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GOODIND-01 JCHFAVAING <br />A 'o CERTIFICATE OF LIABILITY INSURANCE <br />ED TE <br />0929no129120Y17 <br />� <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION 1S WAIVED, subject to the terns 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 endorsemen s . <br />PRODUCER License # OE75440 <br />CONTACT Jenny Chea-Vaing <br />Sinlepoint Insurance Services <br />5000 Hopyard Road, Suite 328 <br />PHONE FAX <br />(Arc, No, Ext): (925) 416-2050 103 (AJC, No):(925) 416-2051 <br />E-MAIL . jcheavaingesinglepointins.com <br />Pleasanton, CA 94588 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: SafeW National Casualty Cor <br />INSURED <br />INSURER B <br />INSURER C <br />Goodwill Industries of Orange County <br />INSURER D: <br />410 N Fairview Street <br />Santa Ana, CA 92703 <br />INSURER E: <br />INSURER F: <br />COVERAGES CFRTIFICATF NIIMRFR- 0C111Qlnki rutse000. <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 RESPECTTO 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 />INTRR <br />TYPE OF INSURANCE <br />p p <br />Sip <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCURPRMAGETORENTED <br />EACH OCCURRENCE <br />MED EXP (Anyone erson $ <br />PERSONAL&ADV INJURY <br />GFN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PE 0 LOC <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ci <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY PerPerson) <br />BODILY INJURY Per accident $ <br />AUTOS ONLY AIJTNOS ONLY <br />PerOacc dent AMAGE <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE S <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />A <br />WORKERS COMPENSATIONx <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTNE YIN <br />OFFICER/MEMBER EXCLUDED? 7 <br />(Mandatory in NH)1,000,000 <br />DE.S.If describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />LDM4046213 <br />I <br />06/01/2017 <br />06/01/2018 <br />PER OTH- <br />TAT EI EE <br />E.L. EACH ACCIDENT 1,000000 <br />E.L DISEASE - EA EMPLOYE <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 />Waiver of subrogation is included <br />City of Santa Ana, a Charter city and Municipal Corporation <br />20 Civic Center Plaza (M-30) <br />PO Box 1988 <br />Santa Ana, CA 92702-1988 <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 />AL:UKU 'L5 ("LU'I tilUJ) © 9988-2015 ACORD CORPORATION <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserve ', <br />