NOVA ACADEMY - Laserfiche WebLink

Home Browse Search

A ninitally cinncrl i_'eei ® AiCiOR o CERTIFICATE OF LIABILITY INSURANCO by ArgiMM2o2z "' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO H/SJ/fl �f§',' ER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER H 1CD��A R¢� ��ge.yy THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINi INSb1��`�„ .'.'.ITHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 202.OS. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ITIONAL If1S1,RED proyl�f0�40 eq(fgrr��I If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poll'; may req�.im an endorsl Va W1wlLAr6l§tehlent�dd this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Arthur J. Gallo er & Co. Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 PHONE FA1c . 949-349-9800 AJG N 949-349-9900 ADD E-MAIL 18201 Von Korman Ave Suite 200 Irvine CA92612 INSURERS AFFORDING COVERAGE NAIL# INSURER A: Califomia Charter Schools JPA INSURED CALICHA-03 INSURERS: Safety National Casualty Corporation 15105 California Charter Schools Joint Powers Authority Nova Academy INsuRERc: Scottsdale Insurance Company 41297 INSURER D: 500 W. Santa Ana Blvd Santa Ana CA 92701 INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 1394643413 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AODL SUBR POLICY NUMBER POLICY EFF MMIUDY�P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx1 OCCUR CCSJPA MOC 2021-22 7/1/2021 7/1/2022 EACHOCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES fE. ..,a $1,000,000 X MED EXP (Any oneperson) $10,000 Sexual Abuse' X I Educators E&O PERSONAL& ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY ❑JET LOG PRODUCTS - COMP/OP AGO $Included Crime $1,OGO,000 OTHER: A AUTOMOBILE LIABILITY CCSJPA MOC 2021-22 7/1/2021 7/1/2022 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ ANYAUTO OWNED X ASCHEODULED AUTOS ONLY UTS IAUTOS BODILY INJURY (Par accident) $ X PROPERTYOAMAGE (Forsook! $ HIRED X NON -OWNED ONLY AUTOS ONLY 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN CCSJPA MOC 2021-22 SP4064881 7/1/2021 7/1/2021 7/1/2022 7/1/2022 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETOMPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED2 ❑ NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C A Employment Practicas(Claims-Made) Oirectors & Officers(Claims-Made) Fiduc ary(Claims-Made) EKS3337444 CCSJPA MOC 2021-22 7/1/2021 7/l/2021 7/1/2022 7/1/2022 Each Wrongful AWAgg Each Wrongful AcYAgg Each Wrongful ActlAgg $1,000,000 $1,000,000 $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space is required) 'Sexual Abuse Coverage is an Claims Made basis. Evidence of Coverage pursuant to and subject to policy terns, definition, conditions and exclusions as respects: Event Date: April 19. 2022 -June 3D. 2025. Waiver of Subrogation is included. This Insurance is primary and all other insurance is noncontdbutary City of Santa Ana Emy Frankston 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT�HORIZErD� REPRESENTATIVE ©1988.2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD rr RiskMmagcnadDtvlsbrl t q tt REVIEWED & APPROVED BY ��' Air Auoado ®' Risk Management Specialist