2-1-1 ORANGE COUNTY (7) - Laserfiche WebLink

Home Browse Search

Tori Pierson oaea202 03.2308:511:050700' '`�� R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/22i2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (OC) Heffernan Insurance Brokers 18004 Sky Park Circle, Suite 210 Irvine CA 92614 CONTACT NAME: PHONE FAX A/C No EXt : 949-771-3400 vc, No): 949-771-3401 A DRIESS, INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Nonprofits Insurance Alliance of California 1184 License#: 0564249 INSURED 211OC-0000 People for Irvine Community Health dba 2-1-1 Orange County INSURER B : Travelers Casualty and Surety Company of America 31194 INSURERC: INSURER D : 1505 E. 17th Street, Suite 108 Santa Ana CA 92705 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:725273463 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL I SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 2022-03104 2/1/2022 2/1/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGETO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO � El JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 2022-03104 2/1/2022 2/1/2023 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR 2022-03104UMB-NPO 2/1/2022 2/1/2023 EACH OCCURRENCE $8,000,000 AGGREGATE $ 8,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ NIA E.L. DISEASE- EA EMPLOYEE $ (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Crime 107377947 2/1/2022 2/1/2023 Employee Theft 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Agreement #A-2021-069-05. The City of Santa Ana, its officers, agents, employees and volunteers are included as additional insured (and primary) on General Liability policy per the attached endorsements, if required. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division -- 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE RA todD(b Santa Ana, CA 92702 APPRovED Br vision 1KFir0 pW^CC^zt4aa © 1988-2015 ACORD Ci <csurvanagen enc uerrcairu ne ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD