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_ I]• A A`C>Ra CERTIFICATE OF LIABILITY INS i e 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE' TIFjdAXTE.HOLPEk THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTE H�y�O K FF (1QI ii� BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BBB)N N V95 1 a;AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. �.. V ��rrr ��AAADa IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBRO',ATIOla^1'-��.rx��,� �JJ��11P��t to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certifir Ate doesagy�ptr400t� the certificate holder in lieu of such endorsement(s). PRODUCER NAMECT Lockton £inity, IJ Lockton Affinity, LLC AICNNo Ezt:888-553-9002 Fuc, No•913-652-3967 E-MAIL P. O. Box 873401 ADDRESS: Kansas City, NO 64187-3401 INSURERS AFFORDING COVERAGE NAIC# INSURER A: me aserican maurmce Co. 22667 INSURED INSURER B: ace n Habitat for Humanity of Orange County, rnPe=iY and Casualty z4fi99 Inc. INSURER C: 2200 S. Ritchey Street INSURER D: Santa Ana, CA 92705 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMRFR: RFinSinN NIIMR1=0. 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 POUCIES 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 D INSD adept WVD POLICY NUMBER POLICY EFF MMID POLICY EXP MWD LIMITS A X COMMERCIAL GENERAL LIABILITY y GL1064465-22 D4/01/2022 04/01/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 1XIOCCUft DAMAGETO PREMISES Roccunence 1,000,000 MED EXP (Any one person) .$ $ 0 PERSONAL& ADV INJURY $ 1,000,000 GEd'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑jam n LOC PRODUCTS-COMPIOP AGG $2, 000, 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OIMNED SCHEDULED AUTOS AUTOS BODILY INJURY eracciEent ) $ NON-0WNED HIRED AUTOS AUTOS PROPERTY DAMAGE raccident) $ B X UMBRELLA U,4B X OCCUR UM1064465-22 04/01/2022 04/01/2023 EACH OCCURRENCE $ 1,000,000 AGGREGATE $1,000,000 EXCESS LUAB CLAIMS -MADE DED X RETENTION$10 000 $ WORKERS COMPENSATION AND EMPLOYERS 'LIABILITY YIN PER OTH- STATUTE ER E.L EACH ACCIDENT $ ANY PROPRIETORIPARTNEWEXECUTIVE ❑ OFFICE"EMSER EXCLUDED? NIA E.L DISEASE - EA EMPLOY $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached 8 more space is required) 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. Notice of Cancellation initiated by the company - for Non Payment: 10 Days; for Other Reasons: 30 Days; Notice of Non -Renewal initiated by the company: 10 Days. Failure to provide notice will not invalidate the cancellation or non -renewal. CERTIFICATE HOLDER CANCELLATION 1064465 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 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 AUTHORIZgDWRESENTATIVE RiskItteragenentDhiarion RPtll m6APPROV®BV: 01988-2014 ACORD ( q/ o.. ? Xju Am4,s ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD'' Risk Management speaahal 40855821 1064465