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EXHA BIT ...,�._....... <br />Villareal <br />® CERTIFICATE OF LIABILITY INSURANCE <br />OATEIfZ20YYYY) <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 polici 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 />NO <br />Comprehensive Insurance. Services <br />26420 Rancho Parkway South <br />Ate ON <br />aCNc (flag)709-6600 Nu: (949)709-1666 <br />AuoRESS: leremyr(�thecomprehonsiveinsurancd.com <br />INSURERIS) AFFORDING COVERAGE <br />NAIC A <br />Suite 120 <br />Lake Forest CA 92630 <br />INSURGRA: Nenprolits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURER B. Slate Compensation Insurance Fund <br />35076 <br />INSURER C <br />Orange, County Chlldren'S Therapeutic Arts Center <br />INSURER 0: <br />2215 N. Broadway <br />INSURER E <br />!!!1 ER f <br />Santa Ana CA 92706 <br />COVERAGES CERTIFICATE NUMBER: CL20112304954 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISS LED TO THE INSURED NAMED ABOVE FOR THE POLICY PER100 <br />INDICATED, NOTWITHSTANDING ANY REOJIREMFNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TI'1F POLICIES DESCRIBED HEREIN IS SUBJECT l'D ALL I HE'I'ERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCE„D BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />NSQ <br />mn <br />POLICY NUMBER <br />MMIDDlYVYY <br />MMIDDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1000.D00 <br />CLAIMS-MADC X OCCUR <br />PRFMISF.S Eae <br />5 500ODD <br />MSDEXP An Or¢vrerson <br />$ 20,000 <br />PERSONAL &ADv INJURY <br />S 1.000.000 <br />A <br />Y <br />2020-09201 <br />12/21/2020 <br />12/21/2021 <br />GCN'L AGGREGATE LI MIT APPLIES PER <br />GENERAL ACGRFGATF <br />S 2.000000 <br />ECT LOC <br />POUCY �N? © <br />PRODUCTS-COMWOPAGG <br />5 2.000,000 <br />$0 Deductible <br />s <br />OTHF,R <br />AUTOMOBILE LIARIIITY <br />COMBINFD9I1(ii.F. I IMIT <br />S 1.000.000 <br />ANYAUTO <br />LY INJIRY(PCr Pff non) <br />S <br />A <br />OWNED $CHeD11LED <br />AU ros ONLY AUTOS <br />2020-09201 <br />12/21/2020 <br />12/21/2021 <br />ILY INJURY (per accident) <br />F$i <br />S <br />PERTY DAM�OF <br />y <br />HIRED NONOwNCO <br />X ALTOS ON'_Y X AJTOS ONLY <br />Deductible <br />b <br />UMIIRELLA LIAe <br />OCCUR <br />F.ACH OCCURRENCE <br />S <br />AGGREGATE <br />3 <br />EXCESS LIAB <br />CLAMS-MADF <br />LED <br />RETENTION S <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I" <br />OANY FFICE MEMBER EXCL ER/E%ECUTNE <br />OPFlCERry in NH) ExauDED? N <br />(Mandatory In NH) <br />rvlA <br />9255171-2020 <br />06115/2020 <br />06/15/2U21 <br />PER F4 <br />X 'lAll l'E. tR <br />$0 Deductible <br />'c_L EAOH ACCIDENT <br />$ 1.000.000 <br />EL. DISEASE - En EMPLOYEE <br />S 1,000.000 <br />bYYS Ri PT OOOFO <br />OkSCRIPT'.ON OF OPERATIONS Below <br />EL. DISEASE -r1�_',CY .',MIT <br />b 1ODD.DDD <br />A <br />Social Professional Liability <br />Impropeerr Sexual Conduct Liability <br />2020-09201 <br />12121/2020 <br />12/21/2021 <br />$1.000 00011 000 000 <br />$1,000.000/1OU0000 <br />AggragalelOccurr <br />AggregalelOccurr <br />$0 Deduetble <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Addi innal Remarxe SCNBPPIB, may 4e aaacnaa If more SPace Is Mqulr¢d) <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 cses performed by or on behalf of the named insured, such insurance as is afforded by <br />this policy Is primary and Is not addltonal 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 1 D day notice of cancellation for non-payment of premium per policy provision. <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, Risk Management <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />4ih FI. <br />VnEaen <br />i.uy ioUwlUu IU —.moo CS�1988-2015ACOR� )1�1 �r4 iL o'P, �%"�%"'d <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORO -, _-- RHk Mdnerp•nwnt Arl:ay:t <br />