ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER 7F - 2011

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ACORO CERTIFICATE OF LIABILITY INSURANCE I ioioa/'zoi' PRODUCER C714:)838-1912 FAX C7143838-7568 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lake Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13891 Newport Ave., Suite 28S HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lic #0747473 Tustin, CA 92780 INSURERS AFFORDING COVERAGE NAIC # INSURED Orange County Chi.dren's Therapeutic Art Center INSURERA: Philadelphia Insurance Co. 2215 N . Broadway INSURER B: Santa Ana, CA 92706 - INSURER C: NSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD - TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY PHPK651522 12/21/2010 12/21/2011 EACH OCCURRENCE $ 1 , OQQ , Q00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE O OCCUR MED EXP (Any ane Pe,son) $ 5 , QO PERSONAL & ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , OQO , 000 POLICY JECT PRO- LOC AUTOMOBILE LIABILITY ANY AUTO PHPKGSIS22 12/21/2010 12/21/2011 COMBINED SINGLE LIMIT (Ea accdent) $ 1,000,000 BODILY INJURY (Per P.,.—) $ A ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Pe, accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO T� ,PPROV y ll O AS "J O _ f{ FORM $ EXCESS/UMBRELLA LIABILITY OCCUR F-1 CLAIMS MADE ,-r l "Z & / EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE La Assistant ey a St:t Sheed Ciry Attor $ I $ RETENTION $ WORKERS COMPENSATION AND _ WC STATU- OTH- E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S 1/ yea, deec,ihe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ A oTH Professional Liability PHPK651522 12/21/2010 12/21/2011 Incident Limit: $1,000,000 Aggregate Limit: $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificate Holder is Named as Additional Insured per Form CG 20 26 07 04 Attached Abuse & Molestation is included with General Liability, $25,000 Each Incident and $50,000 Aggregate This Insurance Shall be Primary and Non -Contributory but Only in the Event of the Named nsured's Sole Negligence per attached endorsement 10 Day notice for non-payment of premium - CERTIFICATEG L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE The City of Santa Ana, Its Officers, Agents. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Employees & Volunteers - Parks & Recreation 3O' DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, Attn : Donna Schultz BUT FAILURE TO MAIL SUCH NOT SHALL IMPOSE NO O LI R LIABILITY 20 Civic lvic Center Plaza OF ANY KIND UPON THE INSUR GE Of R EN y '•> Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988