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ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~
<br />~ 09/20/2024
<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(ies) must hav e ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, c e rtain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate ho lder in lieu of such endorsement(s).
<br />PRODUCER CONTACT Marci Davis NAME:
<br />Porns & Associates Insurance Brokers iAH,gNrfo Extl: (800) 578-8802 I f,t~ Nol: (818) 449-9321
<br />CA License #0814 733 E-MAIL mdavis@pomsassoc.com ADDRESS:
<br />4500 Park Granada, Suite 206 INSURER($) AFFORDING COVERAGE NAIC #
<br />Calabasas CA 91302 INSURER A: Nonprofits Ins. Alliance of CA (NIAC) 160
<br />INSURED INSURER B:
<br />Working wardrobes For A New Start INSURER C:
<br />2000 E. McFadden Ave INSURER D:
<br />Suite 100 INSURER E:
<br />Santa Ana CA 92705 INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 24-25 GLAU UMB 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 CONTRACT OR 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 TYPE OF INSURANCE POLICYEFF POLICY EXP LIMITS LTR INSO WVD POLICY NUM BER CM M/00/YYYY) CMM/00/YYYY)
<br />X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1.000,000 -D CLAI MS-MADE [81 OCCUR
<br />UAMA<.;t: ,vKt:Nlt:D 500,000 PREMISES CEa occurrencel s >--
<br />MED EXP (Any one person} $ 20.000 -A y y 2024-49231 09/17/2024 09/17/2025 PERSONAL & ADV INJURY s 1,000,000 -
<br />GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000
<br />~ POLICY □ ~m □ LDC PRODUCTS -COMP/OP AGG s 2,000,000
<br />OTHER : Liquor Liability -Common s 1,000,000
<br />AUTOMOBILE LIABILITY 6GM81NED SINGLE LIMIT $ 1,000,000 (Ea accident)
<br />X ANYAUTO BODILY INJURY (Per person} s
<br />-O'M'lED -SCHEDULED A AUTOS ONLY AUTOS
<br />y y 2024-49231 09/17/2024 09/17/2025 BODILY INJURY (Per accident) $ x HIRED x NON-OWNED PROPERTY DAMAGE s AUTOS ONLY AUTOS ONLY (Per accident) -Uninsured Motorist $ 1,000,000
<br />~ UMBRELLA LIAB ...................... 2,000,000 HOCCUR EACH OCCURRENCE s
<br />A EXCESS LIAB CLAIMS-MADE 2024-49231-UMB 09117/2024 09/17/2025 AGGREGATE s 2,000,000
<br />OED I I RETENTION s s
<br />WORKERS COMPENSATION I PER I I OTH•
<br />AND EM PLOVERS' LIABILITY STATUTE ER
<br />Y/N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT s
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE· POLICY LIMIT s
<br />Improper Sexual Conduct & Physical
<br />General Aggregate $2 ,000,000
<br />A Abuse 2024-49231 09/17/2024 09/17/2025 Each Claim Limit $1,000,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability
<br />arising out of work or operations pecformed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work
<br />or operations. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. Waiver
<br />of Subrogation applies per the attached forms.
<br />30 day notice of cancellation (except for 1 Oday notice of cancellation for non -payment)
<br />CERTIFICATE HOLDER
<br />City of Santa Ana Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLI CIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE TH EREOF, NOTICE WILL BE DELIVER ED IN
<br />ACCORDANCE WITH THE POLICY PRO\
<br />AUTHORIZED REPRESENTATIVE
<br />Rllk~Dlwlan
<br />REvliaWED & APPROVED BY:
<br />A+A~tk
<br />Risk Management Specialist
<br />© 1988-2015 ACOJ;,.__ _____________ ....,
<br />ACORD 25 (2016/03) The ACORD name and logo are re gistered marks of ACORD
<br />EXHIBIT 2
<br />
<br />
<br />City Council 10 – 244 7/1/2025
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