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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE 3/11/2026
<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 CONTACT
<br /> NAME: Samantha Ibarra
<br /> CalNonprofits Insurance Services PHONE FAX
<br /> 1500 41 st Avenue, Suite 228 A/C No Ext: 831-824-5022 A/C,No):
<br /> E-MCapitola CA 95010 ADDRESS: samantha@cal-insurance.org
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: Nonprofits Insurance Alliance of California 10023
<br /> INSURED AIDSSER-01 INSURERB: Underwriters at Lloyds, London
<br /> AIDS Services Foundation of Orange County, DBA: Radiant Health INSURERC: Landmark American Insurance Company 33138
<br /> Centers
<br /> 17982 Sky Park Circle, Ste. J INSURERD: Redwood Fire and Casualty Insurance Company 11673
<br /> Irvine CA 92614 INSURER E7
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1053284080 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 01-CP-0008363-01-1 7/29/2025 7/29/2026 EACH OCCURRENCE $1,000,000
<br /> DAMAGES( RENTED
<br /> CLAIMS-MADE OCCUR
<br /> PREMISES Ea occurrence)
<br /> ccurrence) $500,000
<br /> MED EXP(Any one person) $20,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
<br /> POLICY❑ PRO ❑
<br /> JECT LOC PRODUCTS-COMP/OP AGG $3,000,000
<br /> X
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY Y Y 01-CP-0008363-01-1 7/29/2025 7/29/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> A X UMBRELLA LAB X OCCUR 01-UM-0008363-01-15 7/29/2025 7/29/2026 EACH OCCURRENCE $2,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $2,000,000
<br /> DED X RETENTION$n $
<br /> D WORKERS COMPENSATION Y AIWC765070 1/1/2026 1/1/2027 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? FN] N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> B Cyber Liability L1957CYLA262 2/26/2026 2/26/2027 Limit $1,000,000
<br /> C Professional-Med Mal LHM874372 2/26/2026 2/26/2027 Each Claim/Aggregate $1M/$3M
<br /> A Acci dent Liability 07-AC-0008363-01-08 7/29/2025 7/29/2026 Limit $1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Social Service Professional Liability-Policy Number 01-CP-0008363-01-1 Eff 07/29/2025-07/29/2026. Each Claim/Aggregate$1 M/$3M
<br /> Improper Sexual Conduct& Physical Abuse Liability-Policy Number 01-CP-0008363-01-1 Eff 07/29/2025-07/29/2026. Each Claim/Aggregate$1 M/$3M
<br /> Liquor Liability-Policy Number 01-CP-0008363-01-1 Eff 07/29/2025-07/29/2026. Each Event/Aggregate$1 M/$1 M
<br /> Commercial Umbrella Policy#01-UM-0008363-01-15 follows form regarding Commercial Package Policy#01-CP-0008363-01-1.
<br /> Project Number:A-2024-089-02.
<br /> See Attached... APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:24 pm,Mar 16,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Community Development Agency
<br /> 20 Civic Center Plaza, M-25 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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