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CERTIFICATE C)F LIABILITY INSURANCE DATE (MMPDDIYYYY)1/B/2016
<br />THIS CERTIFICATE IIS 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(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE, HOLDER,
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 />certificate holder in lieu of such endorsement(s).
<br />PRODU'CER..
<br />CONTACT Certificate Issuance Team
<br />NAME:
<br />Comprehensive Insurance Services
<br />PRONE (949)709-8800 FAX 1949)709-1668
<br />_(A1C, No, Ext):.. .... ._.. _. (AIC._No):..
<br />26429 Rancho Parkway South
<br />AIL
<br />ADDRESS,info@ thecomprehensivelinsurance.com.
<br />Suite 120
<br />_.. INSURER($) AFFORDING COVERAGE NAIL N
<br />Lake Forest CA 92630
<br />INSURERA;Nonprofits Ins Alliance of CA
<br />INSURED
<br />INSURER. B :
<br />Orange County Children's Therapeutic Arts Center
<br />INSURERe.
<br />221.5 N . Broadway r m^.^'".... ° I ('"µ, ,..
<br />INSURE'R D :
<br />INSUREER. E :
<br />Santa. Ana CA 92706
<br />INSURERP:
<br />COVERAGES CERTIFICATE NUMBER:GL/Auto/Prof /ISC REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING 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 />INSR AADDL SUBR POLICY Ell POLICY EkP
<br />LTR TYPE OF INSURANCE POLICY NUMBER MMIDDlYYYY MMIDD/YYYY LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />A CLAIMS -MADE X OCCUR.
<br />10f2Eccurr ... 500,000
<br />PREMISES
<br />PF2E.MISES.(Eadca;.utrence}. $ ........ ._._°..
<br />X
<br />2015--09201-NPO 12/21/2015 12/21/2016 MIED EXP (Any one person) $ 20,000
<br />. ........
<br />PERSONAL &ADVINJURY $ 1,000,000
<br />.........
<br />GEN'L AGGREGATE I..IM,IT APPI IES PER
<br />GENERAL AGGREGATE $ 2,000,000
<br />POLICY JECTPRO- X '....LOC
<br />PRODUCTS -.COMP/OP AGG $ ..... 2,000,000
<br />OTHER.
<br />$0 Deductible $
<br />AUTOMOBILE LIABILITY
<br />.. COMBINED SINGLE LIMIT $ 1 , 000,000
<br />(Ea accident),
<br />ANY AUTO
<br />BODILY INJURY (Per person) $
<br />..__.
<br />ALL. OWNED SCHEDULED
<br />AUTOS AUTOS
<br />'.. 2015-09201-NPfl 12/,21/201.5 12/21/2016 BODD ILY INJURY (Peraccddenl) $
<br />X..''. NON -OWNED
<br />X
<br />'.. PROPERTY DAMAGE $
<br />HIRED AUTOS AUTOS
<br />(Per acmden4)... . _..$. _.
<br />ng
<br />$0 Deductible
<br />UMBRELLA LIAB OCCUR
<br />EACH OCCURRENCE $
<br />EXCESS LIAB CLAIMS MADE'...iti4�"
<br />``��,
<br />AGGREGATE..... $
<br />QED '.. RETENTION $
<br />/,. '. $
<br />WORKERS COMPENSATION
<br />„t" .,PER OTH-
<br />LITY Y 1 N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OPRIETRER
<br />.,..
<br />,ry, ASTATUE. R
<br />(''" A..1` 'ti\ +' EACH
<br />`.+I E.L. EACH ACCIDENT $
<br />EXOSIUER/E
<br />OFFICER/MEMBER E N / A
<br />..... ....
<br />1, r
<br />(Mandatory in NH)
<br />\ E L. DISEASE - EA EMPLOYEE $
<br />If yes, describe under
<br />_.. ._._. ._.
<br />DESCRIPTION OF OPERA-HONS below
<br />E_L. DISEASE - POLICY LIMIT $
<br />,A ',. Social Sery Professional
<br />2015-09201-NPO 12/21/2015;.1.2/21/2016 $1,000,000Agg/1,000,090OCC $0 Deductible
<br />A Improper Sexual Conduct
<br />2015-09201-NPO 12/21/2015 1.2/21/2016 $1,000,000Agg11,000,QW Fa 01 $0 Deductible
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,. Additional Remarks Schedule,, may be attached It more space Isrequired)
<br />City of Santa Ana, its officers,
<br />agent's, employees and volunteers are included as Additional Insured per
<br />attached Special City Agreement.
<br />This insurance is Primary and Non-contributory. 30 day notice of
<br />cancellation with 10 day notice of cancellation for non-payment of premium per policy provision.
<br />t;nK I IFIC;A I n
<br />City of Santa Ana.
<br />Parks, Recreation & Community Services Ag
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<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 />AUTHORIZED REPRESENTATIVE
<br />41
<br />i chard Eynon/JEREMY
<br />n 1988.2014 ACORD CORPORATION. All rights reserved,
<br />ACORD 26 (2014101)
<br />INS025 (2014401)
<br />The ACORD name and logo are registered' marks of ACORD
<br />
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