HABITAT FOR HUMANITY - Laserfiche WebLink

Home Browse Search

Digitally signed by Francine R. Francine R. Villareal Villareal ACORO® CERTIFICATE OF LIABILITY INSURANCE dAfE (M n/oom YY 12/24/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. LIC# 0726293 1255 Battery Street #450 San Francisco CA 94111 CONTACT PHONE FAX uc Na - A DRIESS: INSURERS AFFORDING COVERAGE NAIC If INSURER A: Nonprofits' United Workers' Compensation Group INSURED NONPUNI-01 Habitat for Humanity of Orange County 2200 Ritchey Street INSURER B: Safety National Casualty Corporation 15105 INSURER C: INSURER D: Santa Ana, CA 92705 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:998057900 RFVI.QION NIIMRFR- 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 ADDL SUBR POUCYNUMBER POLICY EFF fMMIDDMYYI POLICY EXP (MMIDDNYYYILIMITS COMMERCULGENERAL LIABILITY CLAIMS -NUDE F—IOCCUR EACH OCCURRENCE $ D PREMISES Ea occREIIurrence $ MED EXPAny oneperson) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEa FILOC GENERALAGGREGATE $ PRODUCTS-COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (En accident $ BODILY INJURY (Per parson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per eccidanl ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTVOAMAGE Peraocitlenit $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N NPU-WCG 001-2022 1/1/2022 1/1/2023 X STA UTE ERH E.L. EACH ACCIDENT $750,000 ANYPROPRIETOMPARTNEWEXECUTIVE ❑ OFFICER/MEMBEREXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $750,000 (Mandatory in NH) If yes, describe under ' E.L. DISEASE -POLICY LIMIT $750,000 DESCRIPTION OF OPERATIONS below B XSWC SP4065897 1/1/2022 1/1/2023 XS of$750,000 $2,000.000(EL) XS of $750.000 Statutory (WC) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. maybe attached If more space is required) Various Santa Ana location projects City of Santa Ana 20 Civic Center Plaza M-37 Santa Ana CA 92780 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1988-2015 ACORD C ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD llYi.11:rl[rL' RiakMwgemmEDisisla8 [REVIEVfm& APPROVED BY/: f �1/C;�lhhC �. VaCtif�lQFl. Ris k Management Analyst