ORANGE COUNTY CHILDRENS THERAPEUTICS ARTS CENTER (4)

Home Browse Search

Digitally signed by Francine R. Francine R. Villareal Villareal A60Rb® CERTIFICATE OF LIABILITY INSURANCE °AT YY) L. r-' 412212DY 04/22/z021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Certificate Issuance Team NAME: Comprehensive Insurance Services AIC NNO Ezt; (949)7C9-8800 FAIL No: (949)709-1668 26429 Rancho Parkway South AODRE33: leremy@thecomprehensiveinsurance.com Suite 120 INSURERS AFFORDING COVERAGE NAIC N Lake Forest CA 92630 INSURERA: Nonprofits Insurance Alliance of California 10023 INSURED INSURER B : State Compensation Insurance Fund 35076 Orange County Children's Therapeutic Arts Center INSURER C 2215 N. Broadway INSURER D INSURER E : Santa Ana CA 92706 INSURER F: CERTIFICATE NUMBER: ULZU THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AUUL INSO bUbirt MD POLICYNUMBER POLICYEFF MMIDDNYYY POLICYEXP MMIDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Eaoccunence $ 500,000 CLAIMS -MADE OCCUR MED EXP Any one person $ 2Q000 PERSONAL &ADV INJURY $ 1,000,000 A Y 2020-09201 12/21/2020 12121/2021 GEN'L AGGREGATE LI MIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY ❑ JEC LOD PRODUCTS -COMPIOPAGO $ 2,000,000 OTHER', $0 Deductible $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea saddlent $ 1,000,000 BODI LV I NJURY(Per person) $ ANY AUTO A OWNED scHEOULED AUTOS ONLY AUTOS 2020-09201 12/21/2020 12/21/2021 BODILY INJURY Per accident ( ) $ HIRED X NON-0WNED X PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY(Per ... Want) $ $0 Deductible $ UMBRELLALIAB O CCUR EACH OCCURRENCE $ AGGREGATE $ E%CESS LIAB CLAI:MADE DED RETENTION $ $ WORKERS COMPENSATION PER OTH- X STATUTE ER $O Deductible AND EMPLOYERS' LIABILITY YIN E.L. EACHACCIDENT $ 1,000,000 B ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 9255171-2021 06/15/2021 06/15/2022 E.L. DISEASE - EA EMPLOYEE $ 11000,000 (Mandatory In NH) describe under E.L. DISEASE-POLICYLIMIT $ 1,000,000 Ees, SCRI PTION OF OPERATI DNS below Social Service Professional Liability $1,000,00011,000,000 Aggregate/Occurr A Improper Sexual Conduct Liability 2020-09201 12/21/2020 12/21/2021 $1,000,000/1,000,000 Aggregate/Occurr $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attach ad If more space Is required) The City of Santa Ana, Its officers, employees, agents, volunteers, and representatives are included as Additional Insured per attached endorsement 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 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 endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD a a 1tIslxMan�gnnentD[Watpn < REVIEWED&APPRI BY � <S Risk Management Analyst