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-2-C I.. -
<br />C,
<br />CERTIFICATE OF LIABILITY INSURANCEINSURANCEDATE
<br />(MMPDDIYYYY)
<br />,..
<br />401802017
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed:.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />LIMITS
<br />CONTPRODUCER -NAME: Danielle Donohue
<br />Arthur J. Gallagher & Ce.PtflONE
<br />FAX
<br />. 818.539.8605 818.539.8705
<br />Insurance Eskers of CA. Inc. LIC ## 0726293
<br />IL
<br />AD R, - Danielle_ Donohue@ajg.com
<br />505 N Brand Blvd, Suite 600
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />G'..lendale CA 91203
<br />EACH OCCURRENCE, $1,000,000
<br />INSURER A:Non rofits' Insurance Alliance of C
<br />INSURED
<br />INSURER B
<br />INSURER C:
<br />Public Law Center
<br />601 Civic Center Drive
<br />Santa Ana,: CA 927011
<br />INSURER D:
<br />X
<br />MED EXP (Any cn person) $20,000
<br />INSURER. E:
<br />ABUSE
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 7182351:36 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
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT', TERM OR CONDITION OF ANY CONTRACT OR 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 />ILNSR
<br />Tft
<br />TYPE OF INSURANCE,
<br />ADULsUBR
<br />N SD
<br />WVD
<br />POLICY NUMBER
<br />( POLICY EFF
<br />MMiDDFYYYY
<br />Y EXP
<br />MMIDDIYYY-Y
<br />LIMITS
<br />A
<br />X
<br />GENERALLIABIILITY
<br />Y
<br />20172205ONPO
<br />2!1!2017
<br />211/2018
<br />EACH OCCURRENCE, $1,000,000
<br />[COMMERCIAL
<br />CLAIMS -MADE I—XI OCCUR
<br />DAMAGE To RENTED
<br />PREMISS Ea occurrence $500,000
<br />X
<br />MED EXP (Any cn person) $20,000
<br />ABUSE
<br />X
<br />$1MMIS1 MM
<br />PERSONAL 8 ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY PRO- F-1 LOC
<br />JECT
<br />GENERAL AGGREGATE $2,000,000
<br />PRODUCTS - COMPIOP AGG $2,000,000
<br />_
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />201722050NPO
<br />201J2017
<br />2/112019
<br />Ea accident lNGLE IWT$1,000,000
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTO'S ONLY AUTOS
<br />BODILY INJURY (Per accident) $
<br />X
<br />HIRED NON -OWNED
<br />AUTOS ONLY X AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident.. $
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB X OCCUR
<br />2017-22050-UMB-NPO
<br />21112017
<br />21112016
<br />EACH OCCURRENCE $1,000,000
<br />EXCESS LIAB CLAIMS -MADE
<br />:. AGGREGATE $1,000,000
<br />$
<br />DED X RETENT9ON'$10,000
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y 1 N
<br />PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT $
<br />ANY PROPRIETORIPARTNEREXE.C'UTIVE
<br />OFFECERIMEMBER EXCLUDED?El
<br />NPA
<br />E.L. DISEASE - EA EMPLOYEE $
<br />(Mandatory In NH)
<br />III yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 1.01, Additt:onal Remarks Schedule, may be attached if more space is required)
<br />The City of Santa. Ana, its officers, employees, agents, volunteers and representatives are named additional insured with respect to the
<br />operations of the named insured. Such insurance is primary and non -contributory,
<br />. -
<br />CERTIFICATE HOLDER CANCELLATION
<br />FJ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016003) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City Of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana CA 92701
<br />AUTHORIZED REP ESENTATIIVE
<br />FJ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016003) The ACORD name and logo are registered marks of ACORD
<br />
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