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Digitally signed by Francine k. <br />Francine R. Villareal Villareal <br />Date: 2021.01.281434.06-08'00' <br />ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />DAM(MMIDD <br />�� <br />oe/os/zo20zo <br />THIS CERTIFICATE IS ISSUED ASA 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 />CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />(949) 709-8800 (949) 709-1668 <br />NNa <br />(PA Ext: A Nu: <br />26429 Rancho Parkway South <br />E-MAIL jeremy@thecomprehensiveinsurance.com <br />ADDRESS: <br />INSURER(SI AFFORDING COVERAGE <br />NAICIt <br />Suite 120 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />Lake Forest CA 92630 <br />INSURED <br />INSURER B <br />America On Track <br />INSURER C: <br />600 W. Santa Ana Blvd. <br />INSURER D <br />Ste. 710 <br />INSURER E <br />Santa Ana CA 92701 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: CL208504778 REVISION NUMBER: <br />THIS ISTO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE 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 />INSR <br />LTR <br />TYPE OF IN SURANCE <br />ADDLSUBK <br />INSD <br />MID <br />POLICYNUMBER <br />POLICY EFF <br />MWDDIYYYY <br />POLICY UP <br />NIWDDIYY <br />LIMITS <br />X <br />COMMERCIAL GENERALLWBILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIM&MADE � OCCUR <br />PRSES Ea occurrence <br />EMI <br />$ 500,000 <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />2020-06180 <br />09/01/2020 <br />09/01/2021 <br />GEN'LAGGREGATE LIMIT APPLIES PER <br />GENERALAGGREGATE <br />$ 2,000,000 <br />POLICY PELT FX-1 LOC <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />$ <br />OTHER'. <br />AUTOMOBILE <br />LIABILITY <br />COMBINEDSINGLE LI MIT <br />Ea so dent <br />$ 1,000,000 <br />X <br />BODILY I NJURY(Per person) <br />$ <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />2020-06180 <br />09/01/2020 <br />09/01/2021 <br />BODILY I NJURY(Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L. EACHACCI DENT <br />$ <br />E.L. DI SEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />f yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Improper Sexual Conduct Liability Social <br />Service Profesty <br />2020-06180 <br />09/01/2020 <br />09/01/2021 <br />$2,000,000/1,000,000 <br />$2,000,000/1,000,000 <br />Aggregate/Ea Clm <br />A99re ate/Ocurr <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule, maybe attached if more space is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or <br />memorandum of understanding per attached endorsement CG2026. Such insurance as is afforded by this policy shall be primary, and any insurance carried <br />by City shall be excess and noncontributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for <br />non-payment of premium per policy provision. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92701 <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 />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Rime Mr tiagnnentDivision <br />ram. <br />rREmEWED &{APPRcyvED By., <br />o_4.Ilil _II.IPJ-z' rb6HlM�e VaRRE/t¢bl. <br />® Risk Management Analyst <br />