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4 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDe/YYYY) <br />07/30/2024 <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) mur', 4ave ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cent: IT policies may require an endorsement A statement on <br />this certificate does not coj&r rights to the certificate IWIder in lieu of such endorse nentt?\ • • . a a <br />PRODUCER CONTACT FaUi a <br />NAME: <br />Newfront Insurance Services PHONE (650) 412-7li1 <br />A/C No Ex <br />777 Mariners Island Blvd. &MILss: `auli e.durbin@ne ronf.com <br />Suite 250 <br />R(S O OI C <br />San Mateo CA 94404 INSUREP N, iprofirtVinsuranceAlliance.0 <br />INSURED Sta, m <br />INSURE a: p. ins. Fund <br />Asian American Ior Citizens Service Center, Inc su' -R c: Und rv.. ,4ond <br />850 North BircFlEt�tat <br />Santa Ana F ` `� `� V CA%= yl <br />COVFRAr.FS rcranurxrc unuecr.. rl oxc• ra11 n <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW N ,vE F -EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIC N r.- ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />TYPE OF INSURANCE <br />INSD <br />MD <br />POLICYNUMBER <br />POLICY OFF <br />MMIODIYYYY <br />POLIC EXP <br />MMIDOM'YY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 11000,000 <br />D <br />PREMISES Ea occurrence <br />$ 500,000 <br />CLAIMS -MADE FX—I OCCUR <br />MEO EXP (Any one person <br />$ 20,000 <br />06/05/2025 <br />PERSONAL SADV INJURY <br />$ 11000,000 <br />A <br />Y <br />Y <br />2024-01391 <br />06/05/2024 <br />GEN'LAGGREGATE <br />LIMITAPPLIES PER: <br />❑ PRO- <br />GENERALAGGREGATE <br />$ 3.000,000 <br />PRODUCTS -COMP/OP AGG <br />$ 3,000,000 <br />POLICY JECT LOC <br />OTHER: <br />AUTOMOBILE <br />LIABILITYCOMBINED <br />SINGLE LIMIT <br />Ea accident) <br />$ 1,000,000 <br />AWNED <br />BODILY INJURY (Per person) <br />$ <br />A <br />AUTOS ONLY "TOSSCHEDULED <br />2024-01391 <br />06/05/2024 <br />06/05/2025 <br />BODILY INJURY (Per accident) <br />$ <br />X <br />HIRED NOWOWNED <br />AUTOS ONLY X AUTOS ONLY <br />PROPERTY DAMAGE <br />$ <br />Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />PER T <br />$ <br />AND EMPLOYERS' LIABILITY YIN <br />X STATUTE EROH- <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />B <br />ANY PROPRIETOR/PARTNEMEXECUDVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />Y <br />9100741-23 <br />10/01/2023 <br />10/01/2024 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />($landatoryln NH) <br />Ifyes,describe H) <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS be. <br />Cyber Liability <br />Limit of liability <br />$1,000,000 <br />C <br />ESM0139762497 <br />09/01/2023 <br />09/01/2024 <br />Deductible <br />$2,500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) <br />Insr Ltr:A: Sexual Conduct Liability coverage; Policy #2024-01391; Policy Eff. dates: 06105/2024-06/0512025; Limit: Each Claim: $1,000,000; Aggregate: <br />$1,000,000 <br />Insr Ltr:A: Social Services Professional Liability; Policy #2024-01391; Policy Eff. dates: 06105/2024-06/05/2025: Each Event: $1,000,000; Each Aggregate: <br />$2,000,000 <br />City of Santa Ana is included as additional insured on General liability policy per the attached form. General liability <br />coverage is primary and noncontributory <br />per the attached form. Waiver of Subrogation applies to General Liability and Worker's Compensation policies per the attached forms. 30 Days Notice of <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, <br />CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN <br />ACCORDANCE WITH THE POLICY PRO1 <br />AUTHORIZED REPRESENTATIVE <br />' <br />REVIEWED&APPROVED BY: <br />o <br />A+.g:4 A Ast a <br />�— Risk Management SpedAut <br />ll <br />©1988-20' <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />