A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDO/YYYY)
<br /> 04/22/2025
<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 INSURERS),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 CONTACT Certificate Issuance Team
<br /> NAME:
<br /> Comprehensive Insurance Services HONE. Ext: (949)709-6600 a/c,No
<br /> 26429 Rancho Parkway South E-MAIL jeremy@thecomprehensiveinsurance.cam
<br /> ADDRESS:
<br /> Suite 120 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Lake Forest CA 92630 INSURERA: Nonprofits Insurance Alliance of California 10023
<br /> INSURED INSURER B: State Compensation Insurance Fund 35076
<br /> Orange County Children's Therapeutic Arts Center INSURER C:
<br /> 2215 N.Broadway INSURER D:
<br /> INSURER E;
<br /> Santa Ana CA 92706 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: All REVISION NUMBER:
<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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAYBE 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 TYPE OF INSURANCE POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDr YYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000
<br /> CLAIMS-MADE ❑X OCCUR D 500,OD0
<br /> PREMISES Ea occurrence S
<br /> MED EXP(Any one person) $ 20,000
<br /> A Y Y 2024-09201 12121/2024 12/21/2025 PERSONAL BADVINJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 3,000,000
<br /> POLICY ❑JECT PRO LOC PRODUCTS-COMPlOPAGG S 3,000,000
<br /> OTHER- $0 Deductible S
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY(Per person) S
<br /> A OWNED SCHEDULED 2024-09201 12/21/2024 12/21/2025 BODILY INJURY(Per accident) S
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY Per accident S
<br /> $0 Deductible S
<br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 5 1,000,000
<br /> A EXCESS LIAB CLAIMS-MADE 2024-09201-UMB 12/21/2024 12/21/2025 AGGREGATE s 1,000,000
<br /> DED I I RETENTIONS 10000 $
<br /> WORKERS COMPENSATION X STATUTE ERH $0 Deductible
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PRCPRIETORIPARTNER/EXECUTIVE YIN 1,000,000
<br /> B OFFICERIMEMBER EXCLUDED? NIA Y 9255171-24 06105/2024 06/05/2025 E.L.EACH ACCIDENT $
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
<br /> $
<br /> Social Service Professional Liability 1,000.000/1,000,000 Aggregate/Occurr
<br /> A Improper Sexual Conduct Liability 2024-09201 12/21/2024 12121/2025 $3,000,000/1,000,000 Aggregate/Occurr
<br /> $0 Deductible
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Santa Ana Virtual Academy located at:1512 W Santa Ana Blvd,Santa Ana,CA 92703-The City of Santa Ana,its City Council,its officers,officials,
<br /> employees,agents,or volunteers are included as Additional Insured per attached endorsement CG2026. With respect to claims arising out of the operations
<br /> 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
<br /> any other insurance carried by or for the benefit of The City of Santa Ana,its officers,officials,employees,and volunteers and the Santa Ana Zoo per
<br /> attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of Cancellation for non-payment of premium per policy provision.Waiver
<br /> of Subrogation applies per attached endorsement NIAC E26 8 10217 Tu Tran Digiwl Ni Yedby
<br /> T.Nguyen°i3ooe'o aoa APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION 8y Tu Tran Nguyen at 7:29 am,Apr 28,2025
<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-Attn Executive Director ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Community Development Agency
<br /> AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza M-25
<br /> Santa Ana CO 92701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
|