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Ac CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
<br /> 09/10/2024
<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 Pauline Durbin
<br /> NAME:
<br /> Newfront Insurance Services PHONE (650)412-7542 FAX (650)488-8566
<br /> (AFC.No,Exl): (A/C,No):
<br /> 777 Mariners Island Blvd. E-MAIL pauline.durbin©theabdteam.com
<br /> ADDRESS:
<br /> Suite 250 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> San Mateo CA 94404 INSURER A: Nonprofits'Insurance Alliance
<br /> INSURED INSURER B: State Comp.Ins.Fund 35076
<br /> Asian American Senior Citizens Service Center,Inc INSURER C: Underwriters at Lloyd's,London 0000
<br /> 850 North Birch Street INSURER D:
<br /> INSURER E:
<br /> Santa Ana CA 92701 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: CL2491064407 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.LIIs],ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR UL TYPE OF INSURANCE AU SU POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) JMMIDD/YYYYL LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> �/ DAMAGE TO RENTED 500,000
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $
<br /> MED EXP(Any one person) $ 20,000
<br /> A Y Y 2024-01391 06/05/2024 06/05/2025 PERSONAL&ADVINJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000
<br /> X POLICY JECT PRO-
<br /> _ LOC PRODUCTS-COMP/OPAGG $ 3,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED 2024-01391 06/05/2024 06/05/2025 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> Nye AUTOS ONLY X AUTOS ONLY (Per accident)
<br /> UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION X PERTUTE OTH-
<br /> AND EMPLOYERS'LIABILITY
<br /> STA ER
<br /> Y/N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> B OFFICER/MEMBEREXCLUDED? N/A Y 9100741-23 10/01/2023 10/01/2024
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Limit $1,000,000
<br /> C Cyber Liability ESN0240065424 09/01/2024 09/01/2025 Ded. $2,500
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> Insr Ltr:A:Sexual Conduct Liability coverage;Policy#2024-01391;Policy Eff.dates:06/05/2024-06/05/2025;Limit:Each Claim:$1,000,000;Aggregate:
<br /> $1,000,000
<br /> Insr Ltr:A: Social Services Professional Liability;Policy#2024-01391;Policy Eff.dates:06/05/2024-06/05/2025;Each Event:$1,000,000;Each Aggregate:
<br /> $2,000,000
<br /> City of Santa Ana is included as additional insured on General liability policy per the attached form.General liability coverage is primary and non-contributory
<br /> per the attached form.Waiver of Subrogation applies to General Liability and Worker's Compensation policies per the attached forms.30 Days Notice of
<br /> CERTIFICATE HOLDER "c'k"—^o—" CANCELLATION
<br /> •+' Q rk al I 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 PROVISIONS.
<br /> 20 Civic Center Plaza
<br /> AUTHORIZED REPRESENTATIVE ��{,
<br /> Santa Ana, CA 92702 �� ;rtkL-
<br /> I
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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