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ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) � 12/20/2024 �
<br />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($), 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 endorsement(s). PRODUCER CONTA CT Certificate Issuance Te am NAME: Comprehensive Insurance Services rigN�o Ext\: (949) 709-8800 I Fffc. No): 26429 Rancho Parkway South E-MAIL jeremy@thecomprehensiveinsurance.com ADDRESS: Suite 120 INSURER(S) AFFORDING COVERA GE NAIC# Lake Forest CA 92630 INSURER A: Nonprofits Insurance Alliance of California 10023 INSURED INSURER B: State Compensation Insurance Fund 35076 Orange County Children's Therapeutic Arts Center INSURER C: 2215 N. Broadway INSURER D: INSURER E: Santa Ana CA 92706 INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: All REVISION NUMBER: THIS IS TO CERTIFY THAT THE 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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.
<br />INSR ,w POLICY EFF POL,CY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERA L LIABILITY EACH OCCURRENCE $ 1,000,000 -D CLAIMS-MADE [81 OCCUR ,._,,..,.,,r-n,;,i;;. IUni-.1'11i;;;u 500,000 -PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 20,000 -A y y 2024-09201 12/21/2024 12/21/2025 PERSONAL & ADV INJURY $ 1,000,000 -GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 R POLICY □ �tir [81 LOG PRODUCTS -COMP/OP AGG $ 3,000,000 OTHER: $0 Deductible $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ A ,__ OWNED � SCHEDULED y 2024-09201 12/21/2025 AUTOS ONLY AUTOS 12/21/2024 BODILY INJURY (Per accident) $ x HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) ,__ >--$0 Deductible $ X UMBRELLA LIAB �OCCUR EACH OCCURRENCE $ 1,000,000 ,__ A EXCESS LIAB CLAIMS-MADE 2024-09201-UMB 12/21/2024 12/21/2025 AGGREGATE $ 1,000,000 OED I I RETENTION $ 10000 $ WORKERS COMPENSATION XI �ffi.uTE I I OTH-SO Deductible AND EMPLOYERS' LIABILITY ER Y/N B ANY PROPRIETOR/PARTN ER/EXECUTIVE � y 9255171-24 06/05/2024 06/05/2025 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A
<br />(Mandatory In NH) E.L. DISEASE • EA EMPLOYEE $ 1,000,000
<br />If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT $ Social Service Professional Liability $1,000,000/1,000,000 Aggregate/Occurr
<br />A Improper Sexual Conduct Liability 2024-09201 12/21/2024 12/21/2025 $3,000,000/1,000,000 Aggregate/Occurr $0 Deductible DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insured per attached endorsement CG2026 & NIAC E131 & NIAC A 1, With respect to claims arising oul of the operations 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 any other insurance carried by or for the benefit of The City of Santa Ana, its officers, officials, employee s, and volunteers per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. See attached forms list. Waiver of Subrogation applies per attached endorsement NIAC E26 & 10217.
<br />APPROVED
<br />By Cynthia Mora at 10:-31 am, Dec 23;-2024 CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED tN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Audrey Goodson AUTHORIZED REPRESENTATIVE 801 W, Civic Center Dr Ste 200 p�-.��-Santa Ana CA 92701 I © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />EXHIBIT 1
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<br />City Council 10 – 103 7/1/2025
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