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KINGCAU-t1 DigitallyriWp RAS <br />AC�Oita° CERTIFICATE OF LIABILITY IJN j& by A gP@T31812022 <br />_ 3/8/2 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T,E �yy,, ppig .�,QO{LLDEEgR.., THIS <br />BELOW. THIS CERTE DOES IFICATE CATEOT F F IINSURANCE DOES NOTVELY OR LY AMEND, CONSTI UTEXAEND OR <br />CONTRAArE� IF' !P-14A�ii�.,R441(A�LTlktk¢I51 <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 7 (� <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliey(tes) must have ADDITIONA'. INSURED p 4011t s o� r b 7n orsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may. squire an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements , <br />PRODUOER License# OD79617 <br />Ro <br />oT Magda Contreras <br />WBA Insurance <br />13304 Philadelphia St <br />Suite 200 <br />Whittier, CA 90601 <br />I{ONE <br />Na <br />x <br />&,Ext: (562) 789-5704 (Fkx No; 562) 789-5804 <br />ss: magda@wbainsurance.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />INSURER B; <br />INSURER C I <br />Kingdom Causes CRIB City Net <br />4608 Atlantic Avenue, Ste 202 <br />Long Beach, CA 90807 <br />INSURER O; <br />INSURER E; <br />INSURERF: <br />COVERAGES CERTIFICATE NUMRFR' REVISION N (RAMC o. <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 CONTRACTOR 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 />LTRO <br />TYPE OF INSURANCE <br />ADDL <br />SUSS <br />Me <br />POLICYNUMBER <br />POLICY EFF <br />(MWDDNYYYI <br />POLICY EXP <br />flMMIDD0YYYY%LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />PHPK2368078 <br />1/1112022 <br />111112023 <br />EACH OCCURRENCE <br />$ 2,000,006 <br />pRENIISES�E cTErenr <br />$ 100,000 <br />MED EXP (Any one oersan <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />GEN% AGGREGATE LIMIT APPLIES PER: <br />X POLICY jDOg � LOD <br />GENERAL AGGREGATE <br />410001000 <br />PROOUCTS-COMPIOPAGG <br />4,000,000 <br />— <br />OTHER---NF-I— <br />A <br />AUTOMOBILE <br />LIABILITY <br />_OEggwl %SINGLE LIMIT <br />1,000,DD6 <br />BODILY INJURY Per arson <br />$ <br />X <br />ANY AUTO <br />OWNED SCHEDULED AUTOS ONLY AUUoTNNOSWW�� <br />AUR1i X MUSTS S <br />X <br />PHPK2368078 <br />1/1112022 <br />111112023 <br />BODILY INJURY Perewitlent <br />$ <br />1PEIIE nt AMAGE <br />$ ' <br />$ <br />UMBRELLA LIAO <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS HAS <br />CLAIMS -MADE <br />DED RETENTIONS <br />WORKERS <br />ND EMPLCOMPENSATION <br />YERS LIABI LIABILITY YIN <br />ANY PR�OPREIEFOpRR/PARTNERIEXECUTIVE <br />(M ntlatory In NHi EXCLUDED? n <br />oyea, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />TH <br />STATU OEq <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE � EA EMPLOYE <br />$ <br />E.L. DISEASE. POLICY LIMIT <br />$ <br />A <br />Professional Liab!li <br />X <br />PHPK2388076 <br />1111/2022 <br />1/11/2023 <br />Claims Madel2mil agg <br />2,000,000 <br />A <br />SexuallPhysicalAbuse <br />X <br />PHPK2368078 <br />1111/2022 <br />1/11/2023 <br />Or Molestation -Occur <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES ACORD 1e1,Additiaml Remarks Schedule, may bealtached fmom spacels required) <br />10 Days Notice of Cancellation for non-paymen 130 Days Notice other than non-payment- Coverage is Primary & Nan <br />-Contributory, Waiver of Subrogation <br />Included. <br />The City of Santa Ana, Its officers, employees, agents, volun tears & representatives are named additional insured with respects to the <br />operations of the named insured 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 />e0- xa PJAMarugmeatDmilm <br />EVIEW RED&APPROVm BY: <br />ACORD 25 (2016103) 01988-2015 ACORD I I A'e fA <br />rks <br />The ACORD name and logo are registered maoPACORD alsk Managemem",d,ust <br />