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AG`O�'�ID M. Lambert 954;2m.-i DATE (MM/DD/YYYY) --TM. CERTIFICATE OF LIABILITY INSURANCE 05/06/2022 PRODUCER Phone: 562-943-7174 Fax: 562-947-7957 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BLAKE P. SANBORN INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 16264 WHITTIER BLVD. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR WHITTIER CA 90603 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE I NAIC # Q072770 INSURED INSURER A: HARTFORD INSURANCE COMPANY PACIFIC COLLEGE, INC. INSURER B: EMPLOYERS INSURANCE COMPANY __-- 3160 RED HILL AVE. __....---__...._........—____�.___.�__._..._..------------__...-----.-- INSURER C: COSTA MESA CA 92626.__-- INSURER D: /wPn INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MM/DD/YV DATE MM/DD/VY GENERAL LIABILITY 57SBABN6877 06/01/22 06/01/23 EACH OCCURRENCE $ 2,000,000 _._ DAMAGERENTED PREMISESS ( Ea occurencn) W $ 100,000 — — X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED. EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY — $ 2,000,000 A YES -X� GENERAL AGGREGATE- $ 4,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 4,000,000 -- PRO- — _--- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS --------_. — _.._ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT — -- $ --�- -- — ANY AUTO OTHER THAN EA ACC AUTO ONLY: y AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE --- — AGGREGATE -------._............ .......... ....... $ _ $ $ _ DEDUCTIBLE -.. RETENTION $ -- - - — - $ WORKERS COMPENSATION AND EIG2104339 08 05/26/22 05/26/23 �aRv AM T5 OTHER EMPLOYERS` LIABILITY E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETORIPARTNER/EXECUTIVE _ __. OFFICERIMEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ 11000,000 Ifyen, deuribe under .__�_...—_......_...__—.___.. ___—_._�_—.........__...__. SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS, AND REPRESENTATIVES ARE NAMED AS ADDITIONAL LINSURED. CERTIFICATE HOLDER CITY OF /1 CIVIC CENTER PLAZA i CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B EXPIRATION DATE THEREOF, THE ISSUING INSURER RHkMaw0wrknfDM"l0n NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH REVIEWED& APPROVED By., Risk ManagementSupermsor Attention: ACORD 25 (2001/08) Certificate # 31306 CORPORATION 1988