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A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />3/12/2025 <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 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. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />(OC) Heffernan Insurance Brokers <br />18004 Sky Park Circle, Suite 210 <br />Irvine CA 92614 <br />CONTACT <br />NAME: Heffernan Insurance Brokers <br />PHONE FAX <br />A/C No EXt : 925-934-8500 A/c, No): 925-934-8278 <br />ADDRESS: HIB24-7@heffins.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Philadelphia Indemnity Insurance Company <br />18058 <br />License#: 0564249 <br />INSURED ORANCOU-05 <br />Orange County's United Way <br />18012 Mitchell South <br />INSURER B : Travelers Casualty and Surety Company of America <br />31194 <br />INSURER C : Lloyd's of London <br />INSURERD: <br />Irvine CA 92614-6008 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 126105562 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />I <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />PHPK2618575-023 <br />11/1/2024 <br />11/1/2025 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea or <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$3,000,000 <br />POLICY PRO LOC <br />El JECT <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 3,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />PHPK2618575-023 <br />11/1/2024 <br />11/1/2025 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />PHUBB87255-023 <br />11/1/2024 <br />11/1/2025 <br />EACH OCCURRENCE <br />$5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION $ in ono <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />Y <br />PHPK2618575-023 <br />11/1/2024 <br />11/1/2025 <br />Occ$1MM/Agg <br />3,000,000 <br />B <br />C <br />Crime <br />Cyber Liability <br />107338302 <br />ESN1040121023 <br />11/1/2023 <br />11/1/2024 <br />11/1/2026 <br />11/1/2025 <br />Empl. Theft/Forgery <br />1 st&3rd Occ $2MM/Agg <br />1,000,000 <br />2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Accidental Death & Dismemberment <br />Policy Number: MAR16270 <br />Policy Term: 11/01/2024 - 11/01/2025 APPROVED <br />Carrier: Market Insurance Company By Tu Tran Nguyen at 9:44 am, Apr 22, 2025 <br />Aggregate Limit: $ 250,000 <br />Sexual Abuse and Molestation coverage - $1,000,000 Digitally signed by <br />Tu Tran Tu Tran Nguyen <br />Date: 2025.04.22 <br />See Attached... Nguyen 09:45:17-0700' <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Executive Director <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Community Development Agency <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza, M-25 <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />