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Francine R. Villareal Digitally signed by Francine R.Villareal <br />Dale:21021.09.2212n1:"-J0: MN <br />'4`� o CERTIFICATE OF LIABILITY INSURANCE <br />DATE 412021Y) <br />09/14/2021 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Alliance Mgt. & Insurance Sery <br />355 Via Vera Cruz #7 <br />CA Agent/Broker Lic# 0737966 <br />San Marcos, CA 92078 <br />CONTACT Michelle Nowell <br />NAME,PHONE <br />FAX <br />C Nn Ea :760-471-7116 (A/C,Na 760.471-9378 <br />E-MAIL <br />ADDRESS: Mnowell@amiscorp.com <br />Michelle A. Nowell <br />USTO ME E CR ID. RCSIN-1 <br />COST <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURED RCS Investigations & <br />INSURER A:Peleus Insurance Company <br />34118 <br />Consulting, LLC <br />PO BOX 29798 <br />INSURER B: <br />INSURER C: <br />Anaheim, CA 92809-9798 <br />INSURER D : <br />INSURER E <br />NSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />LTR <br />TYPE OF INSURANCE <br />O <br />R <br />POLICY NUMBER <br />POLICY Err <br />MMlDDIIYYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FxIOCCUR <br />X Errors & Omission <br />X <br />X <br />PKV0000663 <br />0611912021 <br />06119/2022 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />PREMISES Ea occurrence <br />$ 100,00 <br />MED EXP(My one Person) <br />$ 5,00 <br />PERSONAL&ADV INJURY <br />$ 1,000,00 <br />GENERAL AGGREGATE <br />$ 4,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />X POLICY PRO LOC <br />PRODUCTS - COMPIOP AGG <br />$ 1,000,00 <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PKV0000663 <br />06/19/2021 <br />06119/2022 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,00 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(PER ACCIDENT) <br />$ <br />X <br />X <br />$ <br />A <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMSWADE <br />UMV0000182 <br />06119I2021 <br />06119/2022 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />X <br />AGGREGATE <br />$ 1,000,00 <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORPARTNERVEXECUTIVE❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />M yes, describe under <br />DESCRIPTION OF OPERATIONS be. <br />NIA <br />WC STATU- TH- <br />T L E <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Professional Liab <br />PKV0000663 <br />0611912021 <br />0611912022 <br />Occurence T000,00 <br />Aggregate 5,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />The Cityof Santa Ana its officers, officials, em to sea, and vole tees <br />are namd as an additional insured with respects 7Co the work per�ormed b <br />the named insured. Waiver of Subrogration, Primary Wording and 30 Day Notice <br />applies. <br />Investigation, CA -- <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />I%xW%a <br />1988-2009 ACORD COR <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />a�[REVIEWED <br />Risk MmugemalttlMilml <br />&pAPPRO�V�ED BY.' <br />• <br />1 AhtY.N1 ram. V�(.(fA(F.0 <br />M, <br />Risk Management Analyst <br />00 <br />genlott Dlvls(on <br />APPRO/V�® BYE: <br />�, V�CCAneRt. <br />elnent Anatyrt <br />