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PROJKIN-01 -LBOSSHAR A ®� CERTIFICATE OF LIABILITY INSURANCE ©AT� m) sr1212022r2a2s 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 endorsements. PRODUCER License#0M10410 N NTACT Armstrong/Robitaille/Rieggle Business and Insurance Solutions P.v"c°,NIu,Ext}:(949 381-77aa FAX 18575 Jamboree Rd,Ste 500 } (AIC,No):(949)861-9429 Irvine,CA 92612-2546 Mass,arrinfogRaleragroup.com INSURER 3 AFFORDING COVERAGE NAIC# INSURER A:Nonprofits Insurance Alliance Grou 10023 INSURED INSURER B:HISCOX Insurance Company Inc 10200 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 TYPE OF INSURANCE ADD L SUER POLICY EFF POLICY EXP D WVD POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [�]OCCUR X X 2025-79149-NPO 7/1/2025 71112026 DAMAGETO RENTED 500,000 ISES Ea occurrence) $ MED EXP(Any oneperson) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 3,000,000 X POLICY❑j�T LOC GENERAL AGGREGATE $ S,DO0,000 PRODUCTS-COMPIOPAGG $ OTHER: A AUTOMOBILE LIABILITY CEOMaBI cciden ED SINGLE LIMIT $ 1,000,000 X ANY AUTO 2025-79149-NPO 7/1/2026 7/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY AUUTOS ONLY P�20PER�Y DAMAGE Per acci ent $ A UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE 2025-79149-UMB 7/1/2025 7/1/2026 AGGREGATE 2,000,000 DED X RETENTION$ 0 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y i N STATUTE ER ANY PRROPRIIETO�RIPARTNERIEXECUTIVE {Mandatory Ih NH}EXCLUDED? N 1 A E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liab MEO1737090.25 711/2025 7/112026 Per Claim 1,000,000 B Professional Liab MEO1737090.25 7/1/2025 7/112026 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Excess General Liability Policy(2nd Layer Excess): Policy No:UXODOOO1021-02 Carrier: Admiral Insurance Company Policy Term: 711/2025 to 7/1/2026 Limit Per Occurrence: $2,000,000 General Aggregate: $2,000,000 SEE ATTACHED ACORD 101 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 Attn:Santa Ana Parks&Recreation ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE I -D. A* ACORD 26(2016103) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD