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<br />Francine R. Villareal ViOaelal �Ianea by"�°`�na".
<br />Dee: 2021.01.261638:55-08'00`
<br />AC"Ril CERTIFICATE OF LIABILITY INSURANCE
<br />DATE IMMIDDIYYYYi
<br />L.�
<br />01/12/2021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 poll must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditlons 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 />CONTACTCert8 cate Issuance Team
<br />Comprehensive Insurance Services
<br />PHONE (949) 709-8800 F x (949) 709-1668
<br />Est) lANo
<br />26429 Rancho Parkway South
<br />E )eremY@thecomprehensiveinsurance.com MANo
<br />Suite 120
<br />ADOREss:
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC 9
<br />Lake Forest CA 92630
<br />INSURER A: Nonprofits Insurance Alliance of California
<br />10023
<br />INSURED
<br />INSURER B: StarNet Insurance Company
<br />40045
<br />Deihl Center
<br />INSURER C:
<br />605 E. Central Ave,
<br />INSURER D:
<br />INSURER E :
<br />Santa Ana CA 92707
<br />INSURER F:
<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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE 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 />AUULbUUK
<br />INSO
<br />MO
<br />POLICYNUMBER
<br />POLICYEFF
<br />MM/DDIYYVY
<br />ICY EXP
<br />MMDGYVYV
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X
<br />RE ED
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ee occurrence
<br />$ 500,000
<br />MEO EXP (Any one person)
<br />$ 20,000
<br />PERSONAL a ADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />2020-01376
<br />11/01/2020
<br />11/01/2021
<br />GEN'LAGGREGATE UMITAPPLIES PER:
<br />GENERALAGGREGATE
<br />$ 31000,000
<br />❑ PRO- 7X
<br />-COMPfOPAGG
<br />3,000,000
<br />POLICY JECT LOGPRODUCTS$
<br />OTHER:
<br />$0 Deductible
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />an, accident
<br />11000,000
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />A
<br />OWNED SCHEUULED
<br />AUTOS ONLY AUTOS
<br />2020-01376
<br />11/01/2020
<br />11/01/2021
<br />BODILY INJURY Per
<br />( Al)
<br />HIRED x NON -OWNED
<br />x
<br />PROPERTYDANIAGE
<br />AUTOS ONLY AUTOS ONLY
<br />Peraccidenf
<br />$
<br />$0 Deductible
<br />$
<br />UMBRELLA'IJI
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED
<br />-RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />v PER oTH-
<br />$0 Deductible
<br />AND EMPLOYERS' LIABILITY YIN
<br />/� STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />B
<br />ANY PEIRIME TOW PARLUDEDXEDOTIVE ❑
<br />EXCLUDED?
<br />NIA
<br />BNUWC0152622
<br />11/01/2020
<br />11/01/2021
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mendatoryin NH)
<br />(MandatoryIn NH)
<br />yes, describe under
<br />E.L. DISEASE - POLICYLIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />Social Service Professional Liability
<br />$3,000,00011,000,000
<br />Aggregate/Occur,.
<br />A
<br />Improper Sexual Conduct Liability
<br />2020-01376
<br />1 //0112020
<br />11/01/2021
<br />$1,000,00011,000,000
<br />Aggregate/Occurr.
<br />$D Deductible
<br />DESCRIPTION OF OPERATIONS I 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 additionally Insured on this policy pursuant to written contract, agreement, or
<br />memorandum of understanding per attached endorsement CG2026. Such Insurance as Is afforded by this policy shall be primary, and any insurance carried
<br />by City shall be excess and noncontributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for
<br />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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 Rish ManagermanE➢Mn aco aM.w�
<br />©1988.2015 ACORD 1.y '��� REVIEWED&APPROVEEr#
<br />,MHNGwM3 Vi�f.Fne4C
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD I i
<br />Risk Management Analyst
<br />
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