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A� L7® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDD YYYY)
<br />12/20/2024
<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 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
<br />CONTACT Certificate Issuance Team
<br />NAME:
<br />Comprehensive Insurance Services
<br />HCONf� (949) 709-8800 AIC,
<br />Exit: No
<br />26429 Rancho Parkway South
<br />EMAIL Jeremy@thecomprehensiveinsurance.com
<br />ADDRESS:
<br />Suite 120
<br />INSURER(5) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Nonprofits Insurance Alliance of California
<br />10023
<br />Lake Forest CA 92630
<br />INSURED
<br />INSURER B : State Compensation Insurance Fund
<br />35076
<br />Orange County Children's Therapeutic Arts Center
<br />INSURER C
<br />2215 N. Broadway
<br />INSURER D
<br />INSURER E :
<br />Santa Ana CA 92706
<br />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 />IPOLICY
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />MPOLICY MIDDEFF
<br />EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE FX OCCUR
<br />PREMkSES Ea occurrence
<br />$ 500,000
<br />MED EXP (Any one person)
<br />$ 20.000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />Y
<br />2024-09201
<br />4212112024
<br />12121/2025
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />I GENERAL AGGREGATE
<br />$ 3,000,000
<br />POLICY ❑ PECROT [g LOC
<br />J
<br />PRODUCTS - COMPIOPAGG
<br />$ 3,000,000
<br />$0 Deductible
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />A
<br />OWNED SCHEDULED
<br />Y
<br />2024-09201
<br />12/21/2024
<br />12/2112025
<br />BODILY INJURY (Per accident)
<br />$
<br />�./
<br />AUTOS ONLY AUTOS
<br />HIRED �./ NON -OWNED
<br />PROPERTY DAMAGE
<br />$
<br />AUTOS ONLY /`� AUTOS ONLY
<br />Per accident
<br />$0 Deductible
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X.
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />A
<br />EXCESS LIAB
<br />CiAIMS•MADE
<br />2024-09201-UMB
<br />12/21/2024
<br />12/21/2025
<br />OLD I I RETENTION $ 10000
<br />$
<br />WORKERS COMPENSATION
<br />/
<br />%\. PER
<br />ERH
<br />$0 Deductible
<br />AND EMPLOYERS' LIABILITY YIN
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />B
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />N 1 A
<br />Y
<br />9255171-24
<br />06/05/2024
<br />06/05/2025
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />E.L. DISEASE - EA EMPLOYEE.
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />$1,000,000111000,000
<br />AggregatelOccurr
<br />ce
<br />Social ServiProfessional Liability
<br />A
<br />Improper Sexual Conduct Liability
<br />2024-09201
<br />12/21/2024
<br />12/2112025
<br />$3,000,00011,000,000
<br />AggregatelOccurr
<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 />The City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insured per attached endorsement CG2026 & NIAC El31 &
<br />NIAC Al. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by
<br />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,
<br />officials, employees, and volunteers per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment
<br />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 of 10:31 am; Dec 23, 2024
<br />C:FRTIFiC.ATF Hffl r1FR r'ANr.FI I ATinm
<br />City of Santa Ana
<br />Attn: Audrey Goodson
<br />801 W. Civic Center Dr Ste 200
<br />Santa Ana
<br />CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />O 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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