25B - AGMT FOR WORKFORCE TRAINING

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``� Kam' CERTIFICATE OF LIABILITY INSURANCE DATEIMMDD Y) 05 osns/zozD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER co TAT Certfficate Issuance Team NAME: Comprehensive Insurance Services PHONE (949) 709-8800 FA% gq A/C No San AIC Nei) ( 9) 709-1668 26429 Rancho Parkway South E-ni jerem ADDRESS: my Suite 720 INSURER(S) AFFORDING COVERAGE NAIC0 Lake Forest CA 92630 INSURERA: Nonprofits Insurance Alliance of California 10023 INSURED INSURER B: State Compensation Insurance Fund 35076 Orange County Children's Therapeutic Arts Center INSURER C: 2215 N. Broadway INSURER 0: INSURER E: Santa Ana CA 92706 INSURERF: r.nVPRerrQ ...-..r,�,...�_.....-___ ... ............._. HCVIJIUN INUMtlGH: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R AM Sm LTR X TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 19 OCCUR INSD WVD POLICY NUMBER MM/ODIY1'YYY MMIDDY LIMITS EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 500,000 MED EXP(Anyone careen) $ 20,000 A Y 2019-09201 12/21/2019 12/21/2020 PERSONAL BADV INJURY $ 1,000,000 GENL AGGREGATE U MIT APPLIES PER: CT LOC POLICY EA.IL"ITY GENERALAGGREGATE $ 2,000.000 PRODUCTS-COMPIOPAGG 2,000,000 $$0 Deductible g A UTOMOBILRE ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AIdOS ONLY X AUTOSONLY 2019-09201 12/21/2019 12/21/2020 COMBINED SINGLE LIMIT Ea attitlenl $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAAMGE PROPERaccant $ $0 Deductible g B UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N/A 9255171-2019 06/05/2019 06/05/2020 EACHOCCURRENCE $ AGGREGATE $ DEO RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNER/EXECUTIVE OFFICERWEMBER EXCLUDED? ❑ (Mandatory In NH) lives, descnbe under v STATUTE ER �PER $0 $0 Deductible E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Social Service Professional Liability Improper Sexual Conduct Liability 2019-09201 12/21/2019 12/21/2020 $1,000,000/1,000,000 $1,000.000/1,000.000 Aggregate/Occurr Aggregate/Occurr $0 Deductible DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLE S IACORD 401, Additional Remarks Schedule, may be attached If more space Is required) The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are included as Additional Insured per attached endorsement -CG2026.-Withrespect toclaim arising -out of the operations -and uses -performed by prod behalf of the gamed insured, such insurance as is afforded by this policy is 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 NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. eFanalcerc unl nvo _ City of Santa Ana, Risk Management 20 Civic Center Plaza 4th FI. Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights i ne AULIKD name angl�. e�l as€lis�tr4 marks of ACORD