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ALCOR" CERTIFICATE OF LIABILITY INSURANCE <br />FDAT/(2/2017 Y) <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Patricia Buchanan <br />NAME: <br />tiI�NN Exl): (310)798-6100 AC <br />Na; (310 798-6151 <br />Kinter-Buchanan Insurance Agency <br />License Number: OB40872 <br />EMAIL Certs@KBInsurance.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE MAIC N <br />111 Pier Ave . , Suite 100 <br />INSURER A:Technology Insurance Company 39071 <br />Hermosa Beach CA 90254 <br />INSURED <br />INSURER B : <br />Kingdom Causes, DBA: City Net <br />INSURERC: <br />INSURER D: <br />P.D. BOX 90243 <br />INSURER E : <br />1 INSURER F: <br />Long Beach CA 90809 <br />COVERAGES CERTIFICATE NUMBER:CL1422108681 REVISION NUMBER: <br />THIS 1S 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 15 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />I TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDlYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES .occurrence $ <br />MED EXP (Any one parson) $ <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />POLICY ❑ PECROT ❑ LOC <br />J <br />PRODUCTS - COMPIOP AGG $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCAUTOS HEDULED <br />AUTOS <br />BODILY INJURY (Per accident) $ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />OCCUR <br />HF <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED -RETENTION <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y 1 N <br />x' I STATUTE OERN <br />E.L. EACH ACCIDENT $ 11000,000 <br />A <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERMEMBEREXCLUDED? <br />(Mandatary In NH) <br />If yes, describe under <br />NIA <br />TWC3611397 <br />3/1/2017 <br />9/1/2018 <br />E,L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />DESCRIPTION OF OPERATIC NS below <br />E.L. DISEASE- POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional 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 as <br />additional insured with respect to the operations of the insured. <br />Coverage is primary and non-contributory. <br />t.;t_KI II'IC.A It: MULUtK t;AN1.aLLA I IUN <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2014101) <br />INS025 (201401) <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 REPRESENTATIVE <br />Patricia Buchanan/KSI <br />©1988-2014 ACORD CORPORATION <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserved. <br />