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Acill CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDD YYY
<br />1 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 endomement(s).
<br />PRODUCER
<br />CONTACT Pauline Durbin
<br />NAME:
<br />Newfron[ Insurance Services
<br />PHONE -7542 FA t
<br />( 650 ) 412 (650)488-8566
<br />a No Ex : AIC No:
<br />777 Mariners Island Blvd.
<br />E-MAIL pauline.durbin@theabdteam.com
<br />ADDRESS:
<br />Suite 250
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC If
<br />INSURERA: Nonprofits' Insurance Alliance
<br />San Mateo CA 94404
<br />INSURED
<br />INSURER B: State Comp. Ins. Fund
<br />35076
<br />Asian American Senior Citizens Service Center, Inc
<br />INSURER C : Underwriters at Lloyd's, London
<br />0000
<br />850 North Birch Street
<br />INsuRER D :
<br />NSURER E
<br />Santa Ana CA 92701
<br />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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMMDIYYYY
<br />POLICYEXP
<br />MMIDDNYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE 19 OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />PREMISES Ea occurrence
<br />S 500,000
<br />MED EXP (An one rson)
<br />S 20,000
<br />PERSONAL B ADV INJURY
<br />S 1,000,000
<br />A
<br />Y
<br />Y
<br />2024-01391
<br />06/05/2024
<br />06/05/2025
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />POLICY PRO,
<br />COLOG
<br />GENERAL AGGREGATE
<br />g 3,000,000
<br />PRODUCTS - COMPIOPAGG
<br />$ 3,000,000
<br />S
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />S
<br />ANYAUTO
<br />A
<br />OWNED SGREDULEO
<br />AUTOS ONLY AUTOS
<br />2024-01391
<br />06/05/2024
<br />06/05/2025
<br />BODILY INJURY (Per accident)
<br />S
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY /� AUTOS ONLY
<br />U MBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />S
<br />EXCESS LIAB
<br />CLAIMS-MAOE
<br />DED
<br />RETENTION $
<br />S
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILItt YIN
<br />ANY PROPRIETORIPARTNER(EXECUTIVE
<br />OFFICERaAEMBER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />Y
<br />9100741-23
<br />10101/2023
<br />10/01/2024
<br />PER I OTH-
<br />% STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />Cyber Liability
<br />ESN0240065424
<br />09101/2024
<br />09/01/2025
<br />Limit
<br />Ded.
<br />$1,000,000
<br />$2,500
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached If more space is required)
<br />Insr LIr:A: Sexual Conduct Liability coverage; Policy #2024-01391; Policy Eff. dates: 06105/2024-06105/2025; 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: 06/05/2024-06/0512025: 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 tone. General liability coverage is primary and non-contributory
<br />per the attached forth. Waiver of Subrogation applies to General Liability and Worker's Compensation policies per the attached forms. 30 Days Notice of
<br />CERTIFICATE HOLDER 111IMPIM°^° ^°^'°^^ CANCELLATION
<br />SHOD LID 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
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702c,.Ml
<br />©1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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