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<br />` Date: 2020.10.071798:04 07'00'
<br />AC®/ZAP CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYY)
<br />10/1/2020
<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 />Bowermaster & Associates
<br />10805 Holder St
<br />Ste 350
<br />Cypress CA 90630
<br />CONTACT
<br />NAME: Llzette Orozco
<br />PHONE IAI, E . 714-733-6248 ac No
<br />EoDRE8, lorozco bowermaster.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Philadelphia Indemnity Insurance
<br />18058
<br />INSURED ILLUFOU-01
<br />Illumination Foundation
<br />1091 N. Batavia Street
<br />INSURER B: Redwood Fire & Casuall Insurance
<br />11673
<br />INSURER C: NOn rofts' Insurance Alliance of California
<br />INSURER D :
<br />Orange CA 92867
<br />INSURER E :
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 193244276 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 />INSR
<br />LTR
<br />TYPE OF
<br />ADDL
<br />SUBR
<br />POLICYNUMBER
<br />POLIOYEFF
<br />(MMUDD1YYYYI
<br />POLICYEXP
<br />tMMIDD1YYYY1LIMITS
<br />C
<br />X
<br />CONMERCIALGENERAL LIABILITY
<br />� OCCUR
<br />Y
<br />2020-24712
<br />9/1512020
<br />911512D21
<br />EACH OCCURRENCE
<br />$1.000,000
<br />RA-MACLAIMS-MADE ED
<br />PREMISES (EaFEN
<br />PREMISES Ee occurrence
<br />$500,000
<br />X
<br />MED EXP(Any one person)
<br />$20,000
<br />Prof Liability
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY D PRO-
<br />JECT LOG
<br />GENERALAGGREGATE
<br />$3,000,000
<br />PRODUCTS-COMP/OPAGG
<br />$3,000.000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />2020-24712
<br />9/15/2020
<br />9/15/2021
<br />COMBINED tSINGLE LIMITEa
<br />$1,000,000
<br />ANY AUTO
<br />BODILY I NJURY(Per person)
<br />$
<br />IX
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURV Per accident
<br />( iHIRED
<br />X AUTOSO ONLY
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Par accident
<br />$
<br />C
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />2020-24712-UMB
<br />9/15/2020
<br />9/15/2021
<br />EACH OCCURRENCE
<br />$7,000,000
<br />AGGREGATE
<br />$7,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DEC) I I RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR/PARTNERIEXECUTIVE
<br />OFFICERIMEMBEREXCLUDED?
<br />NIA
<br />ILWC107887
<br />1/1/2020
<br />1/1/2021
<br />-
<br />X I STATUTE 'ER"
<br />E.L.CH
<br />EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />Use describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,ODO
<br />-
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />C
<br />Commercial Cyber Liability
<br />Improper Sexual Conduct
<br />PHSDIS75498
<br />2020-24712
<br />9/15/2020
<br />9/16/2020
<br />9115/2021
<br />9/15/2021
<br />ADD $3,000,00GEach
<br />Agg:$1,000,000/Each
<br />$1,000,000
<br />$1,000.000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required)
<br />City of Santa Ana, It's officers, employees, agents, and volunteers are Additional Insured with respects to General Liability per attached endorsement form;
<br />Primary and Non -Contributory wording applies per attached endorsement form.
<br />30-day notice of cancellation is provided per policy provisions.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Fir
<br />Santa Ana CA 92702
<br />USA
<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 (2016103) The ACORD name and logo are registered marks of ACORD
<br />,. Ris4ManrgementDivieloR
<br />,0S/ °4 REVIEWED &�jM'PrROVED BY&:
<br />]II41�11Fff `agGiE.Fv. T., Y✓FiF.0
<br />--�'' Risk Man:lyament AnTlyst
<br />B7
<br />
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