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,4co DATE(MMIDONYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE
<br /> 04/25/2025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 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 PHONE (949)709-8800 FAX
<br /> WC,
<br /> No Ext: A/C,No):
<br /> 26429 Rancho Parkway South E-MAIL jeremy@thecom rehensiveinsurance.com
<br /> ADDRESS: p
<br /> Suite 120 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Lake Forest CA 92630 INSURER A: Nonprofits Insurance Alliance of California 10023
<br /> INSURED
<br /> INSURER B
<br /> Delhi Center INSURER C:
<br /> 505 E.Central Ave. INSURER D:
<br /> INSURER E:
<br /> Santa Ana CA 92707 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: CL24102407184 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 ALIUL SUI POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDDIYYYY MMIDD/YYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE FX OCCUR PREMISES Ea accurrence $ 500,000
<br /> MED EXP(Any one person) S 20.000
<br /> A Y Y 2024-01376 11/01/2024 11/0112025 PERSONAL&ADV INJURY S 1,000.000
<br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 3,000.000
<br /> JECT LO 3,000,000POLICY ❑ PRO FX
<br /> OTHER: $0 Deductible s
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y 2024-01376 11/0112024 11/01/2025 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED H
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> $0 Deductible $
<br /> X UMBRELLA LAB X OCCUR EACH OCCURRENCE S 1,000,000
<br /> A EXCESS LIAB CLAIMS-MADE 2024-01376-UMB 11/01/2024 11/01/2025 AGGREGATE s 1,000.000
<br /> DED I I RETENTION S $0 Deductible $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE
<br /> OFFICER/MEMBER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT $
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
<br /> Social Service Professional Liability
<br /> $3,000,000/1,000,000 Aggregate/Occurr.
<br /> A Improper Sexual Conduct Liability 2024-01376 11/01/2024 1110112025 $2,000,00011,000,000 Aggregate/Occurr.
<br /> $0 Deductible
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,officers,agents,employees,and volunteers are named as additionally insured on this policy pursuant to written contract,agreement,or
<br /> memorandum of understanding per attached endorsement CG2026.Such insurance as is afforded by this policy shall be primary,and any insurance carried
<br /> by City shall be excess and noncontributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for
<br /> non-payment of premium per policy provision. Umbrella policy applies over and above General Liability coverage. Waiver of Subrogation applies per
<br /> attached endorsement NIAC E26&CA0444
<br /> Digitally signedTu Tran T
<br /> Tu Tran Nguyen
<br /> APPROVED
<br /> Date:2025.06.05
<br /> N u e n 08:07:24-07'00' By Tu Tran Nguyen at 8:06 am,Jun 05,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<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,M25
<br /> Santa Ana CA 92701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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