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OC CHILDREN'S THERAPEUTIC ARTS CENTER (3)
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OC CHILDREN'S THERAPEUTIC ARTS CENTER (3)
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Last modified
9/26/2019 11:00:02 AM
Creation date
9/26/2019 10:26:32 AM
Metadata
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Contracts
Company Name
OC CHILDREN'S THERAPEUTIC ARTS CENTER
Contract #
N-2019-184
Agency
COMMUNITY DEVELOPMENT
Expiration Date
8/19/2020
Insurance Exp Date
12/21/2019
Destruction Year
2025
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE,MMIDDIYYYYI <br />08/27/2019 <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 cnrtifZ O holder fs an ADDITIONAL. INSURED, the polioy(ins) must have AtTI)I IONAL INSURED provision% or be endorsed, mm� <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 <br />Comprehensive Insurance Services <br />_ <br />CONTACT NAME; (;efli(iCate IsEuanco TOar1)�®�^ <br />___ <br />PH )Fr— x _ (9,19) 709-8800 Y_ T � FAXNo. (949) 709-1608 r <br />__�� <br />�NfAIP u <br />26429 Rancho Parkway South <br />eroP r theCOin Jrolwnsivoinsurance.com <br />ADORL 1. 1- 1Y.rl t <br />m �___ INgURFFF�It(yI APPENDING COVERAGE <br />MAICkv <br />Suite 120 <br />Lake Forest CA 92630 <br />INBURERA_Nonprofits Insurance Alliance of California <br />10023 <br />INSURED_._®.�.�,�._�......_�..._.., <br />INSURER 6: �•61-�� <br />Grange County Chlldrods Therapeutic Arts Center <br />--_-�uu�4 — ® <br />INSURER C: <br />_ <br />INSURER 0: <br />2215 N. Broadway <br />INSURER E: r—` <br />�p <br />E <br />INSURERF� <br />Santa Ana CA 92706 <br />COVERAGES CERTIFICATE NUMBER: CLI8121803754 REVISION NUMBER: <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICYPERIOD <br />INDICATEO. 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 />TNek <br />LTR <br />-- <br />_TYPE OF INSURANCE <br />1Mt <br />Aso <br />SUB <br />W�4'E <br />POLICYNUMBER <br />pOCICYEFF <br />(.MMIppIYYYV <br />MM1pplYVYY <br />LIMITS___ <br />COMMERCIALGENERALLIAIRILITY <br />JI CLAIMS -MADE ®OCCUR <br />EACHOCCURRENCE <br />$ 1,000,000 <br />PREMISES fEn accurronael s <br />$ 500.000_- <br />MED EXP (Anv, one Pereonl <br />$ 20,000 <br />PERSONAL& ACV INJURY <br />$ 1,000,000 <br />A <br />Y <br />2018-09201 <br />12/21/2018 <br />1212112019 <br />GENILAGGREGATELIMITAPPLIES PER: <br />POLICY PRO /� C� LOC <br />(�f JEGt <br />GENERAL AGGREGATE <br />$ 2,000,000�� <br />PRODUCTS - COMPIOP AGO <br />$ 2,000,000� <br />$0 Deductible <br />g <br />.] OTHER:_ <br />_ <br />Y ® _ <br />AUTOMOBILE <br />_ _ <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />j_Ea arrJrlenl <br />$ 1.000,000 <br />BODILY INJURY (Par aerxon) <br />$ <br />ANYAUTO <br />A <br />OWNED I NON -OWNED <br />AUTOS ONLY AUTOS <br />AUTO vv AUTOS ONLY <br />AUTOS ONLY +^� AUTOS ONLY <br />2016-09201T <br />12)21(2018 <br />12f21/2019 <br />6oUILY INJLRY(Poruwldnn0 <br />$$ <br />PROPERTY DAMACB <br />{gu`a,xlitpntL <br />JII <br />$0 Deductible <br />$ <br />m _ <br />UMBRELLALIAD <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />_ <br />EXCESS LAB <br />CLAIMS -MADE <br />AGGfFGArE <br />- ..._._ <br />a _ <br />CEO LRErENTION $ <br />_..�..�....... <br />WORKERS COMPENSATION AND EMPLOYERSLIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXEGU NVE j- �ij <br />OFFICER/MEMBER E%CLUUEDR (. I <br />NIA <br />�.®�._... <br />_-... <br />FL EACH ACCIDENT <br />_. <br />$ <br />(Mandatory In NHL, <br />EL.DISEASE EAEMPLOYEE <br />$ <br />II yes, dnscrlbe under <br />DESCRIPTION OF OPERATIONS below <br />v <br />EI_DISEASE- POLICY LIMIT <br />$ <br />A <br />Social Service Professional Liability <br />Improper Sexual Conduct Liability <br />_m <br />2018-09201 <br />� <br />12121/2018 <br />L <br />-. <br />12.(21/2019 <br />$1,000,OOC/1,000,000 <br />$1,000,000/1,000,000 <br />AggregatetOccurr <br />Aggregate/Occurr <br />..._.._- <br />$0 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AC OR 101, Add llloneI Ramrrkn Schedule, ,nay bo attached it mom apace Is rnquhed) <br />The City of Santa Ana, its officers, employees, agents, and reprosentatives are included as Additional Insured per attached endorsement CG2026. With <br />respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is <br />primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds per attached endorsement <br />NIAC E61- 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. <br />REVIEWED & APPROVED <br />�rL p SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City Or Santa Ana FryANCIA1$-$Y. VILLARE L1 ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division IStil `r tlC ti Y R( tlL <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza 4fh FI <br />Santa Ana CA 92701 <br />n ICIRR.9n15 ACORn CORPORATtn N. All rinhta rnanr <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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