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ACOR& CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMMD/YYYY) <br />`� <br />11/0112019 <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 Ileu of such endorsement(s). <br />PRODUCER <br />NAME- Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />x (a9m49) 709-8800 uNu(949) 709-7668 <br />No <br />26429 Rancho Parkway South <br />SE: jey@thecomprehensivainsumnce.com <br />Suite 120 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC0 <br />Lake Forest CA 92630 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURERS: CompWest Insurance Company <br />12177 <br />Delhi Center <br />INSURER C : <br />505 E. Central Ave. <br />INSURER D : _ <br />INSURER E: <br />Santa Ana CA 92707 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: GL18TI4U430L REVISION NItMRPR- <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />AUUL <br />SD <br />SUERDV <br />Wv0 <br />POLICY NUMBER <br />YEFF <br />MMIOD <br />L YEXP <br />MMIOOIYYYY <br />LIMITS <br />X <br />COMMERC AL GENERAL LABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ 1,000.000 <br />PREMISES Eaoccunance <br />$ 500,000 <br />MED EXP An one perspnl <br />$ 20.000 <br />PERSONALSADVIIUURY <br />$ 1.000.000 <br />A <br />Y <br />2019-01376 <br />11/01/2019 <br />11(f)192020- <br />GENIAGGREGATELIMRAPPLIESPER: <br />POLICY PRO- XLOC <br />JECT <br />GENERALAGGREGATE <br />$ 3.000,000 <br />PRODUCTS-COMP/OP AGG <br />$ 3,000,000 <br />OTHER: <br />$0 Deductible <br />$ <br />AUTOMOBILE <br />LIABIUTY <br />COMBINED SINGLEUMIT <br />Ee accident <br />$ 1.000,000 <br />ANYAUTO <br />BODILYINJURY(Pe,m.) <br />$ <br />A <br />X <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NON-0WNED <br />AUTOS ONLY AUTOS ONLY <br />2019-01376 <br />11/01/2019 <br />1110112020 <br />BODILY INJURY Per acodbou <br />t <br />S <br />PROPERTYDAMA E <br />Pereccidenl <br />$ <br />$0 Deductible <br />$ <br />UMBRELLAUAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />LED <br />I I RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOWPARTNERrEXECUI'IVE ❑ <br />OFFICER/MEMBER EXCLUDED! <br />(Mandatory In NN) <br />If <br />CR IPTunder <br />DESCRIPTION daeo berm <br />DESIONlb. OF OPERATIONS Oel <br />NIA <br />WCV590042004 <br />11/01/2019 <br />11/01/2020 <br />PER OTH- <br />X STATUTE 1 Eft <br />$O Deductible <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />EL. DISEASE -EA EMPLOYEE <br />$ 1-000,000 <br />EL DISEASE -POLICY LIMIT <br />$ <br />A <br />Social Service Professional Liability <br />Improper Sexual Conduct Liability <br />2019-01376 <br />11/01/2019 <br />11/01/2020 <br />$3,000,00011.000,000 <br />$1,000,00011,000,000 <br />Aggregate/Occurs <br />Aggregate/Occurr. <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as add�ga@IJy�r r�rylhig psAMto written contract, agreement, or <br />memorandum of understanding per attached endorsement CG2026. Such insura Cd�l �t tiTiO primary and any insurance carried <br />by City shall be excess and noncontributory per attached endorsement NIAC E61 B30 Fisk19xr@,hF hf c1)1'j)h(tAWay notice of cancellation for <br />non-payment of premium per policy provision. 1 <br />EB <br />CERTIFICATE HOLDER CANCELLATION <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 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Sonia Ana CA 92702 <br />i' <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />