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Alk a As ACORD CERTIMATE OF LIABILITY INSUTANCE ,M 06/23/20 DATE (M3/20Y1 11 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 UUNIAU1 NAME: Comprehensive Insurance Services a/c° No Ext: (949)709-8800 (,vc,No): (949)709-1668 22342 Avenida Empresa ADDRESS: IL Suite 250 INSURER(S) AFFORDING COVERAGE NAIC p RSM, CA 92688 INSURER A: NONPROFITS' INSURANCE ALLIANCE OF- CA INSURED INSURER B : Mental Health Association of Orange County INSURER C: 822 Town & Country Rd. INSURER D: Orange, CA 92668 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: GL AUTO 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY 2011-08472-NP 07/12/2011 07112/2012 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY ..? PREMISES (Ea occurrence) $ 500 , 00 CLAIMS-MADE lx? OCCUR MED EXP (Any one person) $ 20,000 A No Deductible X PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY P JECT RO F X] $ AUTOMOBILE LIABILITY 2011-08472-NP 07/12/2011 0711212012 INL:U,51NGLF LIMIT (Ea accident) $ 11000,000 X ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS AAGE (Per accident) $ X No Liab D $ UMBRELLA LIAB X OCCUR 2011-08472-UMB-NP 07/12/2011 07112/2012 EACH OCCURRENCE $ 2,000,00 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED X RETENTION $ 10 , 00 x' $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ITY A - H- TORY LIMITS ER YIN ANY PROPRIETOR/PARTNER/EXECUTIV YIN OFFICER/MEMBER EXCLUDED? N /A E.L. EACH ACCIDENT $ (Mandatory In NH) , v RCK E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E. 51 ey E.L. DISEASE -POLICY LIMIT $ Assistant 1 '( DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) ERTIFICATE HOLDER IS NAMED AS ADDITIONAL PER ATTACHED AGREEMENT CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA, ITS EMPLOYEES ATTN: FRANK HERNANDEZ 20 CIVIC CENTER PLAZA, SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN OFFICERS , AGENTS AND ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE M-25 Richard Evnon. CIC/JEREMY ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD