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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER 8 (3) - 2015
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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER 8 (3) - 2015
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Last modified
3/25/2020 11:38:56 AM
Creation date
6/15/2015 9:17:26 AM
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Contracts
Company Name
ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER
Contract #
N-2015-084
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
3/31/2016
Insurance Exp Date
12/21/2016
Destruction Year
2021
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aCc3rrn� CERTIFICATE OF LIABILITY INSURANCE <br />�.-- <br />DATE <br />1/so/aox5 <br />/30/„ 015 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the poiicy(ios) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lisu of such endorsements), <br />PRODUCER <br />Comprehensive insurance Services <br />26429 Rancho Parkway South <br />Suits 120 <br />Lake Forest CA 92630 <br />CONVACT <br />NAM <br />_ <br />PHONE -, (949) 709-81300 r3csl,ov-lsae <br />EADORE,S,info@ thecomprehensiveinsurance. com <br />AFFORDING COVERAGE_ <br />NAICq <br />--INSURER(S) <br />INSURER A:Nonprof its Insurance Alliance <br />11845 <br />INSURED <br />Orange County Children's Therapeutic <br />Arts Center <br />2215 N. Broadway <br />Santa Ana CA 92706 <br />INSURER B: <br />_ <br />INSURER c: <br />INSURER O: T� <br />INsusERe. <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBERIGL/Auto/Pro£/ISC REVISION NUMBER; <br />THIS IS TO CERTIFY THAT THE POIJCIE$ 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 mMICH 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 />ILTR <br />TYPE OF INSURANCE <br />COLS <br />aR <br />polmV NbMeEPo <br />POLICY EVFFF <br />2/21/201412/21/2015 <br />POLICY an, <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMMERCIAL GENERA. LIABILITY <br />CLNMS-MADE OXOCCUR <br />X <br />014-09201-NPq <br />EACH OCCURRENCE <br />S 1,000,000 <br />MEocumm <br />5001000X <br />ME D EXP{An one persenl <br />$_—m 20,000 <br />PERSONAL 3AD41NJURY <br />$ 1/000/000 <br />$0 Oeduatible _ <br />GENF-RALAGGREGAI'E <br />$ 2,000,000 <br />_ <br />PRODUCTS - COMPIOP AGO <br />S m21000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />PRO- 1-1 LOC� <br />I POLICY 7 <br />S <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />[an accident) <br />p <br />ANY AUTO <br />ALL OSMED SCHEDULED014-09201 <br />UTOS <br />-NPO <br />12/2.1/2014 <br />2/21/2015 <br />BODILY INJURY(Perpnun) <br />3 1.000 000 <br />BODILY INJURY (Per ecci4en0 <br />ST <br />X <br />X ANON-C MEO <br />HIRED AUTOS UIOS <br />PROPERTY itlent AMAGE <br />S <br />O OntluctiNoX��-- <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />S <br />EXCESS MIND <br />CLAIM&MADE <br />AGGREGAtET-- <br />S <br />OED RETPtJTION3 <br />$V <br />WORKERS COMPENSATION <br />I WC STATU- I JOTH'I <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PRCPRIETORIPARTIIMEXFCUTIVEj� <br />OFFICERIMEMBER EXCEXCLUDED'L. l <br />(Magh,Wty In NH) <br />U." lesolb9 VnHer <br />DESCRIPTION OF OPERATIONS N.IOW <br />N I A <br />EL EACH ACCIDENT is <br />E.L. OISEASE-EAEMPLDYE <br />S <br />El, DISEASE -POLICY LIMIT <br />S <br />A <br />Social Sery Professional <br />014-09201-NPO <br />212t/2014 <br />2/21/2015 <br />$1000 MAgRl1,WU0D00CC $0 Deductible <br />A <br />Impropar Sexual Conduct <br />G14-09201-Nag <br />2/211201a12/2112015 <br />51000.CCOAggIt.WO000Ea CI $0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, A4di(tenal Remarks Schedule, it mate space is mgpimU) <br />The City of Santa Ana, its officers, employees, agents, and representatives are included as Additional <br />Insured per attached endorsement special city agreement. This insurance is primary and non-contributory, <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy <br />Provision. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana (The) ACCORDANCE WITH THE POLICY PROVISIONS. <br />Finance & Management Services Agency <br />20 Civic Center plaza AUTHORIZED REPRESENTATIVE PO Box Box 1988 M-16 <br />Santa Ana, CA 92702 - <br />Richard Eynon/JEREMY <br />ACORD 25 (2010105) Q 1988.2010 AGORCORPORATiVil rights reserved. <br />INS026 =1a,etol The ACORD name and logo are registered marks of ACOF <br />
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