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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE II441001YYYYI
<br />1/30/2015
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND DUMPERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE 00E5 NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE(.)
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the polfcy(las) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the poilcy, certain peliclos may require an endorsement. A statement on this oedificale does not confer rights to the
<br />I Certificate bolder b1 lieu of Such ontfors0nlent(s),
<br />!PRODUCER
<br />Comprehensive Insurance Services
<br />26429 Rancho Parkway South
<br />of t�111�0.6r
<br />PHONE {94 g)709-OBOO rrj pJo,(044j T09-t66e
<br />e. 14 ,infoS thacompr®hsneivsinsurange, corn
<br />INSURERtSI APFOROING COVERAGE.
<br />�11845
<br />NA124._
<br />Suite 120
<br />INSURSRA:NonprOfitS Insurance Alliance
<br />Lake Forest 92630
<br />u_CA
<br />INSURED.
<br />--
<br />Orange County Children's Therapeutic
<br />INSOREac_,______� _
<br />INSURERU�
<br />Arts Center
<br />INSURER E.
<br />2215 N. Broadway
<br />INSURER F:
<br />'.Santa Ana CA 92706
<br />COVFRAGFSI CFRTIFICATE NUMRER:GL/Auto/Prof/r3C REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR (HE POLICY PERIOD
<br />INDICATED. NOTtMTHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNIS,
<br />EXCLUSIONS AND CONDI'NONS OF SUCH POLICIES. UNITS SHOWN MAY HAVF. BEEN REDUCED BY PAID CLAIMS. _
<br />�LIMIrR
<br />INHUR LTRTYPE
<br />OFINSURANOa
<br />AUDI,SIRPg11CV
<br />NULiOER
<br />i LIICY EPP
<br />POLICY XP
<br />A
<br />GENBRALUAUILDY
<br />X COdIMIRMAL UCNERrAL LIARKITY
<br />CLA-ms-f AVe LxJOCCUR
<br />X
<br />.01.4-09201-NPO
<br />12/21/2OL412/21/2015
<br />EAGROCCURRENCE
<br />9 1,000,000
<br />TOE elf
<br />PREAiISF3 (Eq omquen
<br />S. 500,000
<br />Alto EXRArt ono reonl
<br />S
<br />PERSONAI. B ADV INJURY
<br />+-_20,000
<br />3 11000,000
<br />$0 Deductible
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<br />WNC:RAL AGGREGATE-
<br />S 2,000,000
<br />_
<br />G[N'4 AGGREGATE
<br />LIMIT APPLIES PER
<br />PRODUCTS -COIAPPIP AGO
<br />5 2 Boo, 000
<br />I
<br />S
<br />X Poi ry
<br />PRl1 Inc
<br />AUTOMOBILE LIABILITY
<br />COMONEU SING ELUA
<br />BODILY INJURY{Per person{
<br />S 1,000, 000
<br />A
<br />ANY AUTO
<br />AH.OYNEO SCNEUULEO
<br />AUTOS
<br />AUTOS NON•OVkNED
<br />X HIREOAUTOS '� AU'I'03
<br />014-09201-HPO
<br />12/211201412/21/2015
<br />ODDLY INJURY HPar aMdznb
<br />5
<br />FO Vnducl,D'oX
<br />S
<br />UMEHRL"LMS
<br />OCCUR
<br />eACHOCCURRENC�_
<br />S
<br />AOOREQATE
<br />$ r,
<br />EXCESS UPS
<br />CLAIIIIIWOC
<br />DED RE Et TION
<br />_
<br />-
<br />S
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABRJTY
<br />1fi'r PROPRIErONPARTNER,EXEOUTIVE jY�JN
<br />OPFICAR!AENUEN EXCLUeoll l l
<br />a6londatord10NN)
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<br />NICSTATt
<br />„—SSeBY IIM1ifr3 __]a
<br />....._
<br />EL EACH ACCIOENt
<br />S
<br />-
<br />EL DISEASE- eA E61PLUYE
<br />----
<br />$
<br />CL O(9EASE -POLICY CtMIT
<br />13 _
<br />�I yyOB, tktlG,YH U'R,,
<br />OE SaC_RIP_TION OP OPERATIONS Oamw
<br />A
<br />Social Sery Professional
<br />014-09201-NPO
<br />2121/20L4
<br />2/21/2015
<br />gi,epgp:ObJyl1,,XI0,CCDOCG $0 Deductible
<br />A
<br />Improper Sexual Conduct
<br />014-09201^NPO
<br />2/21/2014
<br />2/21/2015
<br />g1,tlCO,CC0Ag011,C00,Cgi ES CI $0 Deductible
<br />DESCPIPTION OP OPERATIONS I LOCgTiONSJ 48NIC48s JAM00 ACORe 01,AdlELional RamarNs IRA4&16, R mote spaoo Is roquhed)
<br />The City of Santa Ana, its officers, employees, agents, and roproaontatives are included as Additional
<br />Insured per attached endorsement spacial city agreement. This insurance is primary and non-contributory.
<br />30 day notico of cancellation with 10 day notice of cancellation for non-payment of premium per policy
<br />provision,
<br />City of Santa Ana (The)
<br />Finance & Management Services Agency
<br />20 Civic Center Plaza
<br />PC Box 1988 M-16
<br />Santa Ana, CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />REPRESENTATIVE
<br />ACORD COQWORA
<br />INS026t2aP;mini The, ACORD name and logo are, registered marks CIA
<br />
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