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ILLUMINATION FOUNDATION NET -2016
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ILLUMINATION FOUNDATION NET -2016
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Last modified
9/20/2024 9:51:06 AM
Creation date
9/14/2016 10:36:51 AM
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Contracts
Company Name
ILLUMINATION FOUNDATION NET
Contract #
A-2016-064
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/19/2016
Expiration Date
6/30/2017
Insurance Exp Date
12/1/2024
Destruction Year
2022
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DATE(MM/DDIYYYY) <br /> '4`"R"° CERTIFICATE OF LIABILITY INSURANCE 9/16/2024 <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 <br /> CONTACT <br /> NAME: Liz Orozco <br /> Core Brokers Insurance Services PHONE 888 426-7344 FAX <br /> A/C,No,Ext: ( (AIC,No): <br /> 4101 McGowen Stree ADDRI SS: ( e <br /> Spite 110-446 F I NAIC# <br /> Long Beach naie 90808 INSURE t A: Cy ress Ins ran e Company 10855 <br /> INSURED INSUR.R3. s s Alliance of California 11384 <br /> Illumination Foundation INSU tER C BE pedal o C y <br /> 2871 Pullman Street Acevedo <br /> INs JRER^. <br /> F SURER E <br /> Santa Ana CA 92867-5548_ INSURER F <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 /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE �OCCUR P M REISES(Ea occurrence) $ 500,000 <br /> X Professional Liability MED EXP(Any one person) $ 20,000 <br /> B X Improper Sexual Conduct Y Y 2023-24712 09/15/2023 12/01/2024 PERSONAL a ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 <br /> ,x POLICY ❑JE 0 ❑LOC PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> OTHER: Improper:Each/Agg $ 1,000,000/1,000,000 <br /> AUTOMOBILE LIABILITY UUMUNEU NNULE $ <br /> (Ea accident) 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> B y OW AUTOS AUTOS <br /> ED SCHEDULED 2023-24712 09/15/2023 12/01/2024 BODILY INJURY(Per accident) $ <br /> A ONLY <br /> XHIRED NON-OWNED <br /> AUTOS ONLY X AUTOS ONLY (Per accident) $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 <br /> B EXCESS LIAB CLAIMS-MADE 2023-241712-UMB 09/15/2023 12/01/2024 AGGREGATE $ 2,000,000 <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICER/MEMBER EXCLUDED? NIA ILWC512654 01/01/2024 01/01/2025 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> Each/Aggregate 1,000,0 00/3 7 00 0,000 <br /> C Cyber Liability CEL-Q001-3605817315-00 09/15/2024 12/01/2025 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is included as Additional Insured as required by written contract per attached endorsement form.Waiver of Subrogation applies. <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 PR( <br /> Risk Management DMs(rnL <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE �?� REVIEWED&APPROVED BY: <br /> A she Aecv44 <br /> Santa Ana CA 92701 Risk Management Specialist <br /> ©1988-2015 ACORI <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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