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��•�"'1 HABIFOR-C4 DGONZALES <br />CERTIFICATE OF LIABILITY INSURANCE DATE 71312024vv) <br />7/312024 <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 C::iN TRACT 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(F s) plus he DI I N L ovi i r n <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the poll; I, (e oli ie r n rse n a n <br />this certificate does nolconfer riahts to the certificate holder in lieu of such ender::'te nentls). <br />PRODUCER <br />IMA, Inc. - Pasadena <br />3476 E. Foothill Boule <br />Suite 100 <br />Pasadena, CA 91107 <br />INSURED <br />Habitat for <br />2200 Ritch <br />Santa An <br />Cr11IPRAr:PB <br />ngie <br />of Orange County <br />DFV/ICIhNI dihJMGCO. <br />441-3233 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED - NHAVEBEENISSU <br />INDICATED. <br />MAYBEISSUED OR MAY THSTANDING ANY REQUIREMENT, <br />T IN, THETERM <br />NSUF NCE r IFORDEDFBYANY <br />THE�N IC <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SP �Whl IV I HAVE BEEN REDUCED <br />FOR <br />OS'f� l 1 EO ARE -5lR EtT1D A_LO HE� O <br />A_' • 1 t�✓�T�-� V VVV VVV <br />INSR <br />7ypE OFINSURANCE <br />ADDLSUBR INSO <br />MD <br />pOL!^' NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />YMI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FlOCCUR <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />MED EXP (Any one arson <br />PERSONAL & ADV INJURY <br />If <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JET LOC <br />OTHER: <br />GENERAL AGGREGATE <br />If <br />PRODUCTS - COMP/OP AGG <br />AUTOMOB7CElHABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AIUTOS ONLYMXAUTOSSW E <br />AUTOS ONLY AUTOS ONNLV <br />Comp Deductible ColdDeductible <br />$E <br />X <br />2100 <br />7/1/2024 <br />7/1/2025 <br />-COMBINED SINGLE- LIMIT <br />2J000;000 <br />X <br />BODILY INJURY Per arson <br />BODILY INJURY Par accident <br />X <br />P OPcEeR�t AMAGE <br />X <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACHOCCURRENCE <br />AGGREGATE <br />DED RETENTION$ <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />WFICER/MI;MW�p, EXCLUDED? N <br />(Mandatory in NHl <br />If yes describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />NPUWCGO012024 <br />1/1/2024 <br />1/1/2025 <br />X PER OTUTEH- <br />TAT ER <br />E.L. EACH ACCIDENT <br />750,000 <br />E.L. DISEASE - EA EMPLOYEE <br />750,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 750,000 <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Excess Worker' Compensation I Policy #SP406 530 1 Eff 1/1124-111/25 1 Limit XS of 2,000,000 <br />Re: Operations of the Named Insured. Auto Additional Insured applies per NPUVIP attached, only if required by written contractlagreement. Auto Primary & <br />Non -Contributory Wording applies per NPUVIP attached. Additional Insured(s): City of Santa Ana, its officers, employees, agents and representatives. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED REFORE <br />THE EXPIRATION DATE THEREO <br />ACCORDANCE WITH THE POLICY PR( <br />AUTHORIZED REPRESENTATIVE <br />�� rr <br />I <br />�,g <br />RIaFManagemenfDhdsian <br />REVIEWED( a APPROVE? BY:. <br />' <br />ManaOem&ntS(ma�m�Q. <br />9)1980.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />1 <br />