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A`"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 09/20/2024 <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 endorsement(s). <br /> PRODUCER CONTACT Marci Davis <br /> NAME: <br /> Poms&Associates Insurance Brokers AICNN. Ext: (800)578-8802 /X No: (818)449-9321 <br /> CA License#0814733 E-MAIL mdavis@pomsassoc.com <br /> ADDRESS: <br /> 4500 Park Granada,Suite 206 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Calabasas CA 91302 INSURERA: Nonprofits Ins.Alliance of CA(NIAC) 160 <br /> INSURED <br /> INSURER B <br /> Working Wardrobes For A New Start INSURER C: <br /> 2000 E.McFadden Ave INSURER D: <br /> Suite 100 <br /> INSURER E <br /> Santa Ana CA 92705 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 24-25 GLAU LIMB REVISION NUMBER: <br /> THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL UBR POLICY NUMBER MM/DD YYYYMPOLICY EFF O DD YYYY LIMITS <br /> ICY EXP <br /> LTR INSD WVD <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE_7CLAIMS-MADE �OCCUR PREM SESOEa occu«Dence $ 500,000 <br /> MED EXP(Any one person) $ 20,000 <br /> A Y Y 2024-49231 09/17/2024 09/17/2025 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY ❑ PRO ❑ 2,000,000 <br /> JECT LOC PRODUCTS-COMP/OPAGG $ <br /> OTHER: Liquor Liability-Common $ 1,000,000 <br /> AUTOMOBILE LIABILITY C�flPr?BtNED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> X ANYAUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED Y Y 2024-49231 09/17/2024 09/17/2025 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY /� AUTOS ONLY Per accident <br /> Uninsured Motorist $ 1,000,000 <br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 <br /> A EXCESS LIAB HCLAIMS-MADE 2024-49231-UMB 09/17/2024 09/17/2025 AGGREGATE $ 2,000,000 <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE El <br /> E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Improper Sexual Conduct&Physical General Aggregate $2,000,000 <br /> A Abuse 2024-49231 09/17/2024 09/17/2025 Each Claim Limit $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> 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 <br /> 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 <br /> 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 <br /> of Subrogation applies per the attached forms. <br /> 30 day notice of cancellation(except for 10 day notice of cancellation for non-payment) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PRO) <br /> 20 Civic Center Plaza R[eleManag>'rnentDmsbrt <br /> AUTHORIZED REPRESENTATIVE REVIEWED&APPROVm BY: <br /> Santa Ana CA 92702 ®' Risk Management Specialist <br /> ©1988-2015 ACOF <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />