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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 />