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Ac"Roe CERTIFICATE OF LIABILITY INSURANCE <br />�-- <br />DAT1/10/20182018DIYYYY) <br />MID <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms 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 endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />Insurance Brokers of CA. LIC. # 0726293 <br />505 N Brand Blvd, Suite 600 <br />CONTACT <br />NAME: Annie Lab <br />PHONE . 818-539-2300 PAX . 818-539-2301 <br />-MAIL .Annie_Lee@ajg.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />Glendale CA 91203 <br />INSURERA:Great American Alliance Insurance Cc 26832 <br />INSURED ORANCOU-19 <br />INSURER B:NOn Profits United <br />Orange County Conservation Corps <br />INSURER C:Navigators Insurance Company 42307 <br />1853 N. Raymond Ave. <br />Anaheim CA 92801 <br />INSURER D:Great American Insurance Company of NY 22136 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1485573375 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 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 />CTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSD <br />D <br />POLICY UMBER <br />MMIDDIYCY EFF <br />MMLDDmYY <br />LIMITS <br />A <br />XCOMMERCIAL <br />GENERAL LIABILITY <br />PAC 5154680 13 <br />10/1/2017 <br />1011/2018 <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE 1XI OCCUR <br />AMI TORE-N—TED <br />PREMSES Ea ccu encs $100,000 <br />MED EXP (Anyoneperson) $5,000 <br />PERSONAL &ADV INJURY $1,0001000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $3,000,000 <br />DEVIL <br />X <br />POLICY ❑ PRO - <br />JECT 7 LOC <br />PRODUCTS - COMPIOP AGO $3,00%000 <br />$ <br />OTHER: <br />D <br />AUTOMOBILE LIABILITY <br />CAP099124904 <br />10/1/2017 <br />1011/2018 <br />UUMdINEeacclI,U siNuLE LIMIT <br />$1,000,000 <br />BODILY INJURY (Per person) $ <br />X ANY AUTO <br />AUTOS ONLY AUTOSULEED <br />BODILY INJURY (Per accident) S <br />X AUTOS ONLY X AUTOS ONL� <br />Perr accident)DAMAGE $ <br />$ <br />X Comp $100 X Coll $$00 <br />A <br />X <br />UMBRELLA LIAR <br />�Xq <br />OCCUR <br />UMB 5603795 13 <br />10/1/2017 <br />10/1/2018 <br />EACH OCCURRENCE $4,000,000 <br />AGGREGATE $4,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION $10,000EEg <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANV PROPRIETOR/PARTNEWEXECUTIVE Y/FN <br />NPU-WCG 001-2018 <br />1/1/2018 <br />1/1/2019 <br />X PATUTEER"- <br />E.L. EACH ACCIDENT $1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />E.L. DISEASE, EA EMPLOYE $1,000,000 <br />Ues, describe under <br />8 RIPTION OF OPERATIONS below <br />E.L. DISEASE POLICY LIMIT $1,000,000 <br />C <br />Directors & Officers <br />NY17DOLVO318INV <br />10/1/2011 <br />10/1/2018 <br />Per Claim: 2,000,000 <br />Aggregate: 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Policy : Abuse and molestation Coverage <br />Policy #: PAC 5154680 13 <br />Carrier :Great American Alliance Insurance Cc NAIC: 26832 <br />Term: 10/01/2017 -10/01/2018 <br />Each OGG 1,000,000 <br />Aggregate : 3,000,000 <br />See Attached... REVIEWED BY: EUNICE HEREDIA(PG OF- ) <br />CERTIFICATE HOLDER CANCELLATION <br />@ 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92702 <br />AUTHORIZED REP ESENTATIVE <br />@ 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />