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A� H CERTIFICATE OF LIABILITY INSURANCE <br />0012712019al <br />THIS CERTIFICATE 13 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: U the certificate holder Is an ADDITIONAL INSURED, the policy(ios) 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(s). <br />PRODUCER <br />CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />PHONE (949) 70"800 FAX, (949) 709-1668 <br />a AK No <br />26429 Rancho Parkway South <br />ADORE 39: Al )eranly®Ihacom rehensivelnsurenca.m <br />P cro <br />Suite 120 <br />INSURERSAFFORDING COVERAGE <br />NgICi <br />Lake Forest CA 92630 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURERS: <br />Orange County Children's Therapeutic Arts Center <br />INSURER C: <br />2215 N. Broadway <br />INSURER D : <br />INSURER E : <br />Santa Ana CA 92706 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: CL18121803754 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 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 />lesR <br />LTA <br />TYPE OF INSURANCE <br />I O <br />WV <br />POLICY NUMBER <br />POLICYEFF <br />MMIODIYWY <br />POLICY E%P <br />MMIDDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ® OCCUR <br />EACHOCCURRENCE <br />3 1.000,000 <br />DAMAGETOREPREM 3 Ee rccunence <br />S 500,000 <br />MED EXP am Mason) <br />$ 20,000 <br />PERSONAL BADV INJURY <br />S 1.000,000 <br />A <br />Y <br />2018-09201 <br />12/21/2016 <br />12121/2019 <br />GENIAGGREGATE UMITAPPUES PER: <br />POLICY ❑ EMT a LOC <br />GENERALAGGREGATE <br />f 2,000,000 <br />PRODUCTS-COMPIOPAGG <br />f 2,000.000 <br />$0 Deductible <br />f <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea sccMent <br />f 1.000,000 <br />BODILY INJURY (Per mutant <br />f <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />2018-09201 <br />12121/2019 <br />12/21/2019 <br />BODILY INJURY(Paaaddanl) <br />3 <br />PROP DAMAGE <br />Win <br />3 <br />%� <br />AURED I TOS S ONLY X AUTOS ONNOWOWNLY <br />$0 Deductible <br />3 <br />UMBREU.AUAB <br />OCCUR <br />EACHOCCURRENCE <br />3 <br />AGGREGATE <br />S <br />EXCESS LIAB <br />CMMSAJADE <br />DEB RETENTION S <br />3 <br />WORKER$ COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOflIPARTNEWE%ECUTIVE ❑ <br />OFFICER(MEMBER EXCLUDEDT <br />NIA <br />PERORW <br />EJ-. EACH ACCIDENT <br />$ <br />EL DISEASE - GEMPLOYEE <br />3 <br />(Mandatory In NH) <br />If yet, dee rele user <br />DESCRIPTION OF OPERATIONS Mt. <br />EL. DISEASE -POLICY LIMIT <br />S <br />A <br />Social Service Professional Liability <br />Improper Sexual Conduct Liability <br />201 M9201 <br />12/21/2018 <br />12/21/2019 <br />$1,000,00011,000.000 <br />$1,0D0,000/1,000,000 <br />Aggregate/Occur <br />Aggregate/Occurr <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlachMd If mars space Is required) <br />The City of Santa Ana, Its officers, employees, agents, and representatives are included as Additional Insured per attached endomemonl CG2028, 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 />By NT DIVISION <br />/ v �v •a• 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 FRANCINE R. VILLAREAL ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Mangement Division <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza 41h FI '1 <br />Santa Ana CA 92701 <br />01988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />