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DI9%'y signed by Francine p,
<br />Francine R. Villareal vuNrzal
<br />oaleR02107.1210:43:55 W'N'
<br />'? rHNnruR-u1
<br />A� CERTIFICATE OF LIABILITY INSURANCE
<br />STONG
<br />DAT3012021
<br />6/3019DIYYYV)
<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 Llcerl UM10410
<br />NO CT
<br />Armstrong/RobitaillelRlegle Business and Insurance Solutions
<br />830 Roosevelt, Suite 200
<br />Irvine, CA 92620
<br />PHONE FAX
<br />Alc, No, EM): (949) 381-7700 A/C, No :(949) 487-6151
<br />XriuAlL . arrinfo@aleragroup.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC a
<br />INSURER A: Philadelphia indemnity Ins Co
<br />18058
<br />INSURED
<br />INSURER 5, ComigWest Insurance Company
<br />12177
<br />INSURER C:
<br />Families Forward
<br />8 Thomas
<br />Irvine, CA 92618
<br />INSURER D
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER, REVISION NU
<br />M BER.
<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 />ILTRNSR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUB.
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIUDIYYYYI
<br />POLICY E%P
<br />(Mill
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DREMI9ETO RENcImo,u
<br />100,000
<br />CLAIMS -MADE �X OCCUR
<br />X
<br />PHPK2293752
<br />7/112021
<br />711/2022
<br />VIED EXP (Anyone person
<br />$ 20,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY of �
<br />GENERAL AGGREGATE
<br />$ 3,000,000
<br />GEN'L
<br />PRODUCTS-COMP/OPAGG
<br />$ 31000,000
<br />Lee
<br />SEXUAL ABUSE
<br />1,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />CEOMaBINED SINGLE LIMIT
<br />$ 1,000,000
<br />X
<br />ANYAUTO
<br />PHPK2293752
<br />711/2021
<br />7/112022
<br />BODILY INJURY Per person
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Peraccident
<br />$
<br />X
<br />AiIT OS ONLY X AUTOS ONLY
<br />Rp
<br />P. accIdent AMACE
<br />$
<br />A
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />X
<br />AGGREGATE
<br />4,000,000
<br />EXCESSLIAB
<br />CLAIMS -MADE
<br />PHUB774554
<br />71112021
<br />71112022
<br />DED I X I RETENTION$ 10,000
<br />B
<br />ANDEPLVRSELBIMOEIALIITY
<br />X PER
<br />YIN
<br />ANVCERIMEETOR/PARTNDED? CUTIVE ❑
<br />WCV550516100
<br />71112021
<br />71112022
<br />STATUTE EORN
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />qMandaRry InN REXCLUOEDY
<br />Mandatory In NH)
<br />`f
<br />NIA
<br />E.L. DISEASE - EA EMPLOYE
<br />1,000,Og0
<br />If Yes, describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />1 1,000,000
<br />Kes
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Professional (E&O)
<br />PHPK2293752
<br />7111202,
<br />711/2/122
<br />Occurrence
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (AC ORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />The City of Santa Ana, Its officers, employees, agents, and representatives are named as Additional Insured on Primary and Nan-Contribory basis with
<br />respect to General Liability coverage per attached forms as required In a written contract, agreement, or memorandum of understanding.
<br />30 Days Cancellation Notice unless 10 Days for Non-Paymant.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE
<br />=tiy RlskMarrege11entDlyislon
<br />��GMn ILP .__yam `XRIVVIEWED&APrRcrvm Br.
<br />ACORD 25 (2016/03) ©7988-2015 ACORD C I rnaus.a
<br />The ACORD name and logo are registered marks of ACORD auk Management analyst
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