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AE L1 CERTIFICATE OF LIABILITY INSURANCE DATE <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 DY 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(los)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 "COISTwpm, CandyCindy Anderson <br /> Leavitt Pacific Insurance Brokers, Ines .AN¢No.EMh (408)288-6262 PAC.Non(4owxdd-7saa <br /> License #0D79674 lamoindy-andersonOleavitt.com <br /> N1330 S Bascom Ave '-020/7m It a INSURER(S)APFORDINa COVERAGE NAICM <br /> San Jose CA 95128 NSURERA:Oak River Insurance Company 34630 <br /> INSURED INSURERS: <br /> Council of Orange County INSURER0: <br /> 8014 Marine Way MOM D: <br /> Society of St. Vincent De Paul INSURER e: <br /> Irvine CA 92618 INSURERP: <br /> COVERAGES CERTIFICATE NUMBER:2017-2018 St. Vincent De REVISION NUMBER: <br /> THIS IS TO CERTIPY 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 /> TNSR ADM BUM PaLICYEFF POLICY ESP <br /> TR TYPE OF INSURANCE 0/80 MID POLICY NUMBER IIAMMOMMI IMMNDIYVYYI LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE a OCCUR DAMAGETO RENTED <br /> PREMISES(Ea NTED os) $ <br /> MED EXP(My one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENL AGGREGATE LIMITAPPUES PER: GENERAL AGGREGATE $ <br /> POLICY jECT LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE IJARILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> AUTOS <br /> LL NED ,.._ SCHEDULED BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS Por occldentl $ _ <br /> • <br /> UMBRELLA UAB _OCCUR EACH OCCURRENCE I <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED RETENTIONS $ <br /> WORKERS COMPENSATION XSTATUTEcH• <br /> ET <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE 1 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> A <br /> Mandatory NH) SON0815604 1/1/2017 1/1/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> PYyon,dooCdbo Under <br /> DESCRIPTION OFOPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 401,Addlfonel Ramada Schedule,may be attached N more apace Is requlnd) <br /> Evidence of current workers compensation insurance <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Santa Ana Police Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Sgt. Matt Wharton ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 60 Civic Center Plaza <br /> Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br /> Fred Stafford/COSSEX •�•#".....Iz-%'' r — <br /> 01988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORDlogo are re le red marks of ACORD <br /> INS025(201401) ' Gir�� <br />