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PROJKIN-01 <br />EN <br />AFRO CERTIFICATE OF LIABILITY INSURANCE <br />OAT713/2 DIYYYY) <br />7/3I2024 <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 License# OM1041 0 <br />ArmstronglRobitaille/Riegle Business and Insurance Solutions <br />1500 Quail St, Suite #100 <br />Newport Beach, CA 92660 <br />COAMT CT <br />PAH/C, No, Ezt : (949) 381-7700 jai, no :949 661-9429 <br />E- DAIL . arrinfo@aleragroup.com <br />INSURERS AFFORDING COVERAGE <br />NAIL e <br />INSURER A: Nonprofits Insurance Alliance Group <br />10023 <br />INSURED <br />INSURER B:HIscOXInsurance Company Inc <br />10200 <br />INSURER C <br />Project Kinship <br />INSURER D : <br />2215 N. Broadway Suite #2 <br />Santa Ana, CA 92706 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 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 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 />INSR <br />TYPE OF INSURANCE <br />ADDL$UBR <br />POLICY NUMBER <br />POLICY EFF <br />DE <br />POLICY EXPILTR <br />IMM/notyyyYI <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILRY <br />CLAIMS -MADE [)(] OCCUR <br />X <br />X <br />2023-79149-NPO <br />71112023 <br />8/112024 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMAGE T ERE�NT1ED <br />PREMISESMET, <br />500,000 <br />EXP An one erson <br />20,000 <br />PERSONAL&ADV INJURY <br />1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY WT LOG <br />GENERAL AGGREGATE <br />3,000,000 <br />GEN'L <br />PRODUCTS - COMPIOP AGG <br />3,000,000 <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />X <br />ANVAUTO <br />AUTOS ONLY SCHEDULED <br />SyUyLEO <br />2023-79149-NPO <br />71112023 <br />81112024 <br />BODILY INJURY Per person) <br />BODILY INJURY Per accident <br />PeOr accit AMAGE <br />P14,000,000 <br />AUTOS ONLY AUTOS ONLOY <br />A <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS -MADE <br />2023-79149-UMB <br />7/1/2023 <br />8/1/2024 <br />DED I X I RETENTION$ 0 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PR OPRIETORIPARTNEWEXECUTIVE ❑ <br />FFICERMIEMBER EXCLUDED? <br />Mandatory in NH) <br />If yes, describe under <br />NIA <br />PER OTH- <br />TATUTE <br />E.L. EACH ACCIDENT <br />EL. DISEASE - EA EMPLOYE <br />DESCRIPTION OF OPERATIONS below <br />E.L DISEASE - POLICY LIMIT <br />B <br />Professional Liabili <br />MEO11737090.24 <br />71112024 <br />711/2025 <br />Limit <br />1,000,000 <br />B <br />Professional Liabili <br />ME01737090.24 <br />711/2024 <br />7/112025 <br />Aggregate <br />3,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Current policies have been extended to 81112024. <br />City of Santa Ana, its City Council, Its officers, officials, employees, agents, and volunteers are included as additional insured with respects General Liability <br />coverage per the attached forms. Waiver of Subrogation and Primary & Non-Constributory coverage applies to the General Liability policy per the attached <br />forms. 30 days notice of cancellation with the exception of 10 days for non-payment of premium. <br />Risk Menageinenr nlviaion <br />. nn_ ...��_ _..y.......�_ s. <br />Mnk W <br />nnng., SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City Of Santa Ana - - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Santa Ana Parks & Recreation <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />I--- -D ` <br />ACUKU 25 (20161U3) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />