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Client#: 24737 <br />NEIGHOUSI <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />LTR <br />TYPE OF INSURANCE <br />5/12/2017 <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, th e poiicy(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 <br />NAME,._ King <br />Marsh & McLennan Agency LLC <br />PHONE -- - - - -1-(FAX <br />AMA No,Ext : 858-587-7521 A/C NO). 858-909-9840 <br />Marsh &McLennan Ins Agency LLC <br />ADnREss: rose.king@barneyandbarney.com <br />PO Box 85638; CA Lie #OH18131 <br />PREMISES Eaoccurrence $1,000,000 <br />San Diego, CA 92186 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />11 <br />INSURERA: Philadelphia Indemnity Ins uranc 18058 <br />INSURED <br />INSURER B <br />Neighborhood Housing Services of Orange <br />PRODUCTS -COMP/OP AGG $3,000,000 <br />County, Inc. dba NeighborWorks Orange <br />INSURER C: <br />AUTOMOBILE <br />X <br />128 E. Katella Avenue, Ste 200 <br />INSURER D: <br />Orange, CA 92867 <br />INSURER E: <br />05/14/201 <br />COMBINED SINGLE LIMIT <br />Ea accident $1,000,000 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 />LTR <br />TYPE OF INSURANCE <br />NSR <br />WVD <br />POLICY NUMBER <br />MM/DD/YYYY <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7X OCCUR <br />X <br />PHPK1649725 <br />5/14/2017 <br />05/14/2018 <br />EACHOCCURRENCE $1,000,000 <br />PREMISES Eaoccurrence $1,000,000 <br />MED EXP (Any one person) $20 OOO <br />PERSONAL & ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY_....__ ECOT " LOC <br />OTHER: <br />GENERAL AGGREGATE $3,000,000 <br />PRODUCTS -COMP/OP AGG $3,000,000 <br />$ <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNEDSCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PHPK1649725 <br />5/14/2017 <br />05/14/201 <br />COMBINED SINGLE LIMIT <br />Ea accident $1,000,000 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />I OCCUR <br />CLAIMS -MADE <br />1 <br />PHUB582884 <br />5/14/2017 <br />05/14/2018 <br />EACH OCCURRENCE $10,000,000 <br />AGGREGATE $10,000,000 <br />DED X RETENTION $10000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />Iyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A-- <br />PER OTH- <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />A <br />Professional <br />Liability <br />Occurence Form <br />PHPK1649725 <br />5/14/2017 <br />05/14/2018 <br />$1,000,000 Each Claim <br />$3,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />i <br />REVIEWED BY: °"� EUNICE HEREDIA (PG OF ). <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2014/01) 1 of 1 <br />#S1226497/M1226444 <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 />0 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />LOPG <br />