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CERTIFICATE OF LIABILITY INSURANCE <br />DATE <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(ios) 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 <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />Suite 120 <br />Lake Forest CA 92630 <br />.. <br />INSURED <br />Orange County Fair Housing <br />1516 Brookhollow Drive, Suite A <br />ctificate Issuance Team <br />(9A9)709 -8600 �- <br />NALC N <br />[Santa Ana CA 92705 (INSURER F: _..__._.. -1 <br />COVERAGES CERTIFICATE NUMBER:WC 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 <br />ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I17SR _.__.._..___ " " " -- ABar S6 -5A <br />(TRH TYPE OFINSURANCE POLICY NUMBER <br />MIDOMYYY ! MMID Y LIMITS <br />COMMERCIAL GENERAL <br />:EACH OCCURRENCE <br />1 $ <br />_.....___..._ .,.._._LIABILITY <br />15ATd "A "G"E"T6 <br />CLAIMS�Ntl ! OCCUR <br />PREMISES IEa owm ence) <br />& <br />' <br />MEQ EXP (Any one perwn)�$ <br />- PERSONAL &ADV INJURY <br />'S <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />S <br />_._._ , PRO, <br />POLICY JECT J LOG <br />__... _ <br />PRODUCTS - COMPIOP AG G <br />...:_. ..._.....__.._.__._�___._._._.. <br />8 <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMOINW SINULt, L IT <br />{Ea xc�den�._ <br />$ <br />� <br />ANY AUTO - <br />BODILY INJURY (Par preon) <br />.$ <br />.. ALL OVVNFQ _ _ ' SCHEDULED <br />AUTOS � <br />,----- ..._.._._ ._ <br />BODILY INJURY (Pw accident); <br />li <br />NON -OMMEO <br />PROPERTY6AMAGE <br />w <br />HIRED AUTOS AUTOS <br />is <br />UMBRELLA LIAa OCCUR <br />! EACH OCCURRENCE <br />$. <br />EXCESS LIAB CLAIMS-MA E <br />AGGREGATE <br />QED I RETENTION $.a__.� <br />$ <br />WORKERS COMPENSATION <br />X ER TH <br />]AND EMPLOYERS' LIABILITY YIN - <br />„STATUTE__ "R <br />_, _,.... .._._. <br />:ANY PROPRIETOR/PARTNER/EXECUTIVE r - ! <br />EL EACH ABC [DENT <br />1,000,000 <br />A OFFICERIMEMDER EXCLUDED? I NIA <br />(Mandatory to NM) ' --' 4099740 -16 <br />5/16/2016 5/16/2017 EL DISEASE - EA EMPLOYEE <br />_ <br />111 1r G..R,Q,D <br />_ <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE. POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, <br />maybe attached tr more space is required) <br />CPRTIPICATIe HOI DER rTANrtFl I ATION <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <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 />PO Box. 1988, M -25 <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />J <br />Richard Elnionf lERBpiY <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />