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ACC> ® CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDD/YYYY) <br /> 11/8/2024 <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 Ileu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Arthur J. Gallagher Risk Management Services, LLC NA Eo Julie Fernandez <br /> 18201 Von Kerman Ave PHONE 949-349-9821 uc Ne;949-349-9987 <br /> Suite 200 E-MAIL <br /> Irvine CAA 92612 SS• Julie Fernandez@ajg.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> License DD69293 INSURER A:Wesco Insurance Company 25011 <br /> INSURED THOMHOU•02 INSURER B:Service American Indemnity Company 39152 <br /> Thomas House Temporary Shelter <br /> PO Box 2737 INSURER C:Securliv National Insurance Companv 19879 <br /> Garden Grove CA 92842 INSURER D:Arch Insurance Company 11150 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1417623313 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 /> INSR ADOL SUBR <br /> LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP <br /> MMIDDfYYYY MMIODlYYYY LIMITS <br /> C X COMMERCIAL GENERAL LIABILITY SPPI821824 10/3/2024 10/3/2025 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE OCCUR pAMAGE7 RENTED <br /> _PREMISES Ea occurrence $100,000 <br /> MED EXP(Any one arson) $5,000 <br /> PERSONAL A ADV INJURY $1,000,D00 <br /> GEN'LgGGRF~GATELIMITAPPLIESPER: GENERAL AGGREGATE $3,000,000 <br /> X POLICY❑PRO- ❑ <br /> JECT LOC <br /> PRODUCTS-COMPlOPAGG $3,000,000 . <br /> OTHER: $ <br /> C AUTOMOBILE LIABILITY SPPI822-167 00 10/3/2024 10/312025 (Ea eBBINEDISINGLE LIMIT $1,000,000ANY AUTO OWNED SCHEDULED BODILY INJURY(Per person) $ <br /> AUTOS ONLY AUTOS BODILY INJURY(per accldenl) $ <br /> X HIRED X NON-OWNED PROPERTYDAMgG£ <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> A X UMBRELLA LIAB X OCCUR WUM182911805 10/3/2024 10/312025 EACH OCCURRENCE $1,0D0,000 <br /> EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $1,000,000 <br /> DED I x I RETENTION$ <br /> 8 WORKERS COMPENSATION SAT1S0394904 PER OTH- $ <br /> AND EMPLOYERS`LIABILITY 10I112024 10I1/2025 X STATUTE ER <br /> ANYPROPRIETORIPARTNERIEXECUTIVE YIN <br /> OFRCERIMEMBEREXCLUDED? ❑ NIA E.L-EACH ACCIDENT $1,000,000 <br /> Mandatory in NHI <br /> (f yes,describe under E.L,DISEASE-EA EMPLOYEE $1,000,000 <br /> I un <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT $1,000,000 <br /> C Social Services Prof,LiablF&O 8PP1821824 10/3/2024 101312D25 Each IncIdanVA <br /> C Sexual or Physical Abuse 99 $1 M 1$3M <br /> t) Executive Package-See below SPP1821824 10/312024 10/3/2025 Each Incldent/Agg $1 M 1$3M <br /> N FP012112207 11/23/2023 11I2W2024 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Executive Package-11/23/2024-1112312025 Policy#NFP012112207 <br /> Director&Officers&Employment Practices Liability: <br /> Limit of Liability:$1,000,000 Deductible$5,000 <br /> Fiduciary <br /> Limit of Liability:$250,000 Deductible$0 <br /> CERTIFICATE HOLDER 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 PROVISIONS. <br /> Proof of Insurance <br /> AUTHORIZED REPRESENTATIVE <br /> co'� <br /> O 1088-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />