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KINGCAU-t,1 Diglta11yML%N0dRAS
<br />'At�C��� CERTIFICATE OF LIABILITY Ip ieE by A g' 1
<br />a/812022
<br />_ _ /zozz
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON Tr,E • pp ,,��jjI,Qf,TO�iL�D�EEqgR�,,,��THIS
<br />BELOW. THIS CERTITE DOES FICATEOF(INSURANCE DOES NOTVELY OR LY AMEND, CONSTITUTEXAEND OR CONTRAArE1 IP' !h ., Ali '�LSI{A4C6k.LY5i�l l
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ''t�,, 1 1
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONA'. INSURED1pY NNW s or h en o ed.
<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 # OD79817
<br />2AO
<br />IAOT Magda Contreras
<br />WBA Insurance
<br />13304 Philadelphia St
<br />Suite 200
<br />Whittier, CA 90601
<br />PIIaNE
<br />A
<br />F x
<br />c, No, EXt: (562) 789-5704 tic, Nol: (562) 789-5804
<br />5. magda@wbainsurancexom
<br />INSUREMSI AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA: Philadelphia indemnity Insurance Company
<br />INSURER B;
<br />18058
<br />INSURED
<br />INSURERC:
<br />Kingdom Causes dba City Net
<br />4608 Atlantic Avenue, Ste 292
<br />Long Beach, CA 90807
<br />INSURERD:
<br />INSURERS:
<br />INSURER P :
<br />COVERAGES CERTIFICATE NUMBER' REVISION NUMB-
<br />-
<br />THIS IS TO CERTIFY THAI' 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 />INTS$R
<br />Type OF INSURANCE
<br />ADOiNflCL
<br />SUBR
<br />POLICY NUMBER
<br />POLIICCY EFF
<br />POLIIYYYYI 01YEYYY1
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />] CLAIMS -MADE � OCCUR
<br />X
<br />PHPK2368078
<br />1/1112022
<br />111112023
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMAGEERENTED I
<br />$ 100,000
<br />HIED EXP Any one Person)
<br />3 5,000
<br />—
<br />PERSONAL &ADV INJURY
<br />$ 2,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY El PRO- LOC
<br />JECT
<br />�_ 4,000,000
<br />GENU
<br />X
<br />PRODUCTS COMGATE
<br />pRODUCTS�COMPfOP AGO
<br />4,000 000
<br />,
<br />OTHER,
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />_ Itlanc
<br />1,000,000
<br />BODILY INJURY (Per person
<br />$
<br />XAUTOS
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />A�UpTOS ONLY JAUTOS&
<br />�
<br />ONLY xAUTOILY
<br />X
<br />PHPK2368078
<br />1/11/2022
<br />1/1112023
<br />BODILY INJURY PoraPddent
<br />—
<br />$
<br />Pa�aacR�ntIAMAGE
<br />$
<br />a
<br />!
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />EXCESS LIAB
<br />CLAIMS MADE
<br />ETENTION$
<br />DED RETENTION $
<br />$
<br />_DE5CRIPTIOIOFOPERATIONSbelow
<br />ALB
<br />oEPYR8IIMLOEIALTY YIN
<br />ANY PROPRIETORIPARTNERlEXECUTIVE
<br />IMnIC�ar",APWEXCLUDEO•t
<br />If yes, describe under—
<br />NIA
<br />PER DTH
<br />STATUTE
<br />E�L, EACH ACCIDENT
<br />—
<br />$
<br />EL. DISEASE - EA EMPLOYE
<br />_
<br />$
<br />E.L. DI SEASE. POLICY LIMIT
<br />$
<br />A
<br />Professional Liabill
<br />X
<br />PHPK2360078
<br />1111/2022
<br />1/11/2023
<br />Claims Madel2mil agg
<br />2,000,000
<br />A
<br />Sexual/PhysicalAbuse
<br />X
<br />PHPK2368078
<br />1/11(2022
<br />1/11/2023
<br />Or Molestation -Occur
<br />DESCRIPTION OF OPERATIONS ILOCATIONS /VEHICLES ACORD 101,Addltionnl Remarks Schedule, maybe attached if mom space is required)
<br />10 Days Notice of Cancellation for non-paymentl 30 Days Notice other than non-payment- Coverage Is Primary & Non -Contributory. Waiver of SubrogDtlon
<br />Included.
<br />The City of Santa Ana, Its officers, employees, agents, VOILmteers & 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
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic Center Plaza, 4th floor
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE
<br />Pjak
<br />Divialm
<br />1'! '! I(�Z..Q/, '� r REVIEWED PPPROVm BY:
<br />ACORD 26 (2016103) 01988-2015 ACORD I t Al4V
<br />The ACORD name and logo are registered marks of ACORD I_ RISK Management spacleamt
<br />
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