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Last modified
6/13/2022 5:10:48 PM
Creation date
6/22/2018 12:51:10 PM
Metadata
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Contracts
Company Name
DELHI CENTER
Contract #
A-2016-267-02
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
9/20/2016
Expiration Date
6/30/2019
Destruction Year
0
Notes
A-2016-267-01
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AC�ORH CERTIFICATE OF LIABILITY INSURANCE <br />DA10/02/2017 <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($), 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 canter rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NONE: Certificate Issuance Team <br />Comprehensive Insurance Services <br />ONE (949)709.8800 949 708- 660 <br />NC No EM: I ! 1 <br />26429 Rancho Parkway South <br />ADDRESS: Info@Ihecompmhensiveinsurance.com <br />Suite 120 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC 0 <br />Lake Forest CA 92630 <br />INSURER A; Non profits Insurance Alliance ofCalifomia <br />11045 <br />INSURED <br />INSURER B: CompWest Insurance Company <br />12177 <br />Delhi Center <br />INSURERC. _..�... <br />505 E. Central Ave. <br />INsuRERD . <br />NSURER E' <br />Santa Ana CA 92707 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: U1.111031U3057 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 />LTR <br />TYPE OF INSURANCE <br />INSD <br />4VVO <br />POLICY NUMBER <br />IMMIODIYY <br />MMIDDAYY <br />LIMITS <br />x <br />COMMERCIALGENERALUABILITY <br />aANISMACE OCCUR <br />EACHOCCUPFENCE <br />S 1,000,000 <br />CIAAAQEa 06l1R0aC0 <br />' SF L <br />8 500,000 <br />MOD DrE(Airy one nersoc) <br />8 20,000 <br />�EREnNw.aADV IN,A;Rv <br />a 1,000,000 <br />A <br />Y <br />2017-01379,N Pp <br />11/0112017 <br />11N1/2018 <br />GEN'L AGGREGATE LINIrr APPLI ES eSR. <br />%t "Olcr jI�`C�p ❑ LOC <br />ENERAL AGGREGATE <br />; 3.000,000 <br />P OUCUCTS-CONIIPI0P AG6 <br />13-000,000 <br />OTHER <br />$0 Deductible <br />t <br />AUTOMOBILE <br />LIABILITY <br />-- <br />"QMEINEDS NGUEUMI r <br />�Eo eoaden[ <br />t 1,000,000 <br />cODL( INJURY FC, rz 011) <br />1, ��— <br />AMtAUTO <br />A <br />AUT DS SCHEGULEv <br />Auras OMLI ALROS <br />HIRED O NED <br />AUTOS ONCAU-OSIOITTY <br />2017-01376-N PO <br />11101/2017 <br />11/0112018 <br />3aaLllwURv iRer zcdem) <br />4 <br />RT; DAMAbE <br />fPerecgdunr <br />f <br />$0 Deductible <br />S <br />UMBRELLA LIAR <br />CCfA.'R <br />UCH OCCURPEEN:E <br />E <br />E%CESSLIAS <br />CLPIMSAdACE <br />AGGREGATE <br />g <br />GED I I RETENTION 1 <br />q <br />B <br />AND EMPLOYERS LIABILITY YIN <br />AN, PROFP F"OPIFAR NF_R,EXFCUTbE <br />OPFICERWEM EREXC _rim <br />Mandator, In NF9 <br />ESe.<ksrnba OFF <br />CES'_RIPTIDN OF OPERA-1UNSbelcw <br />NIA <br />WCV590042002 <br />11/01/2017 <br />11/0112010 <br />x 'TATUTE ER <br />6L EACH ACCIDENT <br />p 1,000,000 <br />_l IXSFA�E-EA EMROYEE <br />S 1,000,000 <br />ELG%A9EPOLICI'UMIT <br />11,000,OOD <br />A <br />Social Service Professional Liability <br />Improper Sexual Conduct Liability <br />2017-01375-N PO <br />11/0112017 <br />11/01/2018 <br />$3,000,000/1,000.000 <br />$1,000,000/1,000,000 <br />Aggregate/Occun. <br />Aggregate/Occur. <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana its offams, employees, agents and volunteers are included as Additional Insured automatically per written contract <br />or agreement per attached endorsement CG2026. 30 day notice of cancellation vdth 10 day notice of cancellation for non-payment of premjgl� <br />per policy provision. Thisinsuranceis Primary and Non-contributory per attached endorsement NIAC E61. �a ti <br />4 <br />SHOULD ANY OF THE ABOVE DESCRIBED A( LYCIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702i <br />0 1906.2015 ACORD CORPORATION. All rights reset <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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