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DATE(MMIDDNYYY) <br /> ACC)a) CERTIFICATE OF LIABILITY INSURANCE <br /> 'Ill 1 0911812025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 INSUREll 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 Mard Davis <br /> NAME: <br /> Poms&Associates Insurance Brokers LfPAHOE!C N No. <br /> Ext: (800)578-8802 FAX No, (818)449-9321 <br /> CA License#0814733 E-MAIL mdavis@pomsassoc.com <br /> ADDRESS: <br /> 4500 Park Granada,Suite 206 INSU RER(SI AFFORDING COVERAGE NAIC# <br /> Calabasas CA 91302 INSURERA: Nonprofits Ins.Alliance of CA(NIAC) 160 <br /> INSURED INSURER B: <br /> Working Wardrobes For A New Start INSURER C: <br /> 2000 E.McFadden Ave INSURER D: <br /> Suite 100 INSURER E: <br /> Santa Ana CA 92705 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 25-26 MASTER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT70 ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> INSR ADUL 5Ui POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD 4WD POLICYNUMBER MMIDDl MMIDDIYYW LIMITS <br /> X COMMERCIALGENERALLIABILITY EACH OGGURRENCE 5 1.000,000 <br /> DAi To <br /> CLAIM&MADE ® OCCUR PREMISES Ea occurrENIUence g 504,000 <br /> MED EXP(Any one person) 5 20,000 <br /> A Y Y 2024-49231 09117/2025 09117/2026 PERSONAL&ADV INJURY $ 1.000,000 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICYEl PRO LOG PRODUCTS-COMPIOPAGG $ 2,000,000 <br /> JEGT <br /> OTHERS Liquor Liability-Common $ 1,000,000 <br /> AUTOMOBILE LIABILITY GEs'AA9MlED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> X ANYAUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED Y Y 2024-49231 09/1712025 09117/2026 BODILY INJURY IPer accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> X AUTOS ONLY AUTOS ONLY Per accident <br /> IX Uninsured Motorist $ 1,000.000 <br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000.000 <br /> A EXCESS HCLAIMS-MADE 2024-49231-UMB 09/17/2025 09/1712026 AGGREGATE $ 3,000.000 <br /> DEp I I RETENTION $ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE I ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE N/A EL EACH ACCID ENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH} EL DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ <br /> General Aggregate $2,000,000 <br /> Improper Sexual GonduCt&Physical <br /> A Abuse 2024-49231 09/1712025 09/17/2026 Each Claim $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Santa Ana,its officers,officials,employees,and volunteers are to be covered as additional insureds cn the CGL policy with respect to liability <br /> 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 <br /> 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 <br /> of Subrogation applies per the attached forms. <br /> TU Tran Digitally signed by <br /> 30 daynotice of cancellation(except for 10 day notice of cancellation for non-payment) r°Tren Ng°ye° <br /> ( P Y 1zozs.o9.z4 <br /> N g uye n o7:zb->5-07'00' APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 7:25 am,Sep 24,2025 <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 ATTN:Audrey Goodson ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 801 W.Civic Center Dr. <br /> AUTHORIZED REPRESENTATIVE <br /> Suite 200 <br /> Santa Ana CA 92701 <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />