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All® CERTIFICATE OF LIABILITY INSURANCE <br />DAM YY) <br />12720�9 <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(s). <br />PRODUCER <br />OOO<AOT Certificate Issuance Team <br />Ni <br />Comprehensive Insurance Services <br />PHONN (949) 709-8800 Np: (949) 709-1666 <br />26429 Rancho Parkway South <br />EatArt jerem rehensive1nsunce.co <br />AODRE59: y� the p rem <br />Suite 120 <br />INSURERISI AFFORDING COVERAGE <br />NAIC9 <br />Lake Forest CA 92630 <br />INSURERA: State Compensation Insurance Fund <br />35076 <br />INSURED <br />INSURER B <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 />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: WU 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICYNUMBEft <br />POLICY EFF <br />MMIDDIYYYY <br />POLICYEXP <br />MIDDN"Y <br />LIMITS <br />COMMERCIAL GENERAL UABIUTY <br />EACH OCCURRENCE <br />_ <br />3 <br />CLAIM9-MADE OCCUR <br />PR ISE Saccummca <br />S <br />NED UP one arson <br />S <br />PERSONAL EADV INJURY <br />S <br />GEN'LAGGREGAfE UMITAPPUES PER: <br />GENERALAGGREGATE <br />S <br />PRO. <br />PULIm,0 JECTPRO- ❑ LOU <br />PRODUCTS-COMPIOPAGG <br />S <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />C BINUED SINGLE LIMIT <br />xi <br />E <br />BODILY INJURY tree, pecan) <br />E <br />ANYAUTO <br />OWNED AUTOSCHEDULED <br />AUTOS ONLY S <br />BODILY INJURY (Per accidmll <br />S <br />PROPERTY DAMAGE <br />Perncrdm,l <br />E <br />HIRED F I NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />f <br />UMBRELLI LIAR <br />OCCUR <br />EACHGCCURRENCE <br />f <br />AGGREGATE <br />E <br />EXCESS LIAR <br />CLAIM&MADE <br />DED <br />RETENTION E <br />2 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />IVEXECUTNE <br />ANY PROPRIETOR EXCLUDED? <br />OPFICERIMEMBHI EXauoeDT <br />IMamomryle.ef <br />NIA <br />9255171-2019 <br />06/05/2019 <br />06/0512020 <br />XPER FORTH. <br />STAT TE ER <br />EL EACH ACCIDENT <br />S 1.000,000 <br />EL DISEASE - EA EMPLOYEE <br />E 1,000,000 <br />NYea,RIPTIONOmer <br />DESCRIPTION OF OPERATIONS holow <br />El. DISEASE -POLICY LIMIT <br />S 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 1D1, Additional Remade Schedule, may M aaachod it more apace Is acquired) <br />The City of Santa Ana, its officers, employees, agents. and representatives. 30 day notice of cancellation with 10 day notice of cancellation for non-payment <br />of premium per policy provision. <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />SEP 04 <br />City of Santa Ana <br />Risk Mangement Division <br />20 Civic Center Plaza 4th FI. <br />Santa Ana <br />CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRISEIEPMLXIIEB 96-CANMM <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />W 19B6.2V10 AUUHU CUKHUHAIIUN. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />