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CERTIFICATE OF LILITit DATE (MMIDDYYYY) <br />4/8/2016 <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 INdSURER(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 terns and conditions of the policy, certain policies may reclUrre an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lied Of such endorsenaent(s), <br />PRODUCER CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services PHONE (949)709-8800 FAx i9a�J7 <br />IA/C. No, Ext}: (AFC,.Nol <br />26429 Rancho Parkway South E-MAIL info@thecomprehensiveinsurance.com <br />ADDRESS: <br />Suite 1.20 INSURERS' AFFORDING COVERAGE MAIC # <br />Lake Forest" CA 52630 <br />INsuRERA:WeSC©...Insurance Company 125011 <br />INSURED INSURER. 13: <br />Orange County Children's Therapeutic Arts Center INSURER C: <br />2215 N. Broadway INSURER D: <br />a <br />INSURER E <br />Santa Ana CA 92706 INSURER F. <br />COVERAGES CERTIFICATE NtJTI BFR:WC RFVI5,InNI AIIBMRF—R- <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 WITCH THIS. <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL' HE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE LEEN <br />REDUCED BY PAID CLAIMS. <br />INSR. _.. ---_ --_. ADD0LIBR' ._.. - ----. <br />LTR TYPE OF INSURANCE 1 1 POLICY NUMBER <br />POLICY EPF......... POLICY EXP ......... -_.. --_- _. <br />MP.11DD11'YYY Mr'Mf 01yyYY LIMITS <br />CCYMME'RLI <br />COMMERCIAL GENERAL ABILITY <br />EACH OCCURRENCE ` 3 <br />I <br />t,tAIMS-MADE OCCUE I <br />DAMAGE TO RENTED <br />S <br />a <br />occurrence) <br />ES <br />CUED we peron) <br />EXP <br />PE.'RSONA.L'&ADV INJURY <br />J <br />GENLAGGREG/IrELIMIT,,PPL_IES PER,I, I <br />', GENERALAG_GRECAIE <br />POLICY r . PPO` ^ <br />dIEC t �...._._� LOC 1�: t <br /># COMP/OP AGG � S <br />1 d�kOl7UET;� - <br />I OTHFR; { <br />i { S <br />AUTOMOBILE <br />a <br />M - LIABILITY <br />COMBINED SINGLE LINII.T � 5 <br />. ,. <br />(Ea arcidenIl) ... <br />AN Y AUTO <br />BO <br />= DIY INJURY (Par Pers ny S <br />ALL O%NNED SCHEDULED <br />AUTOS -!ON-AUTOS <br />I EI INJURY (Per accident) <br />� <br />QVVNL=O <br />HIRED AI <br />h fJTUS <br />PROPERTY DAMAGE 5 <br />I , <br />.---... AUTOS 1 <br />r (Per dccrz.#er�rla_ <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE S <br />EXCESS LIAB. a <br />... .. CIA81�45-fu1A[YE <br />I <br />' AGGREGATE , <br />E DEC RE"-'I'Ei,NTION S N <br />4 <br />I .y <br />WORKERS COMPENSATION i ( <br />'e <br />X.... PER C CTH i <br />AND EMPLOYERS' LIABILITY I <br />i <br />I STATUTE V ERANY --_- --_ -_ <br />:r YEN <br />EXCLUDED? NIA <br />v EL EACH ACCIDENT S 1,000,000 <br />A <br />OPFICPC)FRiETOR'TPARLUDEOX:cUrIVL <br />IPAandat yinN p GF6C319C1i' <br />/1.4/2016 4/ 14/2017 E L. DISE A - SH EA EMPLOYEE S 1,000,000 <br />It yrs, descrrde under ) <br />( <br />( _. ..... __ <br />DESCRIPTION OF OPERATIONS below ) <br />� # EL- DISEASE POLICY i,[NflT S 1,000,000 <br />I <br />r <br />I i <br />' <br />r I <br />i <br />DESCRIPTVON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached, it more space is required) <br />g r... <br />CFRT'IFICATF Hnl' nFR r.ANIr'FI I ATir)K1 <br />Q 1988-2014 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks Of ACORD <br />INS025 (a 01401) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City of Santa Ane. <br />THE EXPIRATION DATE THEREOF, NOTICE:. WILL BE DELIVERED IN <br />1000 E. Santa Asia Blvd. <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Ste. 200 <br />Santa. Ana, CA 92.706-3398 <br />AUTHORIZED REPRESENTATIVE <br />a <br />Q 1988-2014 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks Of ACORD <br />INS025 (a 01401) <br />