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Digitally signed by Francine R.
<br />Francine R. Villareal vlimeal
<br />ACORH CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIODIYYYY)
<br />1
<br />`.,./
<br />04/22/2021
<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 poiicy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, sub)ect 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 suchendorsement(s). _
<br />PRODUCER
<br />CONTACT Certificate Issuance Team
<br />NAME:
<br />Comprehensive Insurance Services
<br />PHONE (949) 709-8800 FAX (949) 709-1668
<br />Ext AIc, No
<br />26429 Rancho Parkway South
<br />E mAILa Jerem lhecom
<br />ADOREss: Y@ prehensiveinsurance.com
<br />Suite 120
<br />INSURER(S)AFFQRDING COVERAGE
<br />NAIC #
<br />Lake Forest CA 92630
<br />INSURERA: Nonprofits Insurance Alliance of Californla
<br />10023
<br />INSURED - -
<br />INSURERS: State Compensation Insurance Fund -
<br />35076
<br />Orange County Children's Therapeutic Arts Center
<br />INSURERC:
<br />2215 N. Broadway
<br />INSURER D:
<br />INSURER E :
<br />Santa Ana CA 92706
<br />INSURER F:
<br />CERTIFICATE NUMBER: Ul
<br />THIS IS TO CERTIFYTHATTHE 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 />AUULIbUHN
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/VYYY
<br />POLICY EXP
<br />MM/DDNYYV
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACHOCCURRENCE
<br />$ 11000,000
<br />19
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ea occu rence
<br />$ 500,000
<br />I EXP (Any one person
<br />$ 20,000
<br />PERSONAL &ADV INJURY
<br />$ 11000,000
<br />A
<br />Y
<br />2020-09201
<br />12/21/2020
<br />12/21/2021
<br />GEN-LAGGREGATE
<br />LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRO-
<br />�
<br />PRODUCTS
<br />$ 2,000,000
<br />POLICY JECT LOC
<br />$0 Deductible
<br />$
<br />OTHER: -
<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 />BODILY INJURY Per accident
<br />( )
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY X AUTOS ONLY
<br />X
<br />PROPERTY DAMAGE
<br />Peraccldent
<br />$
<br />$0 Deductible
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />-
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />-DED
<br />RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />PER OTH-
<br />X STATUTE ER
<br />$O Deductible
<br />ANDEMPLOYERS'LIABILITY YIN
<br />E.L. EACH ACCIDENT
<br />$.1,000,000
<br />B
<br />ANY PROPRIETORIPARTNEWEXECUTIVE
<br />OFFICEWMEMBER EXCLUDED?
<br />NIA
<br />9255171-2021
<br />06/15/2021
<br />06/15/2022
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />-
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000.000
<br />Social Service Professional Liability
<br />$1,000,00011,000,000
<br />Aggregate/Occurr
<br />A
<br />Improper Sexual Conduct Liability
<br />2020-09201
<br />12/21/2020
<br />12/21/2021
<br />$1,000,00011,000,000
<br />Aggregate/Occurr
<br />$0 Deductible
<br />DESCRIPTION OF OPERATIONS I 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 Addltlonal 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 />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
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 yszr. ,mac xy� R1ekManegemenEDlWelon
<br />r�����r2 REVIEWED dr APPROVETI BV:
<br />01988.2015 ACORD 'rA-4gc+at v
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORDRisk MznagelTlent Analyst
<br />
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