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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (11)
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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (11)
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Last modified
8/9/2018 1:37:01 PM
Creation date
8/9/2018 1:35:18 PM
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Contracts
Company Name
ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER
Contract #
A-2018-178-12
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
7/17/2018
Expiration Date
7/16/2019
Destruction Year
2023
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fc� n® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDO <br />04/13/2018 <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($). <br />PRODUCER <br />CONTACT Certificate Issuance Team <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />_Ni ---_.—..._....................._................._..__........._........... <br />PHCN r (949) 709-8800 FAIRo Ft AC Nob (949) 709-1668 <br />EMAIL jeremy@thecomprehensiveinsurance.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIL# <br />Suite 120 <br />INSURERA: Wesco Insurance Company 25011 <br />Lake Forest CA 92630 <br />INSURED <br />INSURERS: <br />Orange County Children's Therapeutic Arts Center <br />INSURERC: <br />2215 N. Broadway <br />INSURER D: <br />INSURER E: <br />Santa Ana CA 92706 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: WC REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E 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 />ILTR <br />TYPE OF INSURANCE <br />ADDLSUuK <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICYFL <br />FOLIC YYYY <br />EXP <br />MMIDDI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />CLAIMS -MADE D OCCUR <br />PREMISES So occurrence) $ <br />_ <br />MED EXP (Any one Person) $ <br />_ ....................... <br />PERSONAL &ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ <br />POLICY ❑ PRO ❑ <br />ECTLOU <br />PRODUCTS-COMP/OPAGG $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />t <br />URY (Per person)) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />URY (Per accident) $ <br />jINJURY <br />DAMAGE $ <br />ntUMBRELLA <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />LIAB <br />OCCUR <br />URRENCEEXCESS <br />E $ <br />LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />S <br />WORKERS COMPENSATION <br />�/ PER OTH- <br />X <br />A <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? �NIA <br />(Mandatory In NH) <br />WWC3347881 <br />04/14/2018 <br />04/14/2019 <br />STATUTE ER <br />_....—_................_..._. _., <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JABBED 101, Additional Remarks Schedule, may be attached If more space Is Radioed) <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. <br />CERTIFICATE HOLDER CANCELLATION <br />@ 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <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 (The) Finance & Management Services Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />PO Box 1988 M-16 <br />Santa Ana CA 92702 <br />()ru', <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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