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ACCW" CERTIFICATE OF LIABILITY INSURANCE EXHI AT (MM/DDnrvY)
<br /> III r 1 210412 02 5
<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 CONTACT Certificate Issuance Team
<br /> NAME:
<br /> Comprehensive Insurance Services PdcNNo Ell): (A/C,709-8800 FAX No
<br /> 26429 Rancho Parkway South E-MAIL jeremy@thecomprehensiveinsurance.com
<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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE 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 INSURANCEADULSUBIR POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER MM/DD MM/DD LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE OCCUR PREMISES Ea occur ence $ 500,000
<br /> _ MED EXP(Any one person) $ 20'000
<br /> A Y Y 01-CP-0009201-01-12 12/21/2025 12/21/2026 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000
<br /> POLICY 7PRO FX LOC PRODUCTS-COMP/OPAGG $ 3,000,000
<br /> PRO-
<br /> JECT
<br /> OTHER: $0 Deductible $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> — ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED 01-CP-0009201-01-12 12/21/2025 12/21/2026 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY (Peraccident
<br /> $0 Deductible $
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> A EXCESS LIAB CLAIMS-MADE 01-UB-0009201-01-03 12/21/2025 12/21/2026 AGGREGATE $ 1,000,000
<br /> DIED I I RETENTION$ $0 Deductible $
<br /> WORKERS COMPENSATION X STATUTE EORH
<br /> AND EMPLOYERS'LIABILITY y/N 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> B OFFICER/MEMBER EXCLUDED? NI N/A Y 9255171-25 06/05/2025 06/05/202.
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> $1,000,000/1,000,000 Aggregate/Occurr
<br /> A Social Service Professional Liability 01-CP-0009201-01-12 12/21/2025 12/21/2026 $3,000,000/1,000,000 A re ate/Occurr
<br /> Improper Sexual Conduct Liability 99 9
<br /> $0 Deductible
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/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 automatically per written contract or agreement
<br /> per attached endorsement CG2010,CG 2037.30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy
<br /> provision. Waiver of Subrogation applies per attached endorsement NIA-026B GL 01 25&10217.This insurance is Primary and Non-contributory per
<br /> attached endorsement NIA-061 B GL 01 25
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9.41 am,Jan 14,2026
<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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ATTN:Audrey Goodson
<br /> AUTHORIZED REPRESENTATIVE
<br /> 801 W Civic Center Dr Ste 200
<br /> Santa Ana CA 92701
<br /> I �
<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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