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AIDSSER-01 SJOHNSON
<br />A`O� CERTIFICATE OF LIABILITY INSURANCE DATEznazo
<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(les) 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 />PRODUCER"''" a"'" p,
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<br />CalNonprofts Insurance Services
<br />!. PH N 888 427-6224 3034 PAIc No
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<br />PO Box 640
<br />Capitols, CA 95010
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<br />_Ib` RIJSS. sandra@Del-insurance.or9
<br />____INSURER(4f AFFOROINS,COVEMGE
<br />INSURER a_AlllanceofNonprofits for Insurance
<br />INSURED
<br />:14WRER p: Nonprofits_ Insurance Alliance Of Califol
<br />AIDS Services Foundation of Orange County dba Radiant
<br />INSURER c. New York Marine & General Insurance Comr
<br />Health Centers
<br />`---- -' "- --
<br />17982 Sky Park Circle, Ste. J
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<br />Irvine, CA 92614
<br />I INSURER E:
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<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 />_
<br />IIUIRLTN TYPE OF INSURANCE ADDL.9UBR POLICY NUMBER
<br />POLICY EFF
<br />POLICY IMP �— LIMR9
<br />AY !
<br />A X COMMERCIAL GENERAL LIABILITY
<br />EA C RRE 1,000,000
<br />_CX
<br />!. CIAiMS-MADE' X!. OCCUR X X 2019.08363
<br />__,___
<br />712912019,+ ETO RENTED 600,000
<br />___
<br />'. NED E%P IMv dne�aerpn!; S _ 20,000
<br />_PER AL 4AI INJURY_ S 1000,000
<br />. GEWL AGGR LIMIT APPLIES PER
<br />_Q�NERALAGGREr _.I$ _ 3,000,000
<br />_. POLICY , I__XJ LOC
<br />.PRODUCTS -CONPXIP AGO 3,000,000
<br />—
<br />OTHER'
<br />B AUTOMOBILE LIABILITY
<br />S COMBINED SINGLE LIMIT I �_ 1,000,000
<br />_.
<br />X ANY AUTO 2019-08363
<br />7I2912019 7/2912020 BODILY INJURY IF.,.. onl s
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS !
<br />---
<br />BODILY INJURY LPar aoade,ll�_,_
<br />HIRREED NON{�y�Ep
<br />PROPERTY AMnGE
<br />.. _. AUTOS ONLY �.... AUTOS ONLY
<br />.LParamaent
<br />is
<br />B X UMSRELLALIAR X1 OCCUR
<br />EACH OCCURRENCE,
<br />S 2,000,000
<br />EXCESSLua CLAIMS -MADE 2019-08363-UMB
<br />712912019 7/2912020
<br />AGGREGATE
<br />S 2,000,000
<br />OED I X I RETENTIONS 10,000
<br />C WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />X PER ER I
<br />__-MAIIITE Efl_' -
<br />IN
<br />ANY PROPRIETORIPARTNERIEXECUTNE r' � I
<br />WC202000004766
<br />11112020 1/1I2821 AOH A4CIDENr 5 1'DBB'BDB
<br />INandaiary n !x_f
<br />NfA
<br />1'BBBrBB0
<br />DISEASE- EAEMPLOYEE�_j.__. _____
<br />IDltlesn�Ae� tlnr%CLUDEDT
<br />1.000,000
<br />O SCRIPTION OF OPERATION bebw
<br />FL, DISEASE LIMIT' S
<br />A Professional Llab 2019A8363
<br />7/29/2019 7/29/2020 '',Ea Event Limit 1,000,000
<br />A Abuse & Molestation 2019-08363
<br />7/2912019 7/2912020 Ea. Claim/Aggregate 1,000,000
<br />DE3eRIPn09 OF OPEMTIONS I LOCAMNS I VEHICLES (ACORD 101. Addlllonal Ramada Schedule, may 1a amU W a mom space Is meulmdl
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally Insured on this policy pursuant to written contract, agreement, or
<br />memorandum of understanding. Such Insurance as Is afforded by this policy shall be primary, and any Insurance carded by City shall be excess and.
<br />noncontributory. General Liability Waiver of Subrogation applies per attached Endorsements; Certificate of Insurance shall provide thirty (30) day prior written
<br />notice of cancellation.
<br />COI Revised D710212020 and supersede COI Issued 12/26I2019
<br />_W I I I ITO U �� C
<br />SHOOED ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana �L,r II � THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Risk Management Division //�11I U�09-20WLOACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702 FS(A RE ORRED REPRESENTATIVE
<br />ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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