ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER 15B - 2011

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ACORO CERTIFICATE OF LIABILITY INSURANCE ioio3/2011 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 PRODUCER C714)838-1912 FAX (714)838-7568 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION Lake Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE POLICY [DUMBER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13891 Newport Ave.,Suite 285 p -ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lic #0747473 Tustin, CA 92780 INSURERS AFFORDING COVERAGE NAIC # INSURED Orange County Children's Therapeutic Art Center INSURERA Philadelphia Insurance Co. 2215 N. Broadway INSURER B: Santa Ana, CA 92706 INSURER C: - INSURER D: INSURER E: 'OVE GES v THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A60VE 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 CLAWS. 1 PTIR ADD'TYpE OF INSURANCE POLICY [DUMBER POLICY EFFECTIVE POLICY E%PIRA710N LIIAITS GENERAL LIABILITY PHPK651522 12/21/2010 12/21/2011 EACH OCCURRENCE $ 1-,000 000 DAhViGE TO RENTED S 100,000 X CO[N.IERCIAL GENERAL LIABILITY MED EXP (Any one parson) $ 5,000 CLAIMS MAGE M OCCUR PERSONAL & ADV INJURY $ 1,000,000 A GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE UTAIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000 000 POLICY JEC LOC AUTOMOBILE LIABILITY PHPK651522 12/21/2010 12/21/2011 C01.15INED SINGLE LIMIT $ ANYAUTO (Ea accfd..t) 1,000,()00 BODILY INJURY `S ALL OWNED AUTOS SCHEDULED AUTOS (Par parson) A BODILYINJURY $ X HIRED AUTOS X NON -OWNED AUTOS (Pe _Idenl) R10 ©� ,ll nDAMAGE $ PROPERTY UARAGELIABILITY AUTOONLY-EAACCIDENT $ ANYAUTO AV-qT"0v`� / i �(� OTHERTHAN EA ACC $ AUTO ONLY: 1 ^ RG� AGG $ EXCESS/UMBRELLA LIABILITY • ` tt) EACH OCCURRENCE S AGGREGATE S OCCUR Q CLAIMS R1AOE to t $ ,PSS�S I / S DEDUCTIBLE $ RETENTION $ WORKERS COI.IPE NATION ANDIT WC STATU- OTH- E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY AN V PROPRIETOR/PARTNERJEXECUTNE E.1.. DISEASE - FA EMPLOYEE $ OFFICEMMEMBER EXCLUDED? Sy as, a under SPECIAL AL PROVISIONS below E.L. DISEASE -POLICY LIMIT I $ PHPK651522 12/21/2010 12/21/2011 Incident Limit: $1,000,000 A Professional Liability Aggrega#e Limit: $2,000,000 DESC RIP f01J OF OPERA IONS/ LOGATIOI B J VEIjICLE31 EXCLUSIONS ADDED BY ENDO 9EMENT/SPECIAL PROVISIONS ert�ficate ho der is Ac�ditTonal Insured as per`orm CG 20 26 07 04 Attached Buse & 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 "Except 10 Days Notice of Cancellation for Non -Payment of Premium c SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORR THE City of Santa Ana Police Athletics EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL - and Activities League, Its Officers Employee +30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NA61EDTO THE LEFT. Agents Volunteers & Representatives Attn: Torn Serafin BUT FAILURE TO MAIL SUCH NOTIO SHALL IIA POSE NO OBLIGATION OR LIABILITY 2627 West McFadden Street OFANY KIND UPON THE IN3V RER IT ENT. OR EP tJT VES, Santa Ana, CA 92704 AUTHORIZEDREPRESENTATNE - ACO RD 26 (2001108) (PACORD CUKI'OKA I LIHV TLJU: