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HABITAT FOR HUMANITY (5)
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HABITAT FOR HUMANITY (5)
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Last modified
8/9/2024 2:48:00 PM
Creation date
8/9/2024 2:32:07 PM
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Contracts
Company Name
HABITAT FOR HUMANITY
Contract #
A-2024-089-23
Agency
Community Development
Council Approval Date
5/7/2024
Expiration Date
6/30/2026
Insurance Exp Date
1/1/2025
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />F DATE(MMIDDIYYYY) <br />(r....��` <br />03/14/2024 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER <br />CONNA Lockton Lockton Affinity, LLC <br />Lockton Affinity, LLC <br />AHCNNo Ext;888-553-9002 NC No:913-652-3967 <br />E-MAIL <br />P. O. Box 873401 <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Kansas City, MO 64187-3401 <br />INSURER A: Ace American Insurance company <br />22667 <br />INSURED <br />INSVRERB:Ace Property and Casualty <br />20699 <br />Habitat for Humanity of Orange County, <br />Inc. <br />INSVRERC: <br />INSURER D: <br />2200 S. Ritchey Street <br />INSVRERE: <br />Santa Ana, CA 92705 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />ILTR <br />TYPE OF INSURANCE <br />OOI <br />SUER <br />POLICY NUMBER <br />MMIDDIYYVV <br />MWDDNYYY <br />LIMITS <br />A <br />X <br />POOMMIERCIALGENERALLIABILTTY <br />CLAIMS -MADE OCCUR <br />X <br />X <br />GL1064465-24 <br />04/01/2024 <br />04/01/2025 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISES Ea occurrence <br />$1,000,000 <br />MED EXP (Any one person) <br />$ 0 <br />PERSONAL&ADV INJURY <br />$1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY jEOr LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS AGO <br />$2 000,000 <br />$ <br />AUTOMOBILE LIABILI7Y <br />COMBINED SG ELIMIT <br />$ <br />ANYAUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Par eccident <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />UM1064465-24 <br />04/01/2024 <br />04/01/2025 <br />EACH OCCURRENCE <br />$1,000,000 <br />AGGREGATE <br />$1,000,000 <br />DED <br />I X I RETENTION $1G 000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERJEXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatary In NH) <br />If yes describe under <br />DERRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E, L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Builder's Risk <br />- Special Form <br />BR1064465-24 <br />04/01/2024 <br />04/01/2025 <br />Limit $10,000,000 <br />Deductible $5,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />1064463 <br />City of Santa Ana <br />20 Civic Center Plaza - M-26 <br />Santa Ana, CA 92701 <br />CANCELLATION <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 PRC <br />AUTHORI/12W.6E�PRESENT TIVl1 .E <br />01988-2014 ACORD <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />48309880 1064465 <br />
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