ORANGE COUNTY CHILDREN THERAPEUTIC ARTS CENTER

Home Browse Search

Digitally signed by Tor! Pierson TOri P12rson Oate:20xza.2eog:10H3 -0700, ACORif CERTIFICATE OF LIABILITY INSURANCE 111 DATE(MMMDNYYY) 1 05/25/2022 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 endomement(s). PRODUCER CONTACT Certificate Issuance Team NAME: Comprehensive Insurance Services PHONhE E (949) 709-8800 No: (949) 709-1668 26429 Rancho Parkway South ADDRIESS: Jeremy@thecomprehensiveinsurance.com Suite 120 INSURERS) AFFORDING COVERAGE NAICN Lake Forest CA 92630 INSURER A: Nonprofits Insurance Alliance of California 10023 INSURED INSURER B: Pom State Compensation Insurance Fund 35076 Orange County Children's Therapeutic Arts Center INSURER C: 2215 N. Broadway INSURER 0: INSURER E: Santa Ana CA 92706 INSURERF: CERTIFICATE NUMBER: All THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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 AUULNUbMP INSD D POLICY NUMBER LI YEFF MWDD/YYYY POL MM/DD/YYYY LIMITS COMMERCIAL GENERALLWBILITY CLAIMSMADE 19 OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 500,000 MED UP (Any oneperson) $ 20,000 PERSONAL BAOV INJURY $ 1,000,000 A Y Y 2021-09201 12/21/2021 12/21/2022 GENLAGGREGATE LiMITAPPLIES PER: POLICY PROLOC JECT GENERALAGGREGATE $ 3,000,000 PRODUCTS $ 3,000,000 OTHER $0 Deductible $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED x NON -OWNED AUTOS ONLY AUTOS ONLY 2021-09201 12121/2021 12/21/2022 BODILY INJURY Per accident ( I $ PROPERTY n DAMAGE $ rl tible $ x UMBRELLA LIAB OCCUR URRENCE $ 1,000,000 E $ 1,000,000 A EXCESS LIAB CLAIMB-MADE 2022-09201-UMB 05/25/2022 12/21/2022 DEO RETENTION $ V�CH $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNEREXECUTIVE � OFBCER/MEMBER EXCLUDED? (Mandatory In NH) (ryes, describe under DESCRIPTION OF OPERATIONS below N/A 9255171-22 06/05/2021 06/05/2023 OTH- TE ER $O Deductible CCIDENT $ 1,000,000 SE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Social Service Professional Liability Improper Sexual Conduct Liability 2021-09201 12/21/2021 12/21/2022 $1,000,000/1.000,000 $1,000,00011.000,000 Aggregate/Occurr Aggregate/Occurr $0 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES IACORD 101. Additional Remarks Schedule, may be aBached if more space is required) The City of Santa Ana, its officers, officials, employees and volunteers are included as Additional Insured automatically per written contract or agreement per attached endorsement CG2010. This insurance is Primary and Non-contributory per attached endorsement NIAC E61. Waiver of Subrogation applies per attached endorsement NIAC E26. 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 20 Civic Ctr Piz PO Box 1988 Santa Ana ACORD 25 (2016/03) 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 CA 92702 I u.�" Rid MvxAmrlod Dnidon 01988.2015 ACORD COR ^ o6�H+o+®� The ACORD name and logo are registered marks of ACORD '. a M Tau prrumr Risk M,nagenml Cent lAde