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NEIGHBORHOOD HOUSING SERVICES OF ORANGE COUNTY, INC. DBA NEIGHBORWORKS ORANGE COUNTY 1
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NEIGHBORHOOD HOUSING SERVICES OF ORANGE COUNTY, INC. DBA NEIGHBORWORKS ORANGE COUNTY 1
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Last modified
10/31/2018 3:54:37 PM
Creation date
10/12/2018 3:04:15 PM
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Contracts
Company Name
NEIGHBORHOOD HOUSING SERVICES OF ORANGE COUNTY, INC. DBA NEIGHBORWORKS ORANGE COUNTY
Contract #
A-2017-309
Agency
PUBLIC WORKS
Council Approval Date
11/21/2017
Expiration Date
9/30/2018
Insurance Exp Date
5/14/2019
Destruction Year
2023
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Client#: 433769 <br />NEIGHHOUS14 <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />FDATE(MM/DD/YYYY) <br />TYPE OF INSURANCE <br />5/15/2018 <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 any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: King <br />Marsh & McLennan Agency LLC <br />PHONE FAX <br />A Lo, Ext :858-587-7521 A/c, No ; 858-909-9840 <br />Marsh & McLennan Ins. Agency LLC <br />E-MAIL <br />ADDRESS: rose.king@marshmma.com <br />PO Box 85638 <br />MED EXP (Any one person) $20OOO <br />San Diego, CA 92186 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECOT LOC <br />OTHER: <br />I GENERAL AGGREGATE $3,000,000 <br />INSURER A: Philadelphia Indemnity Insurance Co. 1$05$ <br />INSURED <br />INSURER B <br />Neighborhood Housing Services of Orange <br />County, Inc. dba NeighborWorks Orange <br />INSURER: <br />5/14/2018 <br />128 E. Katella Avenue, Ste 200 <br />INSURER D <br />D <br />BODILY INJURY (Per person) $ <br />Orange, CA 92867 <br />INSURER E: <br />A <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 CONTRACTOR 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 <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYY <br />LIMITS <br />A <br />X, COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />PHPK1818256 <br />5/14/2018 <br />05/14/2019 <br />EDpAAqCH.OEEC7CURRENCE $1,000,000 <br />PREMSESOEaoccu ante $1 000 000 <br />MED EXP (Any one person) $20OOO <br />PERSONAL & ADV INJURY $11,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECOT LOC <br />OTHER: <br />I GENERAL AGGREGATE $3,000,000 <br />PRODUCTS - COMP/OP AGG $3,000,000 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />1 OWNED SCHEDULED <br />_ AUTOS ONLY AUTOS <br />X HIRED NON -OWNED <br />X 1 AUTOS ONLY X AUTOS ONLY <br />PHPK1818256 <br />5/14/2018 <br />05/14/201 <br />EO, acclidentSINGLE LIMIT 1,000,000 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE <br />Per accident $ <br />A <br />XUMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />PHUB628537 <br />5/14/2018 <br />05/14/201 <br />EACH OCCURRENCE <br />_$10,000,000 <br />AGGREGATE $10.000,000 <br />DED I XIS RETENTION$10000 <br />$ <br />_ <br />WORKERS COMPENSATIONPER <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />OTH- <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE -POLICY LIMIT 1 $ <br />A <br />Professional <br />Liability <br />Occurence Form <br />PHPK1818256 <br />5/14/2018 <br />05/14/2019 <br />$1,000,000 Each Claim <br />$3,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />REVIEWED BY: EUNICE HEREDIA (PG 1 OF <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2016/03) 1 of 1 <br />#S3453665/M3453555 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Qaag- )'Yl • 44�.,0 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />WSGCL <br />
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