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HABITAT FOR HUMANITY OF OC (2)
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Last modified
3/26/2024 9:12:04 AM
Creation date
5/26/2022 12:39:11 PM
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Contracts
Company Name
HABITAT FOR HUMANITY OF OC
Contract #
A-2021-068-08A
Agency
Community Development
Council Approval Date
5/4/2021
Destruction Year
2027
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMMOIYYYY) <br />B/3012021 <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 rights to the certificate holder In lieu of such endomement(s). <br />PRODUCER <br />Arthur J. Gallagher it Co. <br />Insurance Brokers of CA, Inc. LIC #0726293 <br />595 Market Street, Suite 2100 <br />CONTACT <br />PHONE <br />a <br />EMAIL <br />ADDRESS '— <br />San Francisco CA 94105 <br />rNSURERSAFFORDING COVERAGE <br />NAICA <br />INsuRERA: NonProflts' United Ins Vehicle Pool <br />INSURED <br />Habitat for Humanity of Orange County (2100) <br />22DO Ritchey Street <br />INSURERS: <br />INSURER r. <br />Santa Ana, CA 92705 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED THE POLICY <br />PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTPECT TO WHICH <br />THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ITO <br />ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILSR <br />TYPEOFINSURANCE <br />L <br />U R <br />PO CYNUMBER <br />Pwoo EFF <br />PLO�LIOEXPYYfh <br />NITCOMMERCIAL <br />GENERAL LIABILITYEACH <br />WRHI <br />OCCU3CLAIMS <br />OE ❑ OCCUR <br />DA <br />PR IS <br />SMEO <br />EXP I.3PERSONAL <br />S <br />AGGREGATE UMR APPLIES PER: <br />❑JET <br />GENERALAGGREGATE <br />3 <br />GENL <br />PRODUCTS -COMPIOP AGG <br />3 <br />POLICY DLOC <br />OTHER <br />S <br />A <br />auT0M091LE1.I43ILITY <br />Y <br />NPU1000-27 <br />711/2021 <br />7tt/2G22 <br />EBCIEeO SINGLE OMIT <br />32,OpQ,ODO <br />X <br />BODILY INJURY(P., P ) <br />S <br />OrEDOANYAUTO <br />OWNED 9CHEDULEp <br />BODILY INJURY (Par accident) <br />3 <br />RED ONLY NON-"W <br />HA <br />AUTOS ONLY AUTOS ONLY <br />Pof eERTY DAMAGE <br />S <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />S <br />EXO[aS LWB <br />CLAIMS -MADE <br />AGGREGATE <br />S <br />DED RETENTION <br />3 <br />WORNERSCOMPENSATON <br />ER OTH- <br />ANUEMPLOYERS•LIABILOY YIN <br />STATUTEER <br />E.L. EACH ACCIDENT <br />3 <br />ANYPROPRIETORMARTNERIEXECUTNE <br />OFFICERIMEMBEREICLUDE9 ❑ <br />NIA <br />Wp.. dtoryln iaxNH) <br />E.L. DISEASE -EA EMPLOYE <br />S <br />E.L. DISEASE -POLICY LIMO <br />S <br />DESCRIPTION OF OPERATIONS below <br />DEWRIPTON OF OPERATONS I LOCATIONS I VEHICLES (ACORO 101, Addiboeal Remarks ScbaeNla, maybe anachaa Umbra space is mnulmd) <br />Any Auto means any covered auto under the NPU Vehicle Insurance Program. <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or <br />memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carded by City shall be <br />nonocrildbutory excess and <br />The Producer will endeavor to mail 30 days written notice to the Certificate Holder named on the certificate if any policy listed on the certificate is Cancelled <br />prior <br />to the expiration date, Failure to do so shall Impose no Obligation or liability of any kind upon the Producer or otherwise alter the policy terms. <br />�oncrrwrc u <br />City Of Santa Ana <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 />Rift Management Division <br />20 CIVIC Center Plaza <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />";aI <br />VV <br />-Ro <br />• �M Divi <br />ID <br />@ 193e•2015 ACORD CORPO TIO . All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD V J 22021 <br />:I IA NAM. LAMBERT. <br />
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