WORKING WARDROBES FOR A NEW START (3)

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Ac"REP CERTIFICATE OF LIABILITY INSURANCE DATE9/20/2024 D91zor2o2a 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 Marci Davis NAME: Poms & Associates Insurance Brokers PHONE.,(800} 578-6802 FAX. (818) 449-9321 ONo Ext : No : CA License #0814733 E-MAIL mdavisapvmsassoc.com ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC 1! 4500 Park Granada, Suite 206 INSURER A: Nonprofits Ins. Alliance ofCA(NIAC) 160 Calabasas CA 91302 INSURED INSURER B : Working Wardrobes For New Start INSURER C : 2000 E. McFadden Ave INSURER D : Suite 100 INSURER E : Santa Ana CA 92705 INSURER F : COVERAGES CERTIFICATE NUMBER: 24-25 GLAU UMB 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 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 LTR TYPE OF INSURANCE AIJUL INSR bUtSK WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_] OCCUR EACH OCCURRENCE s 1,000,000 PREMISES (Ea occurrence s 500,000 MED EXP (Any one person) $ 20,000 PERSONAL& ADV INJURY S 1,000,000 A Y Y 2024-49231 09117/2024 09/17/2025 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY JECT PRO ElLOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 Liquor Liability - Common $ 1,000,000 OTHER: AUTOMOBILE LIABILITY GGHIRtNED SINGLE LIMIT Ea accident $ 1,000,000 X ANYAUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED AUTOSONLY AUTOS Y Y 2024-49231 09/1712024 09117/2025 60DILYINJURY (Per accident) s X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident $ Uninsured Motorist s 1,000.000 X UMBRELLA LiAB OCCUR EACH OCCURRENCE S 2,000,000 AGGREGATE S 2,000,000 A EXCESS LIAB CLAIMS-MAOE 2024-49231-UMB 09/17/2024 0911712025 DED I I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA PER CTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS bekow E.L. DISEASE - POLICY LIMIT $ A Improper Sexual Conduct & Physical Abuse 2024-49231 09/17/2024 09117/2025 General Aggregate Each Claim Limit $2,000,000 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. Waiver of Subrogation applies per the attached forms. 30 day notice of cancellation (except for 10 day notice of cancellation for non-payment) CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROi 20 Civic Center Plaza t Rte(eR�grtvlattDtWelrnt AUTHORIZED REPRESENTATIVE REVIEWED & A"RCIV® Sr A-P Am44 Santa Ana CA 92702 Risk Management Sped2disi C� 1988-2015 ACOF ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD