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ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />li <br />DATE (MM DD YYVY) <br />12111/2019 <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 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 />CONTACTGerd Issuance Team <br />NAME <br />Comprehensive Insurance Services <br />PHONE (949) 709-8800 FAx 94g 709-1668 <br />No Est.(AC, No: ( ) <br />26429 Rancho Parkway South <br />ppp.33, Jeremy@lhewmpmhensiveinsurance.com <br />Suite 120 <br />INSURERSI AFFORDING COVERAGE <br />NAIC8 <br />Lake Forest CA 92630 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURER B: Slate Compensation Insurance Fund <br />35076 <br />Orange County Children's Therapeutic Arts Center <br />INSURER C : <br />2215 N. Broadway <br />IN9URER D <br />NSURER:: <br />Santa Ana CA 92706 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CL19112104374 REVISION NIIMBFR' <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 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 />ILTR <br />TYPE OF INSURANCE <br />I`ux <br />POLICY NUMBER <br />MMmDM/YY <br />MMND� <br />LIMITS <br />COMMERCILLGENERALLIABILITY <br />CLAIMS -MADE © OCCUR <br />EACH OCCURRENCE <br />$ 1.000,000 <br />PREMISES I6acan rice <br />$ 500'000 <br />MEDEXP An aria <br />S 20,000 <br />A <br />Y <br />2019-09201 <br />12/21/2019 <br />12/21/2020 <br />PERSONALSAGVIWUAY <br />S 1.000.000 <br />GEN% AGGREGATE LIMIT APPLIES PER <br />PRO-Ful <br />POLICY JECT LOC <br />GENERALAGGREGATE <br />$ 2,000.000 <br />PRODUCTS - COMPIOPAGG <br />$ 2,000,000 <br />$0 Deductible <br />$ <br />OTHER <br />1 <br />AUTOMOBILE <br />LIABILITY <br />CO INEO SINGLE LIMIT <br />Ea aaWet <br />$ 1.000.000 <br />BODILY IWl1RY (Per person) <br />$ <br />ANV AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />2019-09201 <br />12/21/2019 <br />12/21Y2020 <br />BODILY IWURY(Per acddelt) <br />S <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPER <br />Per accident <br />DAIM E <br />$ <br />$0 Deductible <br />$ <br />UMBRELLA LIA9 <br />OCCUR <br />EACHOCCURRENCE <br />S <br />AGGREGATE <br />$ <br />EXCESSLIAB <br />CLAIMS -MADE <br />DIED <br />RETENDON $ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' UABIIJTY <br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN <br />OFFICMMEMMER EXCLUDEDf <br />(MendMOryN NH) <br />NIA <br />9255171-2019 <br />06/05/2019 <br />OBl05/2020 <br />PER TH- <br />STAME ER <br />$O Deductible <br />E.L. EACHACCIDENT <br />1,000.000 <br />E.L. DISEASE - EAENPLOYEE <br />$ 1,000,000 <br />If M. describe ender <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />S 1.000.000 <br />A <br />Social Service Professional Liability <br />Improper Sexual Conduct Liability <br />2019-09201 <br />12/21/2019 <br />12/21/2020 <br />$1,000,000/1,000=0 <br />$1,000,000/1,000,0GO <br />Aggregate/Occun <br />Aggregate/Occurr <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedul, mry be atMched 0 more space Is MWlretl) <br />The City of Santa Ana, its officers, employees, agents. volunteers, and representatives are included as Additional Insured per attached endorsement <br />CG2026. With 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 <br />this policy is primary and is not additional to or contributing with any other insurance camed by or for the benefit of the additional insureds per attached <br />endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. <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, Risk ED APP <br />Manager ROV DACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza �I<I <br />4th Fl, y Ri IC MANAGEMENT DIVISI THORIZED REPRESENTATIVE <br />Santa Ana iY9Y9�1Tf 4n :. y.:.. �:..,..,.:. <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25(201TJ03) o "@1AeiaotiRgePft-gistered marks of ACORD <br />