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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMmDIYYYYI <br />05131/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 ACONTRACT 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(fes) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement Astatement on <br />this certificate does not corder rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER cAME: TAc ^enlficatalssuanceTeam <br />N_ <br />Comprehensive Insurance Services ACNE (g Og8800 I a He <br />26429 Rancho Parkway South ADUREss jere m n ' e.c <br />Suite120 _ 41SURIMatAFFOaDRtGCCERAr,E Haled <br />Lake Forest A M� �mC&9206, ,.,..,ire, 'Jonbmt4sinsun AllianmotCal'demia I inn23 <br />Orange County Fair Hosing <br />2021 E. 4th St. Ste. 118 8122 <br />Santa Ana <br />COVERAGES <br />CA 92705 1 & RF: <br />e` AcLaft, w z <br />35076 <br />MMA1RER:A � w A <br />THIS IS TO CERTIFY THAT THE POLIO N RAN D Nis TO :, D ' "I v Y E <br />INDICATED. NOTWITHSTANDINGO M R OF 'T O dvn.. <br />_ O C <br />— <br />CERTIFICATE MAY BE ISSUED ORM PER N, NS CE FO YT ! ICI ESCRIBEO HEREIN IS SUBJEC I TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVF BET . REDUCED BY PA^ fvS. <br />ILTR TYPE Of INSURANCE PODCY',Ut18r. . O Y Y <br />— M <br />X COMMERCIALGENERALLLLBILITY <br />EACHOCCURFEENCE <br />S 1.000.000 <br />Cu Ws -MADE ®OCCUR <br />PREMISES(Ea000mmos) <br />$ 500'000 <br />MEDEXP(Aa ore entan) <br />E 20,000 <br />A Y Y 2024-03733 07/012024 07/0112026 <br />PERSONAL& ADVINJURY <br />$ 1.000,000 <br />GENLAGGRECATELIMRAPPDESPER <br />OENERALAGGREGATE <br />$ 3.000,600 <br />POLICY ❑ PRORCT ® LOC <br />PRODUCTS-COMP/OPAGG <br />E 3,000,000 <br />OTHER: <br />E <br />AUTOMOBILEUMERUTY <br />COMBINm SIMGLELMI(T <br />acddaN <br />E 1,DOD,000 <br />BODILYINJURY(Par Delsan) <br />E <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />2024-03733 <br />07/0V2024 <br />07/012025 <br />BODILY INJURY(Per anrJdentl <br />$ <br />AUTOS ONLY AUTOS <br />pROPEiiIY pAMA E <br />$ <br />HIRED MON-OWNED <br />AUTOS ONLY AUT08 ONLY <br />Paracddem <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />6ACHOCCURRENCE <br />a 1,000,000 <br />AGGREGATE <br />g 1-656.000 <br />A <br />EXCESS LAB <br />CWMS4AADE <br />2024-03733-UMB <br />07/0V2024 <br />07/01/2025 <br />DED I I RETENTION E <br />$ <br />1 <br />WORKERS COMPENSATION <br />PER OTH. <br />STATUTE ER <br />ANDEMPLOYERTUABILTTY YIN <br />EiEACH ACCIOEIaT <br />E 1,000.ty10 <br />B <br />ANY PROPRIETORIPARTNERIEWCUTIVE M <br />OFFICERIMEMDER EXCLUDED? <br />NIA <br />9099740-24 <br />05/16/2024 <br />05/16/2025 <br />E.LDMEASE•EAEMPLOYEE <br />$ 1,00D000 <br />(Mandatary In NMI <br />N Yee, deeabe.m,s <br />DESCRIPTION OF OPERATIONS below <br />ELDISEASE-POIJCYLIMR <br />$ 1,D00.000 <br />$1,000,000 Aygrega[e <br />Improper Sexual Conduct Liability <br />A <br />2024-03733 <br />07101/2024 <br />07/01/2025 <br />$1,000,000 Oocurrance <br />DESCRIPTION OF OPERATIONS? LOCATIONS IVEHICLES (ACORD 101. Additional Remarks $alredale, may be attached ITmorespsce is required( <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured per attached endorsement NIAC <br />E61. This insurance is Primary and Non-contributory per endorsement NIAC E61. 30 day notice of cancellation With 10 day notice of cancellation for <br />narpayment of premium per policy provision. Waiver of Subrogation applies per attached endorsement NIAG E26. <br />City of Santa Ana <br />Risk Management Dlvlson <br />20 Civic Canter Plaza <br />Santa Ana <br />CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, HOTt^— " <br />ACCORDANCE WITH THE POLICY PROI, <br />AUTHORIZED <br />REvlEwm fi APPROvED Sr <br />A+ ju A tm4a <br />Risk Management Speaali5t <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />