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CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMMIDDIYYYY) <br />4/8/2015 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the cortifioate holder is an ADDITIONAL INSURED, the policy(les) most be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the <br />Comprehensive Insurance Services <br />26429 Rarloho Parkway South <br />Suite 1,20 <br />Lake Forest CA 92630 <br />INSURED <br />Orange County Children's Therapeutic Arts Center <br />2215 N. Broadway Q `02oks7- 091 <br />VCONN ,Exa; (949)709-8800 FAX <br />Net: I949) roe -lase <br />ADDRESS:info@ thecomprehensiveinsurance, com <br />INSURERSI AFFORDING COVERAGE NAIC4 <br />INSURERA:MQS00 Insurance Company 25011 <br />INSURER B <br />INSURER C: <br />INSURER 0: <br />INSURER E <br />Santa Ana CA 92706 1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER'WC REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI1E POLICY PERIOD <br />INDICATED, NOTWTHSTANDINO 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 TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />in TYPE OF INSURANCE ADOL SUBR pOUCY NUMBER POLICY EPP POLICY EXP <br />RISE WVQCOMMERCIAL <br />LIMITS <br />GENERAL LIABILITY <br />EACH. OCCURRENCE 5 <br />DAMAGE TO RENTED <br />CLAIMS -MADE OCCUR <br />PREM18ES (ED oaudencel $ <br />MED CXP(Any one parson) 6 <br />PERSONAL & AOV INJURY g <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE S <br />PRO- <br />POLICY '\\+I <br />JECT LOC V `f <br />PRODUCTS COMPtgP AGG 3 <br />_. <br />OTHER QJ <br />4 <br />AUTOMOBILE LIABILITY {{{���\\\ <br />5211�12-111o"PJOUE LIMIT 5 <br />nab <br />ANY AUTO CJ <br />BODILY INJURY iPw PerAwd S <br />ALL OWNEDSCHEDULED <br />AUTOS ��T'„"ry <br />� <br />BODILY INJURY(Perarcidem) S <br />HIRED AUTOS AUTOOSkD (°� \ <br />+PacDac cimjYxE 3 <br />UMBRELLA LIAR OCCUR 1^'T ) <br />EACH OCCURRENCE 5 <br />EXCESS LIAR CLAIM&MADE x <br />AGGREGATE $ <br />DED RETENTIONS <br />IP <br />WORKERS COMPENSATION <br />X STATUTE <br />AND EMPLOYERS' LIABILITY YIN <br />RH <br />ANY PROPRIETOMP.4RTNEWEXECU7IVE <br />F L EACH ACCIOENI$ 1,000,000 <br />OFFICERMEMBER EXCLUDES' NIA <br />- <br />A (Mandate"idNB WW0088783 4/14/2015 4/14/2016 <br />E.L. DISEASE- EAEMPLOYEES 1,000,000 <br /><lIPTION under <br />Dyes, <br />OESCPIPTION OF OPERATIONS below <br />E.L, gISEASE-POLICY LIMIT S 1 000 00G <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schodule, maybe apacpadlf more space lsrequiodi <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment <br />of premium per policy <br />provision. <br />City of Santa. Ana (The) <br />Finance 6 Management Services Agency <br />20 Civic Center Plaza <br />PO 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 />rd Eynon/T1`R:F.;td>` <br />Q 198&2014 ACORD CORPORATION. All riahtS rnsarvrad. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS025ooiJOU <br />