WOMEN'S TRANSITIONAL LIVING CENTER INC. (WTLC) -2015

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WOMEN -3 OP ID: LA CERTIFICATE OF LIABILITY INSURANCE DATE (M3120 03123).20 6 16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Fullerton Insurance Service CDi #0596796 CONTACT NAME: Commercial Lines Dept. AHC NNo Ext : 714-577-5800 (AIC No): 714-447-0011 P.O.Box 4054 Fullerton, CA 92834-4054 E-MAIL ADDRESS: rec@fullertoninsurance.com INSURERS}AFFORDING COVERAGE NAIC N Leslie A. McCarthy, CIC INSURER A: New York Marine & General Ins. 16608 INSURED Women's Transitional Living Center Inc. INSURER B: Nonprofits Ins. Alliance of CA EACH OCCURRENCE $ 1,000,000 P.O. Box 916 INSURER 0: INSURER D: Fullerton, CA 92832 INSURER E 0910112015 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILSR TR TYPE OF INSURANCE DDi ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER MMf�IDnYYY Y EXP MMrtlblYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Al OCCUR X 201501835NPO 0910112015 09/01/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L X POLICY ❑ JECT F LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B X ANYAUTO 201501835NPO 09/0112015 09/01/2016 BODILY INJURY (Per person) $ ALLOWNED SCHEDULED AJTOS AUTOS BODILY INJURYPer accident $ INJURY(Per HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAR CLAIM&MADE 201501835UMBNPO 09/0112015 09/01/2016 AGGREGATE $ 5,000,000 DED I I RETENTON $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRCPRIETOWPARTNERIFXECUTIVE YIN CFFICERIMEMBER EXCLUDED?n (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N f A WC201600005441 03/2812016 03/2812017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYr $ 1,000,000 E.L. DISEASE LIMIT $ 1,000,000 ---POLICY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltlanal Remarks Schedule, may be attached if more space is required). City of Santa Ana, its officers, agents employees and volunteers are named as additional insureds as respects to the general liability policy limits per endorsement C92012 attached to the policy with coverage primary and non-contributory per endorsement NZACE61 attached to the policy. CERTIFICATE HOLDER CANCELLATION CITYS10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa AnalESG THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Daniel Perez ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1988, M-25 AUTHORIZED REPRESENTATIVE tea,___ ceg Santa Ana, CA 92702 ACORD 25 (2014101) O 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD