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AC® CERTIFICATE OF LIABILITY INSURANCE DATE <br /> g,17/2024 Y) <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 <br /> Bowermaster Insurance Brokers PHO Sandra Perez <br /> PHONE: <br /> FAX <br /> Patriot 1 A Partner Agency (A/C.No.Extl'714-733-6217 (A/C,No): <br /> E-MAIL <br /> PO Box 6026 ADDRESS: '.1-er (Jowermast om <br /> Cypress CA 90630 • _ U`drs ned by NAIC# <br /> License#:0M56067 INSURER A: 'onprofts nsurance A lance o alifornia 11384 <br /> INSURED AngI e ENCOHOU-01 INSURERS: �nit� �I�S/"► �V Cd 11770 <br /> Encompass Housing /-► `{/c O <br /> 2900 S Harbor Blvd, Suite 100 INSURER C <br /> Santa Ana CA 92704 INSURER : <br /> A INSURE_E: n• • <br /> INSUr cRF: • <br /> Q�•��• YJ`/`tW'47`� <br /> COVERAGES CEelYTEeV1d4Q9658 I51 U <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW H/:"_ 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 /> INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 2023-80313 9/21/2023 9/21/2024 EACH OCCURRENCE 51,000,000 <br /> CLAIMS-MADE f X OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) S 500,000 <br /> MED EXP(Any one person) S 20,000 <br /> PERSONAL&ADV INJURY S 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000 <br /> POLICY PRO LOC PRODUCTS-COMP/OP AGG $3,000,000 <br /> X PRO- <br /> OTHER: S <br /> B AUTOMOBILE LIABILITY 981699818 6/3/2024 12/3/2024 COMBINED SINGLE LIMIT S 1,000.000 <br /> (Ea accident) _ <br /> ANY AUTO BODILY INJURY(Per person) S <br /> OWNED X SCHEDULED BODILY INJURY(Per accident) S <br /> AUTOS ONLY _ AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE S <br /> AUTOS ONLY _ AUTOS ONLY (Per accident) _ <br /> S <br /> A X UMBRELLA LIAB X OCCUR 2023-80313-UMB 9/21/2023 9/21/2024 EACH OCCURRENCE S5.000.000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S 5,000,000 <br /> DED RETENTIONS S <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIV E <br /> OFFICER/MEMBEREXCLUDED? n N/A E.L.EACH ACCIDENT S <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S <br /> If yes.describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> A Sexual Conduct and Physical Abuse 2023-80313 9/21/2023 9/21/2024 General Aggregate 1,000.000 <br /> Each Claim 1.000.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Santa Ana,its City Council,its officers.officials,employees.agents,and volunteers are Additional Insured with respects to General Liability.Waiver of <br /> Subrogation applies to General Liability per attached endorsement form <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF NOTICE WILT- RE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PRC\ / <br /> City of Santa Ana ��DMsion <br /> 20 Civic Center Plaza ° ,rt„°` <br /> Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE 8 . °i REVIEWED Sr APPROV®BY <br /> (lll� A4.i:=Aczur, <br /> ®131, <br /> 1i. --� Risk Management Specialist <br /> ©1988-2015 ACORD / N. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />