Street #450 E-MAIL A/C No <br />San Francisco CA 94111 ADDRESS: <br />INSURED <br />Orange County Conservation Corps <br />1853 North Raymond Avenue <br />Anaheim, CA 92801 <br />-- " ""••••-•��• 1100ZOU/4/ REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES UI INSURANCE LISTED BELOW HAVE BEEN ISSUED rO 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. R TVPP nF wsucnn,..� ADO[ SUBR <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />L AGGREGATE LIMIT APPLIES PER <br />POLICY PRO- ❑ <br />ElPRO- <br />LOC <br />AUTOMOBILE LIABILITY <br />ANYAUTO- <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY HAUTOS ONLY <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB ,,, <br />E I N/ A l I NPU-WCG 001.2021 <br />e %SWC Buffer Layer ABL1000013-00 <br />SP4064079 <br />BODILY INJURY perm) <br />BODILY INJURY fper acn4Voe <br />1/1/2021 1 1/l/2022 <br />1/1/2011 111121122 XSaf$500,000 <br />1/1/2021 1/1/2022 XS of$75D,000 <br />XS of $750,000 <br />DESCRIPTION OF OPERATIONB 1 LOCATIONS 1 VEHICLES (ACORD 101, Additlonal Remarks Schedule, maybe attached if more space Is regalred) <br />City of Santa Ana <br />20 Civic Center Plaza <br />4th Floor <br />Santa Ana CA 92701 <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 />REPRESENTATIVE <br />ACORD 25 (2016/03) <br />Th.. Arnon ____ <br />REVIEWED & MPROV@ BY: <br />L. .._ - m Ir.ke I <br />