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� Francine R. Villareal v111,�,,
<br />ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM1601YYYY)
<br />� 10/2512021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INF ORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an AD DITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lleu of such endorsement(s).
<br />PRODUCER
<br />Arthur J. Gallagher & Co.
<br />Insurance Brokers of CA., Inc.
<br />505 N Brand Blvd, Suite 600
<br />Glendale CA 91203
<br />1 ;,,ens"'": 07''1'1293 INSURED ORANCOU�19
<br />Orange County Conservation Corps
<br />1853 N. Raymond Ave.
<br />Anaheim, CA 92801
<br />COVERAGES CERTIFICATE NUMBER: 541146761
<br />22�1�cT Annie Lee
<br />rA��N�t J:xt\: 818.539.8601 [ rt� Noi,818.539.8701
<br />!�o��ss: Annie Leet@aia.com
<br />INSURERIS\ AFFORDING COVERAGE NAIC#
<br />INSURER A: Great American Alliance Insurance Comoanv 26832
<br />INSURER a: Great American Insurance Comoanv of NY 22136
<br />INSURERC:
<br />INSURERD:
<br />INSURER E:
<br />INSURER F:
<br />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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 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 CLAI MS.
<br />INSR LTR
<br />A
<br />B
<br />A
<br />A
<br />TYPE OF INSURANCE
<br />X COMMERCIAL GENERAL LIABILITY
<br />1 CLAIMS-MADE 0 OCCUR
<br />�
<br />f--GEN'L AGGREGATE LIMIT APPLIES PER: Fl POLICY □ l'rc?r □ LOC
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />f--X ANY AUTO � OWNED SCHEDULED AUTOS ONLY AUTOS x X HIRED NON-OWNED
<br />f--AUTOS ONLY � AUTOS ONLY
<br />X UMBRELLA LIAS � EXCESS LIAS M OCCUR
<br />CLAIMS-MADE
<br />OED I X I RETENTION 't 1fl nn,,
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLU OED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS be)ow Abuse and molestation
<br />Y/N □
<br />l��_D_L
<br />y
<br />NIA
<br />I���� POLICY NUMBER POLICY EFF ' IMlillDD/YYYYl POLICY EXP I tlinM/DOIYYYYI LIMITS
<br />PAC 5154680 17 10/1/2021 10/1/2022 EACH OCCURRENCE $1,000,000 DA,v,,-...GE Tu RENTt:D $100,000 PREMISES IEa occurrence\
<br />MED EXP (Any one person) $5,000
<br />PERSONAL & ADV INJURY $1,000,000
<br />GENERAL AGGREGATE $3,000,000
<br />PRODUCTS -COMP/OP AGG $3,000,000
<br />I
<br />CAP 0991249 08 10/1/2021 10/1/2022 COMBINED SINGLE LIMIT $1,000,000 IEa accidentl BODILY INJURY (Per person) $
<br />BODILY INJURY (Per accident) PROPERTY DAMAGE $ lPer accident\
<br />Comp & Collision $500\$500
<br />UMB 5603795 17 10/1/2021 10/1/2022 EACH OCCURRENCE $4,000,000
<br />AGGREGATE $4,000,000
<br />$
<br />I �ffrnrE I I OTH-ER
<br />E.L. EACH ACCIDENT I
<br />E.L. DISEASE -EA EMPLOYEE
<br />E.L. DISEASE-POLICY LIMIT $
<br />PAC 5154680 17 1 Q/1/2021 10/1/2022 Per Claim $1,000,000 Aggregate $3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />Policy : Professional Liability Policy#: PAC 5154680 17 Carrier :Great American Alliance Insurance Company Policy Term: 10/01/2021 -1010112022 Per Claim: $1,000,000 I Aggregate: $3,000,000 Abuse is included under the Umbrella.
<br />RE: Agreement Number: A-2021-112; A-2020-142 I Project: Youth and Dislocated Worker Training.See Atlached ...
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />Risk Management Division,
<br />20 Civic Center Plaza, 4th floor
<br />Santa Ana CA 92701
<br />CAN CELLATION
<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 />AUTHORIZED REP ESENTATIVE
<br />1--(_��-x'"' Ri,l,�Dlvision
<br />REvlEWED & APPROVED BY:
<br />ACORD 25 (2016/03)
<br />© 1988-2015ACORD C
<br />The ACORD name and logo are registered marks of ACORD
<br />f�R.V�
<br />Exhibit 2
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