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Last modified
8/16/2022 10:39:17 AM
Creation date
8/16/2022 10:38:14 AM
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Contracts
Company Name
KINGDOM CAUSES dba CITY NET
Contract #
A-2022-139-02
Agency
Community Development
Council Approval Date
7/19/2022
Expiration Date
12/31/2022
Insurance Exp Date
1/11/2023
Destruction Year
2027
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KINGCAU-C1 Digital) RAS <br />AtC"etn° CERTIFICATE OF LIABILITY IVNMqj& by A gP@T31812 DI022 <br />_ 318122 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T'_,E t- IN WOLDPEgR�.THIFISCETIFIS <br />ATE DOES NOT THIS CERT ATE AFFIRMATIVELYND OR <br />BELCCERTIFICATE O M INSURANCE DOES NOTLCONSTITUTEY AMEND, XAE <br />OWCONTRAE1 IF ' !^ �1a4�1C�''i R44.1{ plkiit,l lk'� <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _ I t <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONA'„ INSURED p avtslohs or b Zn 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 endorsements . <br />PRODUCER License# OD79617 <br />o GT Magda Contreras <br />WBA Insurance <br />13304 Philadelphia St <br />Suite 200 <br />Whittier, CA 90601 <br />aNe P x <br />�i>7c, No,EXr: (562) 789-5704 No:(562) 7B9-5804 <br />Ss. magda@winainsurance.com <br />INSURERI3I AFFORDING COVERAGE <br />NAICN <br />INSURERA: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />INSURER B: <br />INSURERC: <br />Kingdom Causes dba City Net <br />4608 Atlantic Avenue, Ste 292 <br />Long Beach, CA 90807 <br />INSURER D: <br />INSURER E; <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />Lm <br />- TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MIDO <br />POLICY EXP <br />M1 AIDD / <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />'PHPK2380078 <br />1/1112022 <br />111112/23 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />°FElhilsE��E3Epam ng') <br />'$ 100,000 <br />NEC EXP sy ore person) <br />. $ 6 000 <br />PERGONAL&ADV INJURY <br />$ 2,000,000 <br />AGQREGAE LIMIT APPLIES PER: <br />POLICY jpT LOC <br />GENERALAGGREGATE <br />$ 4,000,000 <br />GEN'L <br />X <br />PRODUCTS-COMPlOP AOG <br />$ 4,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMeI EDSINGLE LIMIT <br />L <br />(Ea acc dent) <br />1000,000 <br />� <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />A�U�Iq-08 ONLY AUTOS <br />ANDS ONLY X AVTOS ONLY <br />X <br />PHPK2368078 <br />1/11/2022 <br />1/1112023 <br />BODILY INJURY_{perperson) <br />$ <br />BODILYBOODILY INJURY{Paraooldent <br />- <br />s <br />0PER� nl AMAGC <br />$ -- <br />UMBRELLA LIAS <br />OCCUR <br />EACH OCCURRENCE <br />; <br />AGGREGATE <br />_ <br />$ <br />EXCESS LIAB <br />CLAIMS MADE <br />RETENTIONS <br />ggBED <br />AND EMPLOVERSLIAB�ON YIN <br />SA��N"Y PRppO��PRIETO��RRq/PARTNERIEXECUTIVE <br />`MedetOryin NHI"CLUDED'! <br />It yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />TH- <br />SERT,U OER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liabili <br />X <br />2 <br />_1/1 112023 <br />Claims Madel2mil agg <br />2,000,000 <br />A <br />SexuallPhysicalAbuse <br />X <br />[HPK23680781/11120 <br />HPK2308078 <br />1/1112022 <br />1/1112023 <br />Or Molestation -Occur <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Roatarks Schedule, may be attached Umbra space is required) <br />10 Days Notice of Cancellation for non-paymeng 30 Days Notice other than non-payment- Coverage is Primary & Non -Contributory, Waiver of Subrogation <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 insurer) 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 />1 w tneBnnentnlvh <br />_ REV1EwEo EWm&APFROVm By. <br />ACORD 26 (2016103) 01988.2016 ACORD t <br />The ACORD name and logo are registered marks of ACORD - RUh Managemert "Id'itst <br />
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