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PROJKIN-01 LWARD <br /> CERTIFICATE OF LIABILITY INSURANCE DATE IYYYYi <br /> 912/20l2025 <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 endorsemont(s). <br /> PRODUCER CONTACT Nora Wolkoff <br /> PIASC Insurance Services,Inc. PHONE FAX <br /> 5800 S.Eastern Avenue (Arc,No,Extl: (arc,No): <br /> Suite 400 E-DRIEss:nora@,piascins.com <br /> Los Angeles,CA 90040 <br /> INSURERS AFFORDING COVERAGE NAkC# <br /> INSURERA:State Compensation Ins.Fund 35076 <br /> INSURED INSURER B: <br /> Project Kinship INSURER C: _ <br /> 1833 E.17TH Street Suite 103 INSURER D: <br /> Santa Ana,CA 92706 <br /> INSURER E: _ <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> IN5R TYPE OF INSURANCE ADDINSDL SUBR WVD POLICY NUMBER POLIICDY EFF POLICY EXP LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE u OCCUR DAMAGE TO RENTED <br /> PREMISE urrence <br /> MED EXP(Any oneperson) <br /> PERSONAL&ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY 0JERCOT- LOC PRODUCTS-COMPIOP AGG $ <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED <br /> BINEDac/Jden SINGLE LIMIT $ <br /> ANY AUTO BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> ONLY AUOTOSLY PPe0accRt AMAGE $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION X PER' <br /> EMPLOYERS'LIABILITY E ER _ <br /> ANY PROPRIETORIPARTNERIEXECUTIVE YIN X 934258625 7/11/2025 7/1/2026 1,000,000 <br /> � E,L,EACHACCIDENT $ <br /> �Mandat0 VIn NHS EXCLUDEU7 NIA 1,0003000 <br /> If yes,describe under E,L.DISEASE-EA EMPLOYEE $ <br /> DESCRIPTION OF OPERATIONS below E1,DISEASE-POLICY LIMIT $ 1,0003000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mere s ce is na ulred) <br /> City of Santa Ana,its City Council,officers,officials,employee,agents,and volunteers Event:Project Kinshipivouth Photo Project,Youth Leadership <br /> Academy <br /> Locations: <br /> 3155 Justice Center Way,Orange,CA 92868 <br /> 1833 E 17th Street,Santa Ana,CA,92706 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa And THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> Parks,Recreation and Community Services <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />