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PROJKIN-01 LWARD CERTIFICATE 4F LIABILITY INSURANCE DATE 1 4/2512025YY) oz� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 endorselnent(s), PRODUCER CONTACT Nara Wolkoff NAME; PIASC Insurance Services,Inc. PHONE FAX - 5800 S.Eastern Avenue (A/C,No,Ext): WC,Nol: Suite 400 E-MAIL nora iascins.com ADDRESS: @P Los Angeles,CA 90040 INSURERS AFFORDING COVERAGE NAIL# INSURER A:State Compensation Ins.Fund 35076 INSURED INSURER B: Project Kinship INSURER C: 1833 E.17TH Street INSURER D: Santa Ana,CA 92705 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDD IMMIDDrVrYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE F7 OCCUR DAMAGE TO RENTED PREMISES(Ea ocgurrencL I S MED EXP(Any oneperson) $ PERSONAL BADVINJURY $ GENT AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ POL ICY❑PLO LOG PRODUCTS-COMPIOPAGG $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY _ Ea accid.nCi $ ANYAUTO BODILY INJURY(Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per..,dentL $ UMBRELLA UAB hi OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YINX STATUTE ER ANY 9342586-24 7111/2024 711112025 E.L.EACH ACCIDENT $ OFFICERIMEM6 R FXCLUDED7 ECUTIVE NIA X 1,flfl0 04fl (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,flfl0,flflfl DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space€s required) City of Santa Ana,its City Council,officers,officials,employee,agents,and volunteers Event:Project Kinship Youth Photo Project,Youth Leadership Academy Locations: 3155 Justice Center Way,Orange,CA 92868 1833 E 17th Street,Santa Ana,CA,92706 AppRovEfl By Tu Tran Nguyen at 9.55 am,May 27,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. Attention:Executive Director,Community Development Agen 20 Civic Center Plaza M-25 Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE L— ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD