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Last modified
9/28/2021 8:56:39 AM
Creation date
8/18/2020 8:47:06 AM
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Contracts
Company Name
WORKING WARDROBES
Contract #
A-2020-145
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
7/7/2020
Expiration Date
3/31/2022
Insurance Exp Date
4/17/2022
Destruction Year
2027
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NONPROFITS <br />INSURANCE <br />ALLIANCE OF CALIFORNIA <br />A Head for Insurance. A Heart for Nonprofits. <br />PRODUCER: <br />NONPROFITS INSURANCE ALLIANCE <br />OF CALIFORNIA (NIAC) <br />www.insurancefornonprofits.org <br />IMPROPER SEXUAL CONDUCT AND PHYSICAL ABUSE LIABILITY <br />COVERAGE PART DECLARATIONS <br />Poms & Associates Ins. Brokers <br />5700 Canoga Avenue, Suite 400 <br />Woodland Hills, CA 91367 <br />NAME OF INSURED AND MAILING ADDRESS: <br />Working Wardrobes for A New Start dba: Working Wardrobes <br />2000 E. McFadden Ave., Suite 100 <br />Santa Ana, CA 92705 <br />POLICY NUMBER: 2021-49231 <br />RENEWAL OF NUMBER: 2020-49231 <br />POLICY PERIOD: FROM 9/17/2021 TO 9/17/2022 <br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br />BUSINESS DESCRIPTION: Training services to re-enter the workforce funded by thriftshop <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. <br />LIMITS OF COVERAGE: <br />GENERAL AGGREGATE <br />EACH CLAIM LIMIT <br />PREMIUM <br />$2,000,000 $13,347 <br />$1,000,000 <br />NOTE: The limit of liability available to pay judgements or settlements shall be reduced by amounts incurred for Defense Costs. <br />TOTAL PREMIUM: $13,347 <br />FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART AND MADE PART OF THIS POLICY AT THE TIME OF ISSUANCE: <br />NIAC-EO69 ISC 02 19. NIAC-E131 ISC 05 20, NIAC-E180 ISC 01 21, NIAC-E258 ISC 08 21, NIAC-E57 02 12, NIAC-ISCET 05 20 <br />COUNTERSIGNED: <br />M. <br />& JC4'� e 4, <br />(AUTHORIZED REPRESENTATIVE) <br />Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Corp <br />5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of Californi <br />regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay clairr <br />becomes insolvent. <br />NIAC-ISC <br />�oRaN <br />r <br />RAManaganadDMsfan <br />REVIEWED & APPROVED BY.- <br />Risk Management Analyst <br />
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