GOODWILL INDUSTRIES OF ORANGE COUNTY, CA DBA DEAFINITELY PROFESSIONAL INTERPRETING SERVICES-2017

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ACC)R" CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) 8/14/2017 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: It the certificate holder is an ADDITIONAL INSURED, the poiicy(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 CONTACT Gizelda Parr NAME: Poms & Associates Insurance BrokersPHONE c: (800) 578-8802 c No: (618)449-9321 E-MAIL ADDRESS: 9parr@pomsassoc.com CA License #0814733 5700 Canoga Ave. #400 INSURERS AFFORDING COVERAGE NAIC# Woodland Hills CA 91367 INSl1RERA:PhilaCle1 hia Insurance Company 18058 INSURED iNSURER B :'Tokio Marine S ecialt /PHI 11216 Goodwill Industries of Orange County INSURERC: 410 N. Fairview St. INSURERD: INSURER E . Santa Ana CA 92703 INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVL FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RLOUIREMENT, 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. "NSRADDL LTR TYPE OF INSURANCE SU Bft POLICY NUMBER POLICY EFF MMlDDIYYYY POLICY EXP MMIDR= LIMITS X COMMERCIAL GENERAL LIABILITY F�CH QCCURRENCE S 1,000,000 A CLAIMS -MADE OCCUR CAMAGETORENTED PREMISES Ea occUrn=na6 $ 1,000,000 MED EXP (Any one person) $ Excluded X Professional Liability _ X PEPK1665226 7/1/2017 7/1/2016 X Sexual Abuse/Molestation &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: -PERSONAL GENERAL AGGREGATE S 3,000,000 X POLICY PRO - CI ❑ )ECT LOC PRODUCTS -GQMPlOPAGG $ 3,000,000 Emplayee Benefits $ 1,000,000 OTHER�Dedxuctthle: 0 AUTOMOBILE LIABILITY EOaaBINEDSINGLELIMIT $ 1,000,000 A % ANY AUTO LPK1665226 BODILY INJURY (Per person) $ AUTOS SCHEDULED BODILY INJURY Per accident $ } AUTQS AUTOS 7/1/2017 7/1/2016 HIREDAU' NCN-OWNED AUTOS I( PROPERTY DAMAGE Per auidern $ Underinsured motorist $ 1,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAS CLAIMS -MADE AGGREGATE $ 10,000 000 DED 1 X IETENTION$ 10,000 $ PUB567092 7/1/2017 7/1/2018 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDE NT S ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEPJMEMDER EXCLUDED? ❑ NIA I E.L. DISEASE - EA EMOYE $ PL (Mandatory in NH) If yas, describe under E.L DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS below i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insureds per the attached endorsement. Primary non-contributory wording applies per the attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza (M-30) ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1988 Santa Aria, CA 92702-1988 AUTHORIZED REPRESENTATIVE John Ioef/JLOEF U 1988-2014 ACORD CORPORATION. All rights red. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD,a n I NS025 (201401) V `� J