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ACC?R"® CERTIFICATE OF LIABILITY INSURANCE EXHI AT4/zz/zoz6YY)
<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: Julie Doan
<br /> Patriot Growth Insurance Services, LLC PHONE 714-733-6200 A/c,No
<br /> 7777 Center Avenue, Suite 600 A/C No Ext
<br /> Huntington Beach CA 92647 ADDRESS: Julie.Doan@patriotgis.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: Nonprofits'Insurance Alliance of California 11384
<br /> INSURED TALLSAN-01 INSURERB:QBE Insurance Corp/The ILM Group
<br /> Taller San Jose Hope Builders dba Hope Builders
<br /> Hope Builders Career Connections INSURERC: Philadelphia Indemnity Insurance 18058
<br /> 801 N Broadway INSURERD: Cornerstone Insurance Plc
<br /> Santa Ana CA 92701 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:2093043825 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 I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 20236888 10/1/2025 10/1/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea or
<br /> $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 $2,000,000
<br /> PRO-
<br /> POLICY JECT
<br /> X 1:1EC 1:1LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X OTHER: Prof.Liability Aggregate $$2,000,000
<br /> C AUTOMOBILE LIABILITY Y Y PHPK2606749 10/1/2025 10/1/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED X 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 UMBRELLALIAB X OCCUR Y 202368880UMB 10/1/2025 10/1/2026 EACH OCCURRENCE $2,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> D WORKERS COMPENSATION Y WC04400336024 9/1/2025 9/1/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> ❑
<br /> OFFICER/MEMBER EXCLUDED? NIA
<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 Accident/Sexual Misconduct MHH010307/202268BOACC 10/1/2025 10/1/2026 Aggregate $1,000,000
<br /> A Social Service Professional Liab 20236888 10/1/2025 10/1/2026 Per Event/Aggregate $2mm/$2mm
<br /> C Crime PHPK2606749 10/1/2025 10/1/2026 Aggregate $250,0000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: 100 N Harbor Blvd.,Ste 200,Anaheim CA 92805
<br /> City of Santa Ana,its City Council,officers,officials, employees,agents,and volunteers are named as additional insured with respects to General liability,auto
<br /> liability. Policies are primary and non-contributory.Waiver or subrogation applies.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 {
<br /> c�
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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