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Toy I I�1 I C ` Digitally signed by Toil Pierson 1J I �` 7 1 n1 Date: 2022.03.234&51SI5 -07'W ACC12Cr CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDrYYYY) 3/22/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITLITE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ids) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condltlons of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of Belch endorsoment(s), PRODUCER (OC) Heffernan Insurance Brokers 18004 Sky Park Circle, Suite 210 Irvine CA 92614 CONTACT NA ONE .949-771-3404 aac a:949.771-3401 E-MAIL ADDRESS INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Non rof is Insurance Alliance of California 1184 Llaensek 056424`9 INSURED 21100-om People for Irvine Community Health dba 2-1-1 Orange County INSURER B, Travelers Casual!and Surety Company of America 31194 INSURER c 1505 E. 17th Street, Suite 108 Santa Ana CA 92705 INSURERD; INSURER E IN$URERF: COVERAGES CERTIFICATE NUMBER:725273463 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUrD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR T1rPEOf'INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYYI POLICY EXP IMMIDD[MY1 LIMITS A X. COMMERCIALGENERALLIABILITY CLAIMS -MAD; OCCUR Y 2022-03104 21112022 2/112023 EACH OCCURRENCE - $1,000,000 DANIAGE TO RENTER PREMISES Ee 00eurrenca $ 500,000 NIED EXP (An o11e arson) $ 20,00D PERSONAL & ADV INJURY - - $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER; PRO- PCLIGY UECT [X] LOG GENERALAOGREGATE $21U00,000 PRODUCTS - COMPIOP All 1$ 2,D00,000 $ OTHER; A AUTOM0131LELIABILITY 2022-03104 2 I12022 2/1/2023 COMBINED SINGLE LIIAIT Ea acciden! $1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALTOS SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident { ) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMIAGE er accident. $ A X UMBRE.LLALIAB X OCCUR 2022-03104t.'MB-NPO - 2/112022 211/2023 EACH OCCURRENCE $8,000,000 EXCESS LIA8 CLAIMS -MADE AGGREGATE $ B4O00,000 PED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN _ STATUTE ERH F.L.EACH ACCIDENT $ - ANYPROPRIETORIPARTNERIEXECUTIV£ OFF ICERIMEMBEREXCLUDED7 NIA - E.L. DISEASE • EA EMPLOYEE $ (Mandatory in NH) If yes, descrlba under DESCRIPTION OF OPERATIONS bel0'N E.L. DISEASE - PRICY LIMIT $ B Cilrrme 107377947 2/112022 211/2023 EmplcyeeThefl 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, AddllionO Remarks Sohedufn, may be attached if more apses is required) Re; Acgreement4A-2021-069-05. The Clty of Santa Ana, its officers, agents, employees and volunteers are Included as additional Insured (and primary) on General LlabiHty policy per the attached endorsements, if required. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ; e t 11L1eAtr[sgerstitghblinrt l�J '1 y tS25-1UT D Al: L3 k(LI C: t ,ayc„x*.�.,nrw wac ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD — - '