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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER - 2015
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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER - 2015
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Last modified
7/3/2019 8:13:27 AM
Creation date
9/4/2015 2:01:21 PM
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Contracts
Company Name
ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER
Contract #
A-2015-068-09
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/21/2015
Expiration Date
6/30/2016
Insurance Exp Date
12/21/2015
Destruction Year
2021
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AeiiICERTIFICATE OF LIABILITY INSURANCE <br />1/30/2015YI <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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 />PRODUCER <br />CONTACT <br />NAME: <br />PHONE Sri, (949)709-8800 FAXA/C No (949)709-1668 <br />Comprehensive Insurance .Services <br />ZmA,Lss.info@thecomprehansiveinsurance.com <br />26429 Rancho Parkway South <br />INSURERS AFFORDING COVERAGE NAIL# <br />Suite 120 <br />INSURER A:NOR rofits Insurance Alliance 11845 <br />Lake Forest CA 92630 <br />INSURED <br />INSURER B <br />INSURER C: <br />Orange County Children's Therapeutic <br />INSURERD: <br />Arts Center <br />INSURERS: <br />2215 N. Broadway <br />INSURER F: <br />Santa Ana CA 92706 <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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />JMM <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDNYYY <br />POLICY EXP <br />MMIDOIYYYV <br />LIMITS <br />Santa Ana, CA 92702 <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES(Ed occurrence $ 500,000 <br />A <br />CLAIMS-MADEOCCUR <br />X <br />014 -09201 -NPO <br />12/21/201412/21/2015 <br />MED EXP (Any one person) $ 20,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />$0 Deductible <br />GENERAL AGGREGATE $ 2,000,000 <br />GEML AGGREGATE <br />LIMIT APPLIES PER. <br />PRODUCTS-COMP/OP AGO $ 2,000,000 <br />X POLICY <br />PROJECTLOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT _ <br />Ea accident <br />BODILY INJURY (Par person) $ 1 000 000 <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />014 -09201 -NPO <br />12/21/2014 <br />12/21/2015 <br />BODILY INJURY (Per accitlenl) $ <br />X <br />HIRED AUTOS X AUTOSMED <br />PROPPERT doderDAMAGE $ <br />$O DetluclibleX $ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS ILIAD <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATIONOTH- <br />TR <br />WC STATU- OE <br />AND EMPLOYERS' LIABILITY Y/ N <br />PROPRIETOR/PARTNER/EXECUTIVEâť‘ <br />E L. EACH ACCIDENT $ <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E . DISEASE - EA EMPLOYE $ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E, L, DISEASE -POLICY LIMIT I $ <br />A <br />Social Sery Professional <br />014 -09201 -NPO <br />12/21/201412/21/2015 <br />$1,000,00OAgg11,000,000OCC $0 Deductible <br />A <br />Improper Sexual Conduct <br />014 -09201 -NPO <br />12/21/201412/21/2015 <br />$1,000,000Agg11,00Q000Ea CI $0 Deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <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. y <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010/05) <br />INS025 (201005).01 <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <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) <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Finance & Management Services Agency <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />PO Box 1988 M-16 <br />Santa Ana, CA 92702 <br />Richard Eynon/JEREMY <br />ACORD 25 (2010/05) <br />INS025 (201005).01 <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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