AIDS SERVICES FOUNDATION OF ORANGE COUNTY dba RADIANT HEALTH CENTERS

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Tori Pierson nIeIG°ym' byTon wean AIDSSER-01 SJOHNSON A�ORD CERTIFICATE OF LIABILITY INSURANCE DATE 1 7/19/19/2021 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 endorsements . PRODUCER License # 0827761 CalNonprofits Insurance Services PO Box 640 Capitola, CA 95010 C NTACT Sandra Johnson PHONE FAX (aC, No, Ext: (213) 401-1014 A/c, No EDP% . Sandra@cal-insurance.org INSURERS AFFORDING COVERAGE NAIC # INSURERA:Nonprofits Insurance Alliance of California 10023 INSURED AIDS Services Foundation of Orange County dba Radiant Health Centers INSURERS:Service American lndemni Company 39152 INSURER C : INSURER D : 17982 Sky Park Circle, Ste. J Irvine, CA 92614 INSURER E: INSURER F : COVERAGES r:FRTIFIr:ATF MI IMRFR' ' IOLR. THIS 15 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. INS TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X X 2021-08363 7129/2021 7/29/2022 EACH OCCURRENCE 1,000,000 OAMAISET TO ERFMMED 500 000 EXP An one arson 20,000 PERSONAL&ADV INJURY 11000,000 GEN'L X AGGREGATE LIMIT � APPLIES PER: POLICY JEGT LOC GENERAL AGGREGATE 31000,000 PRODUCTS -COMPIOP AGO 31000,000 OTHER: A AUTOMOBILE X LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS SSW AUTOS ONLY AUTOS ONLY 2021.08363 7/29/2021 7/2912022 COMBIo tlEED SINGLE LIMIT $ 1,000,000 BODILY INJURY Por person) $ BODILY INJURY Por accident $ PerOacc Eent AMAGE $ A X UMBRELLAUAB EXCESS LIAB X OCCUR CLAIMS -MADE 2021-08363-UMB 712912021 EACH OCCURRENCE $ 2,000,000 7129/2022 AGGREGATE $ 2,000,000 DED X RETENTION$ B WORKERS COM $'N ATIOIN YIN AND AAqNY PROPRIETO�RRIPARTNERIEXECUTIVE 1Mo. sttoory In NER EXCLUDED? H) If ib DESCRIPTIOe under N OF OPERATIONS be. NIA SATIS0394900 1/112021 111/2022 X STAT E OTH- E.L. EACH ACCIDENT 1,OOQ000 E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE -POLICY DMn 1,000,000 A PROF Liability 2021-08363 7/2912021 7129/2022 $1M/Event-Aggregate 3,000,000 A Abuse & Molestation 2021-08363 712912021 7/2912022 Ea. Claim/Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana, officers, agents, employees, and volunteers are named as Additional Insured with respect to General Liability as required by written contract per forms attached.Coverage is Primary & Non-contributory and Blanket Waiver of Subrogation applies. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVi""" 10 Rift Mrregvraat D. AUTHORRED REPRESENTATIVE a% _ RENE�In6 Sr. If TYAVI+Rwm aen S RisN M1tnugrn,n,[Oaieil Aitle The ACORD name and logo are registered marks of ACORD