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ALC�R�� CERTIFICATE OF LIABILITY INSURANCE <br />DAT11/01(MMIDOD <br />9YY) <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 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 />CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />PH�N u E (949) 709-8800 Z N�949) 709-1668 <br />26429 Rancho Parkway South <br />E-MAIL jerem thecom rehensivelnsumnce.com <br />ADORE$$: y� p <br />Suite 120 <br />INSURER(5) AFFORDING COVERAGE <br />NAIC9 <br />Lake Forest CA 92630 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURER B: CompWesl Insurance Company <br />12177 <br />Delhi Center <br />INSURER C : _ <br />605 E. Central Ave. <br />INSURER D: <br />_ <br />INSURER E: <br />Santa Ana CA 92707 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CL1911404352 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 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 />ILTR <br />TYPE OF INSURANCE <br />INSO <br />D <br />POLICY NUMBER <br />MMMD� <br />MMIIDDIYPOLICY YYYI <br />LIMITS <br />x <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Q OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISESI Eeoocmence <br />g 500,000 <br />MED UP (My one person <br />$ 20,000 <br />PERSONAL B ADV INJURY <br />$ 1,000=0 <br />A <br />Y <br />2019-01376 <br />11/012019 <br />l'Ig®TdEB291. <br />GENL AGGREGATE LIMIT APPLES PER: <br />POLICY JECOT t�l LOC <br />GENERALAGGREGATE <br />It 3,000.000 <br />PRODUCTS-COMP/OPAGG <br />$ 3,000,000 <br />OTHER: <br />$0 Deductible <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLEUMIT <br />Es accident <br />$ 1,000.000 <br />BODILY INJURY (Per Pereon) <br />$ <br />ANYAUTO <br />A <br />OWNED $DHEDnLED <br />AUTOS ONLY AUTOS <br />2019-01376 <br />11/01/2019 <br />11/012020 <br />BODILY INJURY(Peraccldeal <br />s <br />x <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Pereccidenl <br />$ <br />$0 Deductible <br />$ <br />UMSRELLALIAS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS UAB <br />CUMMS-MADE <br />DED <br />I I RETENTION $ <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />Oscdbe under <br />OE ESCRISCRIPTION OF OPERATIONS below <br />NIA <br />WCV 590042004 <br />11/012019 <br />11/01/2020 <br />PER OTH- <br />x STATUTE ER <br />$0 Deductible <br />E.L EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />E.L.DISEASE. POLICY LIMIT <br />$ 11000,000 <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/Occurr. <br />Aggregate/Occurs-. <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, officers, agents. employees, and volunteers are named as addjt(gnal)��rr+$`NagLpry)hi; pq(igto written Contract, agreement, or <br />memorandum of understanding per attached endorsement CG2026. Such insure �t (fiWjifl primary, and any insurance Carried <br />by City shall be excess and noncontributory per attached endorsement NIAC E61 B30 *&rEAqK(is[r jyjjgjWay notice of cancellation for <br />non-payment of premium per policy prevision. I <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 />Santa Ana CA 92702 <br />Pa.p)'.-rr <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />