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CERTIFICATE OF LIABILITY COVERAGE <br />DATE(MNn1eNYYY) <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 LIABILITY COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL COVERED the Pollcyfies) 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 <br />the certificate holder in lieu of such andorsoment(s <br />PRODUCER <br />CONTACT <br />Union -Employer Joint Plan Sponsors <br />NAME: <br />Compass Pilot <br />Omega Community Labor Association <br />33 1 Bullard Avenue <br />PRONE <br />FAIL <br />Clovis, CA 93612 <br />NC. IN.6e <br />(833)4274668 IAro. ar 673-0183 <br />EMAIL1800) <br />Inhi@mmpasspilO1 W GCAm <br />ISSUERIS) A"OROmG COVEAAOE <br />COVERED / <br />IasueRA.. <br />COltPASSPILOT _ <br />Santa Ana Security Services, Inc✓ <br />ERISA based member benefit program of <br />1717 S. Main St. <br />OMEGA COMMUNITY LABOR ASSOCIATION <br />Santa Ana, CA 92708 <br />ISSUERC. <br />THIS IS TO CERTIFY THAT THE POLICIES OF COVERAGE LISTED BELOW HAVE BEEN ISSULD i'O ]HE COVERED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED. NOTYATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT TO ALL <br />THE TERMS, EXCLUSIONS AND CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS <br />T/1e OFCOVEIUOFAGaLf11aR - POLICY EFP POLICY EIIP' - <br />COVe YIVD IOICYNUMaEP D0. D1YVY'I LIMITS <br />CONMERCNL GENERAL LULBNTY EACHOCCUfWNCE S <br />CLAIMSMACE OCCUR DAMAGE TO RENTED <br />Plt[AESES (Ea w.uAr.mv) S <br />- LrtO EJIP IMr N�CKrf/1 S <br />PERS(NMLAAuVNNAIRY S <br />GEN L NORRENiAIF LIMI r C}R CENFMLASGREGAt£ S <br />POLN:Y PRO lGC PRCOIK_TECCLPgP AGG S <br />ACT <br />AUTOMOBILE DAAIIITY 9 L.A, S <br />ANY MNTO BDOILY INWRY (PU Mxn) S <br />ALL <br />VIREOO AUTpS SAFn <br />AUTOIL AMO, <br />t NOi4OWNED PHOPF.RrYOWAAGf MI 5 <br />S <br />A'JTDS per nmtr 1; <br />S <br />UMBRELLAUAB OCCIJR EAGtO,xVRRCNCE 5 <br />EXCESSLUIB CLAW. _AOE_ AG(IRE.OAIE S <br />OLD RETENTION S <br />A WORILERE CONPENSAWRI EP-CA-2020-01 642712020 4R67021 r PER <br />AfUIE ER 4 ANDraR EMPLOVERW ILRY ANY / <br />ELEACRACUCENT S 1,000.000 <br />PROPRIETCWPARTNERFXECUTnE <br />OreIf.ER1A'e1JBER E:(CLUDED IYrNi E.L CISGSE EA ENFLOYEtS 1,000000 <br />E.L. pSFJ.'sF ax:CVLIMIT E 1.000 DDO <br />DEECRIPTaMOP OPEMIMNSl LOCATN]N9rVEaCLES. NEVIEWED&Appf?(1VCI1 - <br />Omega Community Lobar ASsociatron ogam employer Iiah""FITrj� Iy I%slaYe }e B,tM• rage Minns a; ar, arisa-prolected member benefil <br />program (Compass Pilot) AU liability protection and member benefid�`pniioeeAiSFs ii b MkWie bargaining agreement Doty U 5 Dept of lain, <br />Fenn M.1 Multiple employer weftare arrangement riling coda- EC - <br />Workers compensation cm:erage benefit proV'Idorf sclol; for the NBJ n I d ��rl ff:C ey,eemant nS,twann EINNnonlal FEO ary OnegV <br />Communily Labor Associaxn <br />Covered Copy <br />r'VIL11t ACEV&(jfj" I A,, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE V.1LL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />- <br />AUTHORIT.D WORESENTATIA <br />t' REM1EwED APPROVED <br />6 AOVED By: <br />o FIB A�lIl' , 'I <br />Ruk Management Analyst <br />