GRANDMA'S HOUSE OF HOPE (5)-2015

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' lks ' CERTIFICATE 4F LIABILITY INSURANCE �' D /11/IDDA•4 6 /11 /zo14 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 policy(ies) 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 Comprehensive Insurance BerVi Ces 22942 Avenida Empress Suite 250 Roho Sta Margarita CA. 92666 CONT T NAME: PHONE (g4g)7Qg_SBOQ FAX (949)909 -16E0 AIC. Nal: Dori• . in£ o@thecomprehensiveinsurance.com INSURERS AFFORDING COVERAGE NAIC4 INSURERA:State Compensation Ins. Fund 35076 INSURED Grandma's House of Hope 174 West Lincoln Avenue #541 Anaheim CA 92605 INSURER a : INSURER C: INSURER D: EACH OCCURRENCE INSURER E: liNSURERF, COMMERCIAL GENERAL LIABILITY CLAIMS- ADE ❑ OCCUR COVERAGES CERTIFICATE NUMBER:WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 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, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TYPE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PURCHASING DEPARTMENT POLICYNUMBER POLICY EFF MMADD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS- ADE ❑ OCCUR ENTEO PREMISES Ea ONTEDn $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG _ $ _ POLICY "'- D ECI LOG $ AUTOMOBILE LIABILITY COMBINED SING. Ea accident BODILY INJURY (Per person) $ ANY AUTO Ml OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accMenp $ HIRED AUTOS AUT05 (peeOePERTY AMAGE ent) $ UMDRELLA LIAR OCCUR oLA,,uR,.,E EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB DELI RETENTION $ $ A WORKERS COMPENSATION ANDEMPLOYERS'LIAMUTY YIN ANY PROPRIETORlPARTNERIEXEGUTIVE OFFICERIMEMBER EXCLUDER? L (Mandatory In NH) If yyes describe under DESLtRIPTIONOF OPERATIONS below NIA 9028555-14 6/1/2014 6/1/2015 WD$TATU- OTH- X 4i1Y..61MLT E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE �F,A EMPLOYE " - $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A¢ech ACORD 101, Addltlanel Aermule SShoduls, if mom specs is mqutmd) r� g® pL'p � }y �qry S= �yy91�V Sr1d �a �-^ S G� SIOn �n�( t tS tt UM Attorney psststa CERTIFICATE HOLDER CANCELLATION ACORD 28 (2010/08) INS025 polm5fo1 ©1888.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PURCHASING DEPARTMENT AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER. PLAZA SANTA ANA, CA 92701 C =: Jeremy Eynon/JEREMY ACORD 28 (2010/08) INS025 polm5fo1 ©1888.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD