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211 OC -0000 RINRAI <br />`.--"""• CERTIFICATE OF LIABILITY INSURANCE <br />DATE IM2J2017 ) <br />00(2212097 <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 poliey(les) must have ADDITIONAL INSURED provisions or bo endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cannin policies may require an endorsement A statement on <br />this certificate does not confor rights to the certificate holder In Ifou of such endorsement(s), <br />7R000CER License 9 0664249 1''-�--•� <br />CT <br />Heffernan Insurance Brokers <br />18004 Skpy Park Circle, Suite 210 <br />Irvine, CA 92614 <br />t <br />Alc°NN 1 (949) 771.3400 -flNIC,Np>:{949 771.3401 <br />O EXP An ane a a <br />INEURERUn AFFORDING OVERAGE NAICB <br />v„ PERSONAL &ADVINI_URY S _ <br />INSURER A: Nonpr9fits,Insurance Alliance 0f California 01,184 <br />GEN'L AGGR TE UMT AP y1'S PER: GE E AIAGGREGATE <br />INSURED <br />31WOL4BE Insurance Corporation 39217 <br />24-1 Orange County <br />1908 E. 17th Street <br />INs URMI <br />Suits 108 <br />INSURER 0 1„ <br />- <br />WS <br />Santa Ana, CA 92706 <br />.- <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />19R TYPE OF INSURANCE ADDL SUER ppLICY NUMBER POLICY 1 POLICY EXP LIMITS <br />A X COMMERC61LOENERALLIABILITY EAC OCCUftftENCE <br />1,000,000 <br />CLAIMS -MADS EX GCCUR X 201703104NPO 02101/2017 02!0112010 GE r089NTEO a <br />500,000 <br />O EXP An ane a a <br />20,000 <br />v„ PERSONAL &ADVINI_URY S _ <br />11000.000 <br />GEN'L AGGR TE UMT AP y1'S PER: GE E AIAGGREGATE <br />2,000,001 <br />2,000,000 <br />POUOY JECi LX LOC pRppLCTS-CO P G© y <br />OTHRS <br />..... _.....- <br />A AUTOMOBILE LIABILITYa <br />11110,000 <br />ANY AUTO 201703104NFO 0210112017 0210112018 aoOILY INJURY tpetpemnn E <br />{ <br />AVpTN ONLY AUp6TNI�OIYOU�DLEEEOD e�9�M (1dtURY A eccide, A <br />X AUTOS ONLY X AUTO&ONLY PetPUlldent AMAGE $ <br />A X UMBRELLA LIAR X OCCUR _ EACHOCCURRENCE <br />2,000,001 <br />EXCESS LIAR CLAIMS -MADE 017031MMBNPO 02/0172017 0210112018 AGGREGATE - g <br />2,000,000 <br />DED RETENTION& $ <br />WORKERSCOMPENSATIpN ERTUTE <br />AND EMPLOYERS LIABILITY Y/ <br />— <br />ANpYPRROOPPRRIETTO�Rq/PARTNERIEXECUTIVE 4&6CHACCIDENT ... $ <br />I EXCLUOF,D? WA <br />(R1aPadatolty in&, ELDIBEASE-QIVPLOYE <br />Irya s,desm10119 et <br />DESC IF OFOPER TIONSbelow E.L ISEA...... -POLICYLIMIT S <br />B Disability-AD&D-Trav 201703104ACC 02101/2017 02101/2/18 <br />80,110 <br />A Professional Liabili 201703104NPO/2101/2017 02101/2018 Ea, Occurance <br />1,OOQ000 <br />DESCRIPTION OF OPERATIONS t LOCATIONS f VEHICLES{ACORD 101 Additional Remarks Senediie, may po attnched Irmore space is required <br />Re: As Per Contractor Agreement on File with insured, $try of Santa Ana, Community Development Agancy is Included as an additional Insured (Primary) on <br />General Liablllty policy per the attached endorsement, If required. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CI Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1y of Santa ACCORDANCE WITH THE POLICY PROVISIONS. <br />Community Development Agency. <br />AdinlnlstratlVII 90TVIC09 Division M-26 — <br />20 Civic Center Plaza AUTHORIZED RaPRESENTATIVE <br />Santa Am, CA 92701 1 AW C,- <br />ACORD 26 (2016/13) ©1980.2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />