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cor`o CERTIFICATE OF LIABILITY INSURANCE
<br />DATE{MMMU1YYYY)
<br />07/1812019
<br />THIS CERTIFICATE IS ISSUED A$A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYAMEND, 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 poilcy(les) 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
<br />on
<br />this certificate, does not confer rights to the certificate holder In Ileu of such endorsement(a).
<br />PRODUCER
<br />CONTAC NAME: Cerlificele Issuance Team
<br />Comprehensive Insurance Services
<br />PHONE (949) 709-8800 RA (949) 7094886
<br />AICSNP).L�._,
<br />20429 Rancho Parkway South
<br />-MAi'v'b°g°.'—._-_.........___.._....-._,_
<br />ADDRESS: loremy@themmprehensivoinsurance.com
<br />Suite 120
<br />., INSURER(S)APPORDING COVERAGE
<br />-��
<br />NAIC e
<br />Lake, Forest CA 92030
<br />Non
<br />INsuRERA; Nonprofits insurance Alliance of California
<br />10023
<br />INSURE O
<br />INSURER B:
<br />Community Action Partnership of Orange County
<br />11870 Monarch St.
<br />INSURER C:
<br />INSURER D:
<br />INSURER E.:
<br />Garden Grove CA 92841
<br />INSURERFi
<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, NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR .OTHER 1DOCUMENT 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 />LTR
<br />TYPEOFINSURANCE
<br />I
<br />0
<br />pOLICV NUMBER
<br />MMIODA'VYY
<br />MM/DD EXP
<br />LIMITS
<br />X
<br />COMMERCIALOENERALLIADILITY
<br />EACH OCCURRENCE
<br />a 1,000,000
<br />CLAIM&MADE 19 OCCUR
<br />PR�MISES E oc urr nce
<br />a. 600,000
<br />MEDEXP(An ooe room
<br />a 20,000
<br />A
<br />Y
<br />2019-00441
<br />07/b1/2019
<br />07(01l2020
<br />pER54NAL&ACV INJURY
<br />,..,._._....0,00-.........
<br />a 1,000.090
<br />PER:
<br />POLICY dCCT [X]
<br />GENERALAGGREGA7E
<br />$ 2A00,000
<br />OENIAGGREG�ATEyIiIMITAPPLIES
<br />PRODUOTS-COMPIOPAOG
<br />§. 2-000,000
<br />u LOC
<br />OTHER::
<br />$0 Deductible
<br />a
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEDSINGL IT
<br />Eaa w
<br />§ 1,000.000
<br />X
<br />ANYAUTO
<br />BODILY INJURY (Per person)
<br />a
<br />A
<br />SCHEDULED
<br />%� AUTOS
<br />2019,00441
<br />07101/2019
<br />07/01/2020
<br />BODILY INJURY per acWtlanl
<br />( )
<br />a
<br />!�AUTOSONLY
<br />NON•OWNED
<br />perac Cent E
<br />a
<br />LUMBREL�LIIASX
<br />$0 Deductible
<br />s
<br />XS
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />§ 4.000,000
<br />A
<br />CLAIM&2019-00441-UMB.NPO
<br />07101/2010
<br />U710112020
<br />AGGREGATE
<br />a 4,000,000
<br />TENTION 10,000
<br />WORRERSCOMPENSAHON
<br />S
<br />AND EMPLOYERS' LIABILITY YIN
<br />9TAN7E FORTN
<br />E.L.EACHAOCIDENT
<br />a
<br />ANY PROPRIETORIPARTNERtEXECUTIVE
<br />OFFICERIMEMSER EXCLUDED?
<br />NIA
<br />(Mandasob ord
<br />?herd desuibe Under
<br />E.L. DISCASE-MA EMPLOYEE
<br />a
<br />E.L. DISEASE -POLICY LIMIT
<br />$
<br />DESCRIPTION OF OPERATIONS below
<br />�
<br />Social Service Professional Liability
<br />$2,000,000/1,000,000
<br />Aggregate/Occurr
<br />A
<br />Improper Sexual Conduct Liability
<br />2019-00441
<br />07,01,2019
<br />07101/2020
<br />$1,000,00011,000,000
<br />Aggregate/Ea Clm
<br />$0 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACOftD 101, Adtlllional R¢marks Bohadulo, may be, auach¢d if more spaco Is required)
<br />The City of Santa Ana, its officers, employees, agents and volunteers are Included as Additional Insured automatically par written contract or agreement per
<br />attached endorsement CG2020. This Insurance Is Primary and Non-contributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10
<br />day notice of cancellation for nornpaymenl of premium per policy provision.
<br />REVIEWED & APPIIiOVED
<br />By RI MANAGEMENT DIVISION
<br />,.�ranwv
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />per-
<br />City of Santa Ana. SN' LAMBERT I THA M. MBERT
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Risk Management Division
<br />AUTHORIZE4 REPRESENTATIVE
<br />20 CHIC Center Plaza
<br />Santa Ana CA 02701
<br />©1988.2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (20103) The ACORD name and logo are registered marks of ACORD
<br />
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