ORANGE COUNTY ASSOCIATION FOR MENTAL HEALTH - 2014

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AI,_ �Jzrv� CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD YYY) x/23/2014 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 Comprehensive Insurance Services 22342 Avenida Empress Suite 250 Rcho Sta Margarita CA 92688 T CORTAc- NAME: PHONE (949)709 ^8800 FAX IAIC Nol: (949)709 -1668 „ EMAIL M �, anfo @thecomprehensiveinsurance.eom ( f. INSURERS AFFORDING COVERAGE NAICN INSURERANon rofits Insurance Alliance 11845 INSURED Mental Health Association of Orange County 822 Town & Country Rd. ,Orange CA 92868 INSURER B: INSURERC: INSURER D: .. INSURER E: $ INSURER F: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR: COVERAGES CERTIFICATE NUMBER:GL /Auto Only 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. ILTR TYPE OF INSURANCE The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER POLICY EFF. MMIDDNYYY POLICY RXP LIMITS GENERALLIABILITY EACH OCCURRENCE $ A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR: X 014 - 08472 -NPO /1/2014 /1/2015 -NTED PREMISES IRA occurrence) _1,000,000 500,000 MED EXP(Any one person) $ 20,000 PERSONAL &ADV INJURY -__ $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 DEVIL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO $ 2,000,000 POLICY PRO- IFCT X LOG $ AUTOMOBILE _ LIABILITY COMBINED SINGLE LIMIT Ea accIdant 1 000 000 BODILY INJURY (Per person) $ 4 A XI MY AUTO ALL OWN ED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOSWNED 014 - 08472 -NPO /1/2014 ./1/2015 BODILY INJURY (Per awldant) $ PROPERTY accident) $ X I UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE DEb I X I RETENTION$ 10,000 $ 2014- 08472 - OMB -NP0 /1/2014 /1/2015 WORKERS COMPENSATION VJC STATU^ OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICERJMEMBER EXCLUDED? NIA .... E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) liy daecdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 101, Additional RemarNe Schedule, If more space Is required) The City of Santa Ana, its officers, employees, agents and volunteers are included as Additional Insured per attached Special City Endorsement Ap?R VED P,S SU , a E sTO�cK j 2r CERTIFICATE HOLDER CANCELLATION ant ylly, "— ! ACORD 25 (2010105) INS025 (201005).ot © 1988 -2010 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 Jeremy Eynon /JEREMY ACORD 25 (2010105) INS025 (201005).ot © 1988 -2010 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD