Laserfiche WebLink
A�R" CERTIFICATE OF LIABILITY INSURANCE DATE .MID mrr) <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 endorsement(s). <br /> PRODUCER CONTACT <br /> CalNonprofits Insurance Services PHONE Rebecca Parshall FAX <br /> 1500 41st Avenue, Suite 228 E 831-287-9888 AiC No <br /> IL <br /> Capitola CA 95010 AnDIREss: rebecca cal-insurance.or <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Nonprofits Insurance Alliance of California 10023 <br /> INSURED STRATAL-01 INSURERB:Chubb Indemnity Insurance Company 12777 <br /> Straight Talk Clinic Inc. <br /> 3785 South Plaza Drive INSURER C: <br /> Santa Ana CA 92704 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1764668639 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 15 SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR I TYPE OF INSURANCE INSD ADDL SU D POLICY NUMBER MM1DDfYYYY MMfDDfYYYY LIMITS <br /> LTR <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 01-CP-0001051-01-05 711t2025 711/2026 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $500,000 <br /> MED EXP(Any one person) $20,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $3,000,000 <br /> X <br /> POLICY PROJECT LOC PRODUCTS-COMPIOP AGG $3,000,000 <br /> OTHER: s <br /> A AUTOMOBILE LIABILITY 01-CP-0001051-01-05 7/112025 711/2026 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> X ANY AUTO 60DILY INJURY(Per person) S <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) 5 <br /> X HIRED X NON-OWNED PROPERTY DAMAGE S <br /> AUTOS ONLY AUTOS ONLY Per,accident <br /> 5 <br /> A X UMBRELLA LIAB. X OCCUR 01-UB-0001051-01-02 71112025 7/1/2026 EACH OCCURRENCE 81,000.000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE 81,000.000 <br /> DEp RETENTION$ S <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETORIPARTNERfEXFCUTIVE ❑ E.L.EACH ACCIDENT s <br /> OFFICERfMEMBFREXCi-UDED7 NIA - <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s <br /> If yes.,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Social Service Professional 01-CP-0001051-01.05 71112025 7/112026 Each Event/Aggregate $1Mill1$3Mill <br /> A Improper Sexual Conduct&Abuse 01-CP-0001051-01-05 71112025 7/1/2026 Each ClaimfAggregate $1Mill/$3Mill <br /> B Cyber Liability D95508637 71112025 7/1/2026 Each ClaimlAggregate $1Mi11!$iMill <br /> DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Re: 1677 W.Ord Way Anaheim CA 92802 <br /> City of Santa Ana is included as Additional Insured with respect to General Liability as required by written contract per Endorsement Form(s)CG 20 26 12 19 <br /> attached.General Liability coverage is Primary&Non-contributory and Waiver of Subrogation applies as required by written contract per Fndarsement Form(s) <br /> NIA-016B GL 01 25 and NIA-026B GL 01 25 attached. <br /> D'gEtally signed <br /> Tu Tran N' T�� APPROVED <br /> Nguyen <br /> N ul en Dale:2025.02,11 <br /> By Tu Tran Nguyen at 3.55 pm,Jul 11, 2025 <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 /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn: Community Development Agency <br /> 20 Civic Center Plaza(M-25) <br /> P.D Box 1988 AUTHORI2EDRERRE ENTATIVE <br /> Santa Ana GA 92702 <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />