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A� O" CERTIFICATE OF LIABILITY INSURANCE o6/30/2016YI <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />PRODUCER Specializing in Insurance for Nonprofits <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />Suite 120 <br />Lake Forest CA 92630 <br />INSURED <br />Orange County Fair Housing <br />1516 Brookhollow Drive, Suite A <br />Certificate Issuance Team <br />(949) 709 -8800 <br />INSURER(S) AFFORDING COVERAGE <br />1;(949)709 -1668 <br />com <br />NAIC u <br />Santa Ana CA 927051INSURER F: <br />COVERAGES CERTIFICATE NUMBER -GL REVISION NIIMRFR- <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 TYPE OF INSURANCE <br />ADDIUSUBRi _._ <br />POLICY NUMBER <br />MMIDDNYYY <br />1 MMIDODIVYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />I- <br />A I l CLAIMS -MADE FX IOCCUR <br />Richer' Eynon /TEREMY <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGETORENTEO <br />PREMISES (Ea occun nce) IS 500,000 <br />X I 1,2016-03733 -NPO <br />7/112016 <br />7/1/2017 <br />MED EXP(Any one person) $ 20,000 <br />PERSONAL &ADV INJURY 1$ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER. <br />'I PRO- +.,1 <br />POLICY L� JECT LJ LOC <br />00,000 <br />PRODUCTS- COMPIOPAGO $ <br />$ <br />OTHER'.' <br />AUTOMOBILE LIABILITY <br />I COMBINED SINGLE LIMIT 'I$ 1,000,000 <br />i_(EaaccMdeng__ _ _. <br />A _ _ ANY AUTO <br />ALL OPINED SCHEDULED <br />AUTOS AUTOS <br />ICI 2016- 03733 -NPO <br />7/1/2016 <br />7/1/201"1 <br />BODILY INJURY (Per person) $ <br />BODILY tlenQ $ <br />NON -OWNED <br />X HIRED AUTOS X AUTOS <br />( <br />ROPERTY DAM(AGEa <br />Per accident)_ $ <br />_ <br />UMBRELLA LIAR ` I OCCUR <br />L EACH OCCURRENCE _ $ <br />(AGGREGATE $ <br />EXCESS LI A -MAD <br />_ — <br />_ -_ <br />DE01 RETENTION$CLAIMS <br />WORKERS COMPENSATION <br />ANDEMPLOYER <br />ANY PROPRIETOWPARTNER/EXECUTIVE OPRI NH LIABILITY C <br />R/PARTNERIEXECUTIVE YIN „',NIA <br />III DESCRIPITION OF OPERATIONS below <br />If, es, describe untler <br />OTRH- <br />- <br />ELI( ACS I$ <br />CO DEN <br />EMPLOY <br />E L. DISEASE - POLICY LIIMIT $ <br />A Improper Sexual Conduct <br />112016- 03733 -NPO <br />7/1/2016 <br />7/1/2017 <br />I�$1,000,000AGG11,M0,000OCC <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be effeched If more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as <br />Additional Insured per attached endorsement CG2026. This insurance is Primary and Non - contributory. 30 <br />day notice of cancellation with 10 day notice of cancellation for non - payment of premium per policy <br />provision. <br />TT\\ <br />V <br />CERTIFICATE HOLDER CANCFI I ATION V <br />© 1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <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 />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Richer' Eynon /TEREMY <br />© 1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />