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ILLUMINATION FOUNDATION (36)
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ILLUMINATION FOUNDATION (36)
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Last modified
7/9/2024 10:15:03 AM
Creation date
7/9/2024 10:13:27 AM
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Contracts
Company Name
ILLUMINATION FOUNDATION
Contract #
A-2024-090-05
Agency
Community Development
Council Approval Date
5/7/2024
Expiration Date
6/30/2025
Insurance Exp Date
9/15/2024
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HC,VKLJ _. .4 <br />CERTIFICATE OF LIABILITY INSURANCE _s/3o/zoz,....-__'. <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 />Core Brokers Insurance Services <br />4101 McGowan Street <br />Suite 110-446 Ann. <br />Long Beach <br />pigi <br />%808 <br />CONTACT NAME: <br />Liz Orozco <br />PHONE ggg 26-7344 <br />A/C At <br />No Ext : ( )4 (AIC, No); <br />ADDRESS: IN@corebrokem.com <br />IS ROINGCOVERAGE <br />NAICN <br />INSUR RA: reaSInSmanc¢ ompany <br />10855 <br />INSURED I I <br />Illumination Foundation <br />2871Pu1"Sheet Aceved o CA 92gDat <br />San a Ana <br />u I suranca Alliance of California <br />11384 <br />INSURER c : Atch Specialty Insurance Company <br />21199 <br />NSURERF- <br />rnVPRAr PQ <br />CFRTIFICATF N I,';aRFR• <br />01=11ICVlk1 MI IMDCD. <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 CONTRACTOR 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 <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />M.LIIT err M/DDIYYYY) <br />(MMIDD/F LluyYYYY) <br />LIMITS <br />x <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE DRIOCCUR <br />PREMISES (Ea occurrence) <br />$ 500,000 <br />�[ <br />MEOEXP(Anyonepersan) <br />$ 20,000 <br />Prof Liability <br />Improper Sexual Conduct <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />B <br />2023-24712 <br />09/15/2023 <br />09/15/2024 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 3,000,000 <br />POLICY PRO- <br />JECT LOG <br />PRODUCTS-COMP/OPAGG <br />$ 3,000,000 <br />OTHER: <br />Improper: Each/Agg <br />$ 1,000,000/1,000,000 <br />AUTOMOBILE <br />LIABILITY <br />Ea accident <br />$ 1,000po <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />R <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />- <br />202324712 <br />09/15/2023 <br />09/15/2024 <br />Vy <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />(Per accident) <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />B <br />EXCESS LIAB <br />CLAIMS -MADE <br />2023-241712-LTNS <br />09/15/2023 <br />09/15/2024 <br />DED <br />RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />ND EMPLOYERS' LIABILITY YIN <br />PROPRIETOOFFICERIMEMBER EXCLUDED?ECUTIVE❑ <br />ANY <br />NIA <br />ILWC512654 <br />01/01/2024 <br />01/01/2025 <br />- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory In NH) <br />If yea, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />Each /Aggregate <br />1,000,000/3,000,000 <br />C <br />Cyber Liability <br />CAWWRI10489CYBER2023 <br />09/15/2023 <br />09/15/2024 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <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 PR( <br />Gkrµ Trw4s% <br />@ 1988-2015 ACOR <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />r'—•"_. RtdeMDwgonmtDhitlan <br />t&VIEWtD 6 APpROV® BY: <br />tt}` A4V Aav44 <br />Ruk Management Specialist <br />Of <br />
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