ORANGE COUNTY ASSOCIATION FOR MENTAL HEALTH (2) - 2015

Home Browse Search

111a. F`CA CERTIFICATE OF LIABILITY INSURANCE � --"'�5 DATE(MM/ODIY4 6/23/2Q14 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 poiicy(les) 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 CONTACT NAME: Comprehensive Insurance Services 22342 Avenida Em resa p _ PHONE (949)709 -8800 FAX (949) 709 -1668 " /C. Not: B.MaIL info ADD F$4,; @thecomprehensiveinsurance. oom Suite 2550 Roho Sta Margarita CA 92688 _ _ INSURERS AFFORDING COVERAGE yWNAIC# INSURER A:Nonprofits Insurance Alliance 11845 INSURED INSURER B: Mental Health Association of Orange County INSURER C: 822 Town Fx Country Rd. INSURER O: EACH OCCURRENCE INSURER E: X COMMERCIAL GENERAL LIABILITY ,Orange CA 92868 1 INSURER F: COVERAGES CERTIFICATE NUMBER:GL /Auto Only REVISION NUMRFR� THIS IS TO CERTIFY THAT THE POLICIES. OF INSURANCE US'rED 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 POLICY NUMBER MMIDDNVYY POLICYEXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY 0AMAUETU7I!RTrD__ PREMISES fEn c r enca $ 500,000 A CLAIMS -MADE R OCCUR X 014- 08472 -UPG /1/2014 /1/2015 MED EXP (Any one person) $ 20,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GERI AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $ 2,000,000 POLICY PRO X LOC $ AUTOMOBILE LIABIL17Y COMBINED SINGLE LIMIT l t $ 1,000,000 A X ANY AUTO BODILY INJURY(Perperson) $ ALL OWNED SCHEDULED AUTOS AUTOS 014- 08472 -14PG /1/2014 /1/2015 BODILY INJURY (Per accltlenQ $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per acciden $ - -" $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE. $ 2,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,OD0 $ 014- 08472- UbM -NPO 7/1/2019 /1/2015 WORKERS COMPENSATION 1y8_TAT1U O7H AND EMPLOYERS' LIABILITY YIN S- E.L. EACH ACCIDENT _ $. ANY PROPRIETORIPARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE � EA EMPLOYEE S (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT -- $ DESCRIPTION ,OF OPERATIONS be. _ DESCRIPTION OF OPERATIONS LOCATIONS /VEHICLES (Atlach ACORD 181, Addltlonal Remarks Schedule, ifmore space Is required) The City of Santa Ana, its officers, employees, agents and volunteers are included as Additional Insured per attached Special City Endorsement � g TU r>.. OpROVEM t CERTIFICATE HOLDER CANCELLATION 2C5t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Aria ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 Jeremy Eynon /JEREMY v =_ ACORD 25 (2010105) INS025 (2cioago1 1988.2010 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD