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Client#: 433769 <br />NEIGHHOUSI4 <br />DATE (MM/DD/YYYY) <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 6/20/2019 <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 any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT Rose King <br />Marsh & McLennan Agency LLC PA��'�; E>< ; 858-587-7521 ac. M: 858-909-9840 <br />Marsh & McLennan Ins. Agency LLC EOORESB: rose.king[dmarshmma.com <br />PO Box 85638 INSURERS AFFORDING COVERAGE NAIC # <br />San Diego, CA 92186 INSURER A: Philadelphia Indemnity Insurance Co. 118058 <br />INSURED <br />Neighborhood Housing Services of Orange <br />County, Inc. dba NeighborWorks Orange <br />128 E. Katella Avenue, Ste 200 <br />Orange, CA 92867 <br />INSURER B : <br />INSURER C <br />INSURER D <br />INSURER E <br />INSURER F: <br />COVER GES C-ERTIFIroTE 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 />LT <br />TYPE OF INSURANCE <br />ADDL <br />INSRp <br />UHR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MMIDWYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />X <br />PHPK1979946 <br />5/14/2019 <br />05/14/2020 <br />EACH OCCURRENCE <br />$1 000 000 <br />PRAEEMA T DENTED ce <br />$1 OOO OOO <br />CLAIMS -MADE _X OCCUR <br />MED EXP (Any one arson) <br />$ 20 OOO <br />PERSONAL & ADV INJURY <br />$1 000 000 <br />I <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />s3,000,000 <br />PRODUCTS -COMP/OP AGG <br />s3,000,060 <br />PRO- <br />POLICY ❑ JECT LOC <br />OTHER: <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />PHPK1979946 <br />5/14/2019 <br />05/141202 <br />M"Ip'3 d 1"tGLE Llnarr <br />110001000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />X AUTOS ONLY X AUTOS ONLY <br />ROPERTY DAMAGE <br />Per aa;ldent <br />$ <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />PHUB675424 <br />511412019 <br />05/14/2020 <br />EACH OCCURRENCE <br />$1 O 00O 000 <br />AGGREGATE <br />$1 O OOO 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DFD I X RETENTIONS10000 <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />ANO EMPLOYERS' LIABILITY <br />ANY PROPRIMRIPARTNER/EXECUTIVE Y / N <br />OFFICERIMEMilER EXCLUDED? <br />(Mandnlory In NH) <br />N / A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE $ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />PHPK1979946 <br />5/114/21119�05/14/2020 <br />E.L. DISEASE -POLICY LIMIT $ <br />$1,000,000 Each Claim <br />A <br />Professional <br />Liability <br />$3,000,000 Aggregate <br />Occurence Form <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Bicycle Safety Education Services; Agreement No. A-2019-032 <br />General Liability additional insured includes City of Santa Ana, its officers, employees, agents, <br />volunteers and representatives. Such insurance as afforded by the general liability policy shall be <br />primary, and any insurance carried by the City shall be excess and noncontributory. 30 Day prior written <br />notice of cancellation shall be provided to the City, except 10 day notice in event of nonpayment. <br />CERTIFfCATE HOLDER CANCELLATION <br />Cityof Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />)VP rf THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division ED Yo ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza 7j <br />Santa Ana, CA 92702 ( AUTHORIZED REPRESENTATIVE <br />Risk Manageitlent blv(s! r a _ )ri . e&.v <br />I <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S4194329/M4134937 WSRMK <br />