Item 10 - Agreements with Orange County Therapeutic Arts Center, Working Wardrobes

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ACCOR"® CERTIFICATE OF LIABILITY INSURANCE EX E(M D/YYYY) 5/30/2025 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 Lauren Justus NAME: Turner,Wood,&Smith Agency,Inc. A/CONNo Ext: (770)536-0161 FAX No): (770)536-1283 1515 Community Way E-MAIL lauren.justus@twsinsurance.com ADDRESS: PO Box 1058 INSURER(S)AFFORDING COVERAGE NAIC# Gainesville GA 30503 INSURERA: Accident Fund Ins.Co.ofAmerica 10166 INSURED INSURER B: United States Liability Ins.Co. 25895 Stand Up For Kids,Inc. INSURER C: 200 Nelson Ferry Rd INSURER D: Ste B INSURER E Decatur GA 30030 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDL UBR POLICY NUMBER MM/DD YYYYMMIDD Y YY LIMITS POLICY EFF POLICY EXP LTR INSD WVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DA RENTED CLAIMS-MADE OCCUR PREM SESTO(E.occur ence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO- ❑ LOC PRODUCTS-COMP/OPAGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB ROCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X1 SPER TATUTE EORH AND EMPLOYERS'LIABILITY YIN 1,000,000ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ AOFFICER/MEMBER EXCLUDED? NIA Y AF WCP 100031316 03 06/27/2024 06/27/2025 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Directors and Officers Liability D&O Each Claim $2,000,000 B Retention-$5,000 Each Claim ND01562548K 05/18/2025 05/18/2026 EPL Each Claim $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Waiver of Subrogation as required by contract applies to Worker's Compensation per form WC000313(04-84). 30-Days Notice of Cancellation,except for Non-Payment which is 10-Days Notice.. APPROVED By Tu Tran Nguyen at 9:52 am,Jun 03,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attention:Audrey Goodson ACCORDANCE WITH THE POLICY PROVISIONS. 801 W Civic Center Drive,Suite 200 Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE U @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD