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ILLUMINATION FOUNDATION (11)
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ILLUMINATION FOUNDATION (11)
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Last modified
11/10/2020 10:10:52 AM
Creation date
11/10/2020 10:08:37 AM
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Contracts
Company Name
ILLUMINATION FOUNDATION
Contract #
A-2020-131-03
Agency
Community Development
Expiration Date
6/30/2022
Insurance Exp Date
1/1/1900
Destruction Year
2027
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Rom® ----CERTIFICATE OF -LIABILITY IN$URANGE <br />DATE(MMIDzo <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 />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />BOWeRllaster&Associates <br />10805 Holder St <br />Ste 350 <br />CONTACT <br />NAME: Ll2ette OFOZCO <br />PHONE .714-733-6248 Fax <br />ac No <br />DMDness: Iorozco bowermasteccom <br />Cypress CA 90630 <br />INSURER 8 AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Philadelphia Indemnity Insurance <br />18058 <br />INSURED ILLUFOU-01 <br />Illumination Foundation <br />1091 N. Batavia Street <br />INSURERe: Redwood FireiaSURI' IOSUfanCe <br />11673 <br />INSURERC: Nonprofits' Insurance Alliance of California <br />INSURERD: <br />Orange CA 92867 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 145192980 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 />INSR <br />LTR <br />TYPEOFINSURANCE <br />AODL <br />SUER <br />POLICYNUMBER <br />M LICYEFF <br />OYYYI <br />MM/DD/YEXP <br />LIMITS <br />C <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMB-MADE Al OCCUR <br />Prof Liability <br />2020.24712 <br />9/15/2020 <br />9/15/2021 <br />EACH OCCURRENCE <br />$1,000,ODO <br />DAMAGE RENTED <br />PREMISES Ea occuner:ce <br />$500,000 <br />X <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL& ADV INJURY <br />$1,000,D00 <br />GENT. <br />X <br />AGGREGATE LIMIT APPLIES PER <br />POLICY jECT LOC <br />OTHER: <br />GENERALAGGREGATE <br />$3,000,D00 <br />PRODUCTS -COMPIOPAGG <br />$3,000,000 <br />$ <br />C <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOSHIRED ONLY AUTOSHIRED X NON-OWNEDSLY <br />AUTOS ONLY AUTOS ONLY <br />2020-24712 <br />9/15/2020 <br />9/15/2021 <br />COMBINED SINGLE L IT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY(Per person) <br />$ <br />Ix <br />BODILY INJURY(Per accident)$ <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />C <br />X <br />UMBRELLAUAB <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />2020-24712-UMB <br />9/15/2020 <br />9/15/2021 <br />EACH OCCURRENCE <br />$7,000,000 <br />AGGREGATE <br />$7,000,000 <br />DED I I RETENTION <br />$ <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERS' LIABILITY YIN <br />OF I ERIMEMBEREXCLUOEDI ARTNEREXECUTIVE ❑ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />ILWC107887 <br />1/1/21320 <br />1/1,202, <br />X PER I I OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$1000.000 <br />A <br />C <br />Commercial Cyber Liability <br />Improper Sexual Conduct <br />7 <br />PHSD1576498 <br />2020-24712 <br />9/15/2020 <br />9/15/202D <br />9/15/2021 <br />9/15/2021 <br />Agg:$3,000,000/Each <br />Agg:$1,000,000/Each <br />$1,000,000 <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached S more apace is required) <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 />ACCORDANCE WITH THE POLICY PROVISIONS. <br />The Link Emergency Shelter <br />2320 Redill Ave <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92705 <br />01988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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