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AC C)® DATE(MWDO/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/17/2024 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 NAME: Sandra Perez Bowermaster Insurance Brokers PHONE FAX Patriot!A Partner Agency (AIC No,Fxt1L 714-733-6217 IA/C,No): PO Box 6026 ADDRESS: sperez@bowermaster.com Cypress CA 90630 INSURER(S)AFFORDING COVERAGE NAIC# License#:0M56067 INSURER A:Nonprofits'Insurance Alliance of California 11384 INSURED ENCOHOU-01 INSURER B: Encompass Housing 2900 S Harbor Blvd, Suite 100 INSURERC: Santa Ana CA 92704 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:400317037 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 TYPE OF INSURANCE A POLICY EFF POLICY EXP NOD WVD POLICY NUMBER (MMIDD/YYYY) (MMlDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 2023-80313 9/21/2023 9/21/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $500,000 _ MED EXP(Any one person) $20,000 PERSONAL&ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000.000 X POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $3,000.000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _$ (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR 2023-80313-UMB 9/21/2023 9/21/2024 EACH OCCURRENCE 55,000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000.000 DED RETENTION 5 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED7 N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S II yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana.its City Council,its officers,officials,employees.agents,and volunteers are Additional Insured with respects to General Liability.Waiver of Subrogation applies to General Liability per attached endorsement form CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DFIIVERED IN ACCORDANCE WITH THE POLICY PRC` 1 City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE REVIEWED&APPR^OVm BY cc:467 'I 1g►me Plctutia I ® Risk Management Specialist ©1988-2015 ACORD / ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD