FRESH BEGINNINGS MINISTRIES-BILL NELSON (2)

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Francine R. Villareal oiauaiq.�s�m nyra�n�: avnua,i wm: ao�i oz,oass23sasao FRESH-1 OP ID: HM AFRO CERTIFICATE OF LIABILITY INSURANCE °121011 020 1 vollzozo THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER Golden Empire Insurance Agency 9 y 28720 Roadside Drve Ste. 376 Agoura Hills, CA 91301 GreyDahl, Inc. CONTACT NAME: PHONE FAX INC, Noe Bad, INC, No), E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: Continental Casualty Company INSURED Fresh Beginnings Ministries 968 Presidio Dr. INSURER B: Costa Mesa, CA 92626 INSURER INSURER D : NSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR LTR rypE OF INSURANCE INSR ADDL SUER MO POLICY NUMBER MMIDDYIYYYY MMIDDIIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X 6011884990 12/19/2020 12/1912021 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence) $ 300,00 MED EXP(Any one person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY Pfl`rTRO LOG PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON-0WNED AUTOS 6011884990 12/19/2020 12119/2021 COMBINED SINGLE LIMIT Ea accident)$ t,000,00 BODILY INJURY (Per person) $ I BODILY INJURY (Per accitlent)g PROPERTY DAMAGE PER ACCIDENT $ 8 UMBRELLA UAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE ❑ OFFICERrMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A WC STATLL DTH- TORY L M TS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. subject to attached form SB146932G. ***30 Day Notice of Cancellation. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza, 4th FI. AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 Risk ManageNmtDh sIon REVIEWED&APPROvEQBr. ©1988-2010 ACORD COLII11F_L' w.on.t IZ. �aisnui ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD '®' Rbk Management Analyst