FAIR HOUSING COUNCIL OF ORANGE COUNTY - CDBG 2014-15

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, k. O CERTIFICATE OF LIABILITY INSURANCE �`-�'� 523/4 D/23//DDIY2014 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(les) 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 endomement(s). PRODUCER Comprehensive Insurance Services 22342 Avenida Empress Suite 250 Rcho Sta Margarita CA 92688 CONTACT NAME. - PHONE (949) 709-BB00 FAX Air No: (999)'/09-1668 E-MAADDRESS-info@ thecomprehensiveinsurance. com INSURERS AFFORDING COVERAGE NAIC it INSURERA:State Compensation Ins. Fund 35076 INSURED INSURER B : INSURER C : Orange County Fair Housing Council 201 S. Broadway INSURER D: INSURER E: Santa Ana CA 92701 INSURERF: COVERAGES CERTIFICATE NUMBER -WC PEWICIRRI hit rMGCO. - 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. ILTR TYPE OF INSURANCE O UBR POLICYNUMBER POLICY PMIDONYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE 0 RE TED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE- $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1-1 POLICY PRO- LOG JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Permeldent $ UMBRELLA UPS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) yes, d If s, describe under NIA 9099740-14 /16/2019 5/16/2015 X WC STgTU- OTH- E.L.EACH ACCIDENT - - ----- $ 1 000 OOD —_ .+_-_.c__ E.L. DISEASEEAEMPLOYE $ 1,000,000 E. L. DISEASE -POLICY LIMIT I $ 1 000 O00 Dr DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RG'V 1Cva 2(�i�10'y-jam 3�3 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA, ITS OFFICERS, AGENTS ACCORDANCE WITH THE POLICY PROVISIONS. VOLUNTEERS & EMPLOYEES AUTHORIZED REPRESENTATIVE P.O. BOX 1988, M-25 SANTA ANA, CA 92702 Richard Eynon/JEREMY��4-.z-z_� ACORD 26 (2010106) INS025 (201005).01 01988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD