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.ice R" CERTIFICATE OF LIABILITY INSURANCE DA��`6i2 ©16 Y)
<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(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 />PRODUCER. CONTACT Certific
<br />NAME: ate Issuance. Team
<br />Comprehensive Insurance Services PH No,Oxtl; (999) 709 -8800 FAX
<br />26429 Rancho Parkway South A DRESS. info@ the comprehen s ivein surance, com
<br />Suite 120 INSURER(S) AFFORDING COVERAGE NAIL ft
<br />Lake Forest CA 92630 INSURER A:Nonprofits Ins Alliance of CA
<br />INSURED ........................
<br />INSURER B
<br />dtidWorks Community Development Corporation INSURER C:
<br />1902 W. Chestnut Ave. INSURER D:
<br />INSURER E
<br />Santa Ana CA 92703 1 INSURER F:
<br />r.nVFRAC.FIA (`F'RTIFICATF NIIMRFR•GL /Auto /UMa RFlrI_Q1 "llM KIII UVIII G3•
<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
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic Canter plaza
<br />INSR ADDCSUBR. POLICY I POLICY EXP
<br />LTR !. TYPE OF INSURANCE POLICY NUMBER '....MMPD671/YNY M.MdDD/YYYY
<br />_ _ .....
<br />LIMITS
<br />PO Box 1988
<br />X : COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $
<br />1,000,000
<br />A CLAWMS -MADE X OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occurrence) $
<br />500,000
<br />X 201.6- 45659 -NPO 1/7/2016 7/1/2016
<br />MED I (Any one person) $
<br />20,000
<br />'..
<br />PERSONAL & ADV INJURY $
<br />1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE $
<br />3,000,000
<br />Pi
<br />POLICY JECT X I
<br />__....
<br />PRODUCTS - COMPIOP AGG $
<br />.._...
<br />3,000, 000
<br />.....
<br />,
<br />OTHER
<br />Employee Benefits
<br />AUTOMOBILE. LIABILITY '..
<br />COMBINED SINGLE LIMIT '...
<br />(Ea accident) $
<br />...... ........ _.
<br />1,000,000
<br />X ANY AUTO
<br />BODILY INJURY (Per person) $
<br />A
<br />ALL OWNED SCHEDULED 2016- 45659 -NPO 1/7/2016 7/1/2016
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) $
<br />NON -OWNED '..
<br />PROPERTY DAMAGE... $
<br />................
<br />HIRED AUTOS AUTOS
<br />(Per accident)
<br />UMBRELLA LIAR X ,OCCUR
<br />EACH OCCURRENCE $
<br />1,000,000
<br />A EXCESS LIAR OLAfMS- MADE',
<br />AGGREGATE $
<br />1,000,000
<br />DED RETENTION$ 2016- 4.5659 --UMB 1/7/2016 7/1/2016
<br />$
<br />WORKERS COMPENSATION ''�..
<br />PER 0TH-
<br />AND EMPLOYERS' LIABILITY Y I N
<br />STATUTE FR
<br />........ ._..
<br />ANY PROPRIETOR /PARTNERIEXECUTWE
<br />'....
<br />El EACH ACCIDENT $
<br />OFFICERIM�EMBER EXCLUDED? N I A
<br />.._.
<br />...
<br />(Mandatory in NN)
<br />E . DISEASE - EA EMPLOYEE. $
<br />If yes, describe Linder
<br />DESCRIPTION OF OPERATION'S beluw
<br />E.L. DISEASE - POLICY LIMI T
<br />• Social Service Professional 2:016- 45659 -NPO 1/7/20116 7/1/2016
<br />$1,006,00OAgg /1,000,0000cc
<br />• Improper Sexual Conduct 2016- 45659 -N[O 1/7/2015 7/1/2016
<br />$3,000,00OAgg/1,000, 000Es CI
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If snore space Is required)
<br />City of Santa Ana its officers, employees, agents and volunteers are included as Additional insured per
<br />attached City Agreement, 30 day notice of cancellation, with 10 day notice
<br />of cancellation for
<br />non - payment of premium per policy provision.
<br />CERTIFICATE HOLDER CANCELLATION %a
<br />1988 -2014 ACORD CORPORATION.. All rights reserved.
<br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />INS025 (201401)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana Community
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Development Agency
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic Canter plaza
<br />AUTHORIZED REPRESENTATIVE
<br />PO Box 1988
<br />Santa Ana, CA 92704-1988
<br />-
<br />Richard Eynori /JEREMY
<br />1988 -2014 ACORD CORPORATION.. All rights reserved.
<br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />INS025 (201401)
<br />
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