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Client#: 11965 <br />flNl]YN'I <br />ACORDN CERTIFICATE OF LIABILITY <br />INSURANCE <br />DATE (MMIDOM vv) <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />04121/2016 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br />Ashbrook-Clovidence, Inc. <br />3000 W. MacArthur Blvd., #320 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />License #0188786 <br />A <br />Santa Ana, CA 92704 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: Philadelphia Insurance Company <br />' <br />The Joyful Child Foundation <br />In Memory of Samantha Runnion <br />P.O. Box 12680 <br />Westminster, CA 92685-2680 <br />INSURER B: <br />NSURER G <br />INSURER 0'. <br />INSURER E: <br />CLAIMS MADE 7 OCCUR <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVC FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />INSRE <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY MMMD") <br />DATE MMIID�NY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />PHPK1387481 <br />10/18/15 <br />10/18/16 <br />EACH OCCURRENCE $1000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />, <br />DAMAGE TO RENT ED rc., $100000 <br />CLAIMS MADE 7 OCCUR <br />MED EXP (Any one Person) $$,000 <br />PERSONAL &ADV INJURY $10000,00 <br />GENERAL AGGREGATE s2,0-0-0-1-000 <br />GENU AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $2600000 <br />POLICY <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Ea Accident $ <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) $ <br />BODILY INJURY <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident $ <br />PROPERTY DAMAGE $ <br />(Pereccldent <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE S <br />AGGREGATE $- <br />OCCUR CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION S <br />WORKERS COMPENSATION AND <br />WG STATU- OTH- <br />EMPLOYERS' LIABILITY <br />"— <br />ANY PROPRIETOR/ RIEXECUTIVE <br />E,L.EACH ACCIDENT $ <br />EL DISEASE - EA EMPLOYEE $ <br />OFFICERlMEMBER EXCLUDED' <br />IF yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />OTHER <br />Pxmzwed By: <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents, and employees are named as additional Insured Per endorsement <br />PIGLDHS10/11. <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 CIVIC CENTER PLAZA <br />Santa Ana, CA 92701 <br />25(2001/00) 1 of 2 #S29084/M29081 <br />SHOULD ANY OF THE ABOVE <br />DATE THEREOF, THE ISSUING INSURER WILL X)0MRRjtR MAIL '-In DAYSWRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,XWRWMW1000Q�X <br />0 ACORD CORPORATION 1988 <br />