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Francine R. <br />Villareal <br />ACC)R " CERTIFICATE OF LIABILITY INSURANCE <br />Y) <br />DATE(MM/020 <br />11/23/2020 <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 />CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />HCNE. (949) 709-8800 a/c, (949) 709-1668 <br />Ext : No): <br />26429 Rancho Parkway South <br />E-MAIL jeremy@thecomprehensiveinsurance.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Suite 120 <br />Lake Forest CA 92630 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURER B : State Compensation Insurance Fund <br />35076 <br />Orange County Children's Therapeutic Arts Center <br />INSURER C : <br />2215 N. Broadway <br />INSURER D : <br />INSURER E : <br />Santa Ana CA 92706 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: CL20112304954 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 />INSR <br />LTR <br />TYPE OF INSURANCEAUULbUBK <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE FX OCCUR <br />PREM SDA AGES Ea oNcurDrence <br />$ 500,000 <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />2020-09201 <br />12/21/2020 <br />12/21/2021 <br />LAGGREGATE LIMITAPPLIES PERGENERAL <br />AGGREGATE <br />$ 2,000,000 <br />POLICY ElPRO FX LOC <br />JECT: <br />MOTHER <br />PRODUCTS-COMP/OP AGG <br />$ 2,000,000 <br />$0 Deductible <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />2020-09201 <br />12/21/2020 <br />12/21/2021 <br />BODI LY I NJ U RY(Pe r accide nt) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED �/ NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />$0 Deductible <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABI LI TY Y/N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N /A <br />9255171-2020 <br />06/15/2020 <br />06/15/2021 <br />/� STER ATUTE EORH <br />$0 Deductible <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />$ <br />A <br />Social Service Professional Liability <br />Improper Sexual Conduct Liability <br />2020-09201 <br />12/21/2020 <br />12/21/2021 <br />$ 1,000,000/1,000,000 <br />$1,000,000/1,000,000 <br />Aggregate/Occurr <br />Aggregate/Occurr <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <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 carried 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 />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana, Risk Management <br />20 Civic Center Plaza <br />4th FI. <br />Santa Ana <br />ACORD 25 (2016/03) <br />CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />@ 1988-2015 <br />The ACORD name and logo are registered marks of ACORD <br />µow NCF RiskManagk:rlaentDivisian <br />REVIEWED & APPROVED BY.- <br />.v <br />—� Risk hrtanagement Analyst <br />