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STANDUP FOR KIDS ORANGE COUNTY
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Last modified
7/23/2025 10:12:40 AM
Creation date
7/23/2025 10:10:20 AM
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Contracts
Company Name
STANDUP FOR KIDS ORANGE COUNTY
Contract #
A-2025-097
Agency
Community Development
Council Approval Date
7/1/2025
Expiration Date
6/30/2028
Insurance Exp Date
6/27/2025
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A CC)R L? CERTIFICATE OF LIABILITY INSURANCE <br /> DA613012025 ) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOTAFFIRMATIVELY 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 Lauren Justus <br /> NAME: <br /> Turner,Wood,&Smith Agency,Inc, aHI PHONE ext; (770)536-0181 AIC,No: (770)536.1283 <br /> 1615 Community Way E-MAI4ss; lauren.justusghvslnsurance,com <br /> ADDRE <br /> PO Box 1058 INSURER($)AFFORDING COVERAGE NAIC 9 <br /> Gainesville GA 30503 INSURERA: Accident Fund Ins.Co.ol'America 10165 <br /> INSURED INSURER B: United States Liability Ins.Co. 25895 <br /> Stand Up For Kids,Inc. INSURER C <br /> 200 Nelson Ferry Rd INSURER D: <br /> Ste B INSURER E: <br /> Decatur GA 30030 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER. 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 /> ILTR TYPE OF IN ADUL SURANCE POLICYEFF POLICY EX <br /> IN3D VWD POLlCYNUMBER MMIDDlYYYY) (MMJDDfYMJ LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACN OCCURRENCE $ <br /> CLAIMS-MADE F OCCUR PREMISES Ea xcurrence $ <br /> MED EXP(Any oneperson) $ <br /> PERSONAL&ADVtNJURY $ <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ <br /> POLICY❑JEST 7 LOC PRODUCTS-COMPIOPAGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> UMBRELLA LIAS HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIM&MADE AGGREGATE $ <br /> DIED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y X STATUTE ER <br /> A ANY PROPRIETORIPARTNERIEXECUTIVE N NIA Y AF WCP 100031316 03 06/27/2024 00/27/2026 EL,EACHACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.U.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 /> Directors and Officers Liability D&O Each Claim $2,000,000 <br /> B Retention-$5,000 Each Claim ND01562548K 05/18/2025 05/1812026 EPL Each Claim $2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLE8(ACORD 101,Additional Remarks Schedule,maybe attached If morn space Is required) <br /> Waiver of Subrogation as required by contract applies to Worker's Compensation perform WC000313(04-84). <br /> 30-Days Notice of Cancellation,except for Non-Payment which is 10-Days Notice., <br /> �PPROVFD '; <br /> �13y Tu Traq Nguyen at$52 am Jun 03 1 <br /> CERTIFICATE HOLDER CANCELLATION 2425 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Attention:Audrey Goodson ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 801 W Civic Center Drive,Suite 200 <br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE <br /> t�1161x�i�fi! <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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