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Digs ally ngned by Francine IF Francine R. Villareal vpiereal Dire: 2021.07.121OA3:55 erao .�� I-AMii-oR-01 RTONG DAT3012OA'YVY) 6/3012021 CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or 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 License # OM10410 �RAJACT ArmstronglRobitaillelRiegle Business and Insurance Solutions Roosevelt, Suite 200 Irvine, CA 92620 A/No, Ext): (948) 381-77, C 00 jacNo:(949)487.6151830 A�AIL . arrinfo@aleragroup.com INSURERS AFFORDING COVERAGE NAIC H INSURER A:Philadelphia lndemnit Ins Co 18058 INSURED INSURER a: COm West Insurance Company 12177 INSURER C : Families Forward INSURER D : 8 Thomas Irvine, CA 92618 INSURER E: INSURER F : COVFRAGFS CFRTIFICATF KIHMRFR• DFVlclnhl hlllnnman- 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 LTRp TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PHPK2293752 711/2021 7/1/2022 EACH OCCURRENCE $ 1,000,000 'AMAGET0,RENamrOen $ 100,000 $ 20,000 GEN'L MED EXP (Any onePerson) PERSONAL &ADV INJUW�310001000 00 AGGREGATE LIMIT APPLIES PER: POLICY jE� � LOC GENERAL AGGREGATE00 PRODUCTS-COMPIOP00OTHER, SEXUALABUSE000A AUTOMOBILE LIABILITY ANY AUTO SCHEDULED AUTEOpS ONLY AUTOS ONLY NOTN005 ONLY PHPK2293752 711/2021 7/1/2022 COMBINED SINGLE LIMI000Ea accident BODILY INJURY Per eOWNED BORDILY INJURY Par accWOS PPe�a ExRd nt AMAGE$ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PHUB774554 711/2021 711/2022 EACH OCCURRENCE $ 4,000,000 AGGREGATE 41000,000 DEC X RETENTION$ 10,000 B WORKERS COMPENSATION NABTIIOIN YIN ANY PROPRIETORIPARTNEIREXECUTIVE ❑ OFFICERIMEMBER EXCLUDED' andstory In ) DESCRIPTIrose ibe under ON OF OPERATIONS below NIA WCV550516100 71112021 711/2022 X STATUTE 'ER"_ E.L. EACH ACCIDENT 1000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 1 E.L. DISEASE -POLICY LIMIT 1,000,000 A Professional (E&O) PHPK2293752 711/2021 711/2022 Occurrence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City of Santa Ana, its officers, employees, agents, and representatives are named as Additional Insured on Primary and Non-Contribory basis with respect to General Liability coverage per attached forms as required in a written contract, agreement, or memorandum of understanding. 30 Days Cancellation Notice unless 10 Days for Non -Payment. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE .c �Auamll.(,�,hpyp� Division IY IN R EWEDD&&AAPP ovEDBY:. ACORD 25 (2016103) 91988-2015 ACORD C �Vacnubhy_ p4Adhd: a P V The ACORD name and logo are registered marks of ACORD L� RhkMznngemeriPAnalyst