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A` "R" CERTIFICATE OF LIABILITY INSURANCE F DATE (MM/DD/YYYY) 09/20/2024 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 terms 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 CONTACT Marci Davis NAME: Poms &Associates Insurance Brokers (800) 578-8802 FA/X (818) 449-9321 aICNN. Ext : No : CA License #0814733 E-MAIL mdavis@pomsassoc.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 4500 Park Granada, Suite 206 Calabasas CA 91302 INSURERA: Nonprofits Ins. Alliance of CA (NIAC) 160 INSURED INSURER B Working Wardrobes For A New Start INSURER C : INSURER D : 2000 E. McFadden Ave Suite 100 INSURER E Santa Ana CA 92705 INSURER F : COVERAGES CERTIFICATE NUMBER: 24-25 GLAU LIMB REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSD UBR WVD POLICY NUMBER M� DD YYYYMLICY EFF ICY EXP O DD YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 � OCCUR DAMAGE PREM SESORENTEEa occur ence $ 500,000 _7CLAIMS-MADE MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 A Y Y 2024-49231 09/17/2024 09/17/2025 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMP/OPAGG 2,000,000 $ Liquor Liability- Common $ 1,000,000 OTHER: AUTOMOBILE LIABILITY C�flPr}BtNED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y Y 2024-49231 09/17/2024 09/17/2025 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY /� AUTOS ONLY Uninsured Motorist $ 1,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 HCLAIMS-MADE AGGREGATE $ 2,000,000 A EXCESS LIAB 2024-49231-UMB 09/17/2024 09/17/2025 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ A Improper Sexual Conduct &Physical Abuse 2024-49231 09/17/2024 09/17/2025 General Aggregate Each Claim Limit $2,000,000 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. Waiver of Subrogation applies per the attached forms. 30 day notice of cancellation (except for 10 day notice of cancellation for non-payment) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PRO) 20 Civic Center Plaza R[eleManag>'rnentDmsbrt AUTHORIZED REPRESENTATIVE REVIEWED & APPROVED BY: Santa Ana CA 92702 ®' Risk Management Specialist © 1988-2015 ACOF ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD