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A`"R" CERTIFICATE OF LIABILITY INSURANCE EXHI AT (MM/DD/YYYY)
<br /> 09/18/2025
<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 Marci Davis
<br /> NAME:
<br /> Poms&Associates Insurance Brokers AICNN. Ext: (800)578-8802 /X No: (818)449-9321
<br /> CA License#0814733 E-MAIL mdavis@pomsassoc.com
<br /> ADDRESS:
<br /> 4500 Park Granada,Suite 206 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Calabasas CA 91302 INSURERA: Nonprofits Ins.Alliance of CA(NIAC) 160
<br /> INSURED
<br /> INSURER B
<br /> Working Wardrobes For A New Start INSURER C:
<br /> 2000 E.McFadden Ave INSURER D:
<br /> Suite 100
<br /> INSURER E
<br /> Santa Ana CA 92705 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 25-26 MASTER REVISION NUMBER:
<br /> THIS IS TO CERTIFYTHAT 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 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 TYPE OF INSURANCE ADDL UBR POLICY NUMBER MM/DD YYYYMPOLICY EFF O DD YYYY LIMITS
<br /> ICY EXP
<br /> LTR INSD WVD
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE_7CLAIMS-MADE �OCCUR PREM SESOEa occu«Dence $ 500,000
<br /> MED EXP(Any one person) $ 20,000
<br /> A Y Y 2024-49231 09/17/2025 09/17/2026 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY ❑ PRO ❑ 2,000,000
<br /> JECT LOC PRODUCTS-COMP/OPAGG $
<br /> OTHER: Liquor Liability-Common $ 1,000,000
<br /> AUTOMOBILE LIABILITY C�flPr?BtNED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y Y 2024-49231 09/17/2025 09/17/2026 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY /� AUTOS ONLY Per accident
<br /> Uninsured Motorist $ 1,000,000
<br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000
<br /> A EXCESS LIAB HCLAIMS-MADE 2024-49231-UMB 09/17/2025 09/17/2026 AGGREGATE $ 3,000,000
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE El
<br /> E.L.EACH ACCIDENT $
<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 $
<br /> Improper Sexual Conduct&Physical General Aggregate $2,000,000
<br /> A Abuse 2024-49231 09/17/2025 09/17/2026 Each Claim $1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/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 performed 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 10 day notice of cancellation for non-payment)
<br /> [APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 7:25 am,Sep 24,2025
<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 ATTN:Audrey Goodson ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 801 W.Civic Center Dr.
<br /> AUTHORIZED REPRESENTATIVE
<br /> Suite 200
<br /> Santa Ana CA 92701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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