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ACQR �._-- CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDNYYY) 12/31/2115 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' CONSTITUTE 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions 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 such endorsement(s). PRODUCER CONTACT Cindy ebort NAME; _ PHONE 1 (949)852 -0909 No: (g19)es2 113.1 Milestone Risk Management & Insurance Agency i No. GiB72766 A DARIESS :chehert @milestonepromise.com B Corporate barks Suite 130 INSSURER(S. AFFORDING COVERAGE NAIC 0 INSURERA:Technology Insurance Co 9.2376 Irvine CA 92606 INSURED INSURER 8: INSURER C: CLAIMS -MACE, OCCUR Council on Aging of Orange County INSURER D: 1971 E 4th St, Ste 200 INSURER E DAMAGE TO RENTED PREMISES (Ea occurrence} $ 1 INSURER F: Santa Ana CA 92705 COVERAGES CERTIFICATE NUMBER:16 /17 roc 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 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 CLAIMS. INSR LTR TYPE OF INSURANCE ADOL SUER .m.m.. POLICY NUMBER. POLICY EFF MMIDDPYYYY POLICY EXP MMIDDIY'YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MACE, OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence} $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $.. GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY EI PRCT O- D LOG ,llE PRODUCTS - COMPIOP AGO $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per aoot lenl $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE ..... $ DED I I RETENTION WORKERS COMPENSATION AN'...D EMPLOYERS' LIABILITY Y (N PEI OTH- STATUTE ER E.L EACH ACCIDENT $ 1,0 00 00(Y A ANY PROPRIETORIPARTNERIEXECUTWVE OFFICE RIMEMBER EXCLUDED"? � (Mandatory In NH) II yes, describe under NIA TWC3524607 1/1/2016 1/1/2417 E.L. DISEASE - EA EMPLOYE $ 11 000,000 E.L. DISEASE.-POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Evidence of Coverage. llopez5 @santa- ana.org City of Santa Ana Community Development Agency, M -25 Attn: Leticia Lopen 20 Civic Center Plaza, M -25 Santa Ana, CA 92701 ACORD 25 (2014101) INS025ooia ) E, ANL;tLLA I IUN 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 Cindy Hebert /CHEBRT @ 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD