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AGENCY CUSTOMER ID:TRAIAND-01 DOLDENBERG <br /> LOC#: 1 <br /> ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br /> AGENCY License#L100460 NAMED INSURED <br /> Foundation Risk Partners Insurance Solutions -KM Los Angeles Training and Research Foundation <br /> g 750 W.First St. <br /> POLICY NUMBER Tustin,CA 92780 <br /> SEE PAGE 1 <br /> CARRIER NAIC CODE <br /> SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br /> Description of Operations/Locations/Vehicles: <br /> $0 retention/deductible <br /> *Occurrence Form <br /> Coverage: Human Services Professional Liability <br /> Policy#CPP010053786 <br /> Effective 7/01/2026 to 7/01/2027 <br /> $1,000,000 Each Occurrence (Event) limit <br /> $3,000,000 Aggregate limit <br /> $0 retention/deductible <br /> *Occurrence Form <br /> El Salvador Early Care Education Center <br /> aka:Anne Broussard <br /> 1825 W Civic Center Drive <br /> Santa Ana, CA 92703 <br /> Corbin After School/Summer Program Center <br /> 2215 W McFadden Avenue <br /> Santa Ana, CA 92704 <br /> City of Santa Ana, its officers, officials, employees and volunteers are also included as as Additional Insured, including Primary& <br /> Non-Contributory wording, and Waiver of Subrogation applies as respects General Liability coverage; only as per the attached <br /> endorsement(s), regarding the Facilities Use Agreement(The City of Santa Ana, Parks Recreational and Community Services <br /> Agency, Event Name: The Chicano Heritage Festival, Location: El Salvador Park, 1825 W Civic Center Dr Santa Ana, CA 92703, <br /> Logan Community Center, 1009 N. Custer St., Santa Ana, CA 92701). 30-day notice of cancellation applies. (ENDORSEMENTS <br /> PENDING) <br /> City of Santa Ana, its officers, officials, employees and volunteers are also included as as Additional Insured and Waiver of <br /> Subrogation applies as respects Automobile Liability coverage; only as per the attached endorsement(s), regarding the Facilities <br /> Use Agreement(The City of Santa Ana, Parks Recreational and Community Services Agency, Event Name: The Chicano Heritage <br /> Festival, Location: El Salvador Park, 1825 W Civic Center Dr Santa Ana,CA 92703, Logan Community Center, 1009 N. Custer St., <br /> Santa Ana, CA 92701). <br /> $4MM Umbrella goes over underlying General Liability, Sexual Misconduct Liability with a$2MM Sublimit, Human Services <br /> Professional Liability with a $4MM Sublimit, Workers Compensation and Commercial Automobile Liability Coverage. <br /> Waiver of Subrogation applies as respects Workers Compensation coverage; only as per the attached endorsement(s). <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />