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Digitally signed ACOR" CERTIFICATE OF LIABILITY INSARQte by A gqCJE(MMIDD/YYYY) 10/27/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGH S UPON THE CERT I :AT ' IS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE�VF rj - 2 07 1 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWE N S , O REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 2 .2 .2 7' ' _ IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). PRODUCER Conrey Ins Brokers & Risk Managers 2522 N. Santiago Blvd. Lic#0543173 Orange CA 92867 CONTACT NAME: Christine Campbell ACNE. Ext: (877)450-1872 A/C, NO: (719)838-8166 E-MAIL christinec@conreyins.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Nonprofits Ins Alliance Of Ca 11845 INSURED South County Outreach 7 Whatney Ste B Irvine CA 92618 INSURER B: Employers Preferred Ins Co 10346 INSURERC:Lloyds of London 85202 INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:21-22 NIAC-E61 02 19 REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 X MED EXP (Any one person) $ 20,000 SEXUAL MISCONDUCT X Y 2021-22015 11/1/2021 11/1/2022 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 ❑PRO X JECT LOC PRODUCTS-COMP/OPAGG $POLICY 2,000,000 Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ A ANYAUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS 2021-22015 11/1/2021 11/1/2022 X PROPERTY DAMAGE Per accident)$ NON -OWNED HIRED AUTOS X AUTOS Uninsured motorist combined single $ 1,000,000 UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ r $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N X I PER OTH- STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N /A EIG273813803 11/1/2021 11/1/2022 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 A PROFESSIONAL LIABILITY 2021-22015 11/1/2021 11/1/2022 EACH PROF INCIDENT LIMIT/AGG $1M / $2M C Cyber Liability ESK0134032354 11/1/2021 11/1/2022 Occurrence/Agg $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED/PRIMARY AND NONCONTRIBUTORY PER ENDORSEMENT NIAC-E61 0219 . WAIVER OF SUBROGATION APPLIES PER ENDORSEMENT NIAC-E26 1117 WHEN AGREED TO BY WRITTEN CONTRACT OR AGREEMENT. POLICY CONTAINS 30 DAY CANCELLATION CLAUSE. 10 DAYS NOTICE IN THE EVENT OF CANCELLATION FOR NON-PAYMENT. *City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2014/01) INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C Campbell/IRA " Risk Mumigment DMsian e ° REVIEWED & APPROVEDBY: © 1988-2014 ACORD; °(� p Aeevulo The ACORD name and logo are registered marks of ACORD — Risk Management Specialist