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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (6) - 2015
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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (6) - 2015
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Last modified
2/10/2016 7:00:47 AM
Creation date
10/21/2015 2:25:50 PM
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Contracts
Company Name
ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER
Contract #
A-2015-139
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
8/4/2015
Expiration Date
8/3/2016
Insurance Exp Date
12/21/2016
Destruction Year
2021
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CERTIFICATE OF LIABILITY INSURANCE <br />FDATE <br />1 1/30/2015vv <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 <br />CONTACT <br />NAME: <br />Comprehensive Insurance Services <br />PHONNO ,Xt. (949) 709-8800 RVC Net (949)709-1668 <br />EDoaIESS:info@thecomprehensiveinsurance.com <br />26429 Rancho Parkway South <br />Suite 120 <br />INSURERS AFFORDING COVERAGE NAICB <br />INSURER A:Non rofits Insurance Alliance 11845 <br />Lake Forest CA 92630 <br />INSURED <br />INSURER B: <br />INSURER C: <br />Orange County Children's Therapeutic <br />INSURER D: <br />Arts Center <br />INSURER E: <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 />(NSR <br />R <br />TYPE OF INSURANCE <br />ADDL <br />a R <br />POLICY NUMBER <br />POLICY EFF <br />MM/ D/YYYY <br />POLICY EXP <br />MM/DD YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />OAMADE T R D 500,000 <br />PREMISES Ea occurrence $ <br />A <br />CLAIMS -MADE <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 />CENT AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />X POLICY F ECT 7 PRO LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident $ <br />BODILY INJURY (Par person) $ 11000,000 <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED2014-09201-NPO <br />AUTOS AUTOS <br />NOR <br />NOR OWNED <br />Y' HIRED AUTOS X AUTOS <br />12/21/201412/21/2015 <br />BODILY INJURY (Per accident) $ <br />PROPER DAMAGE $ <br />(N <br />$0 DeduclibleX $ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED F I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOWPARTNERIEXECUTIVGE.L. <br />WC STATU- OTH- <br />TORY LIMITS ER <br />EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />NIA <br />E. L. DISEASE - EA EMPLOYE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />If yes, describe under <br />DESCRIP1 ION OF OPERATIONS below <br />A <br />Social Sery Professional <br />2014 -09201 -NPO <br />12/21/201412/21/2015 <br />$10o0,00oAgg/1,ogo 000OCC $0 Deductible <br />A. <br />Improper Sexual Conduct <br />2014 -09201 -NPO <br />12 /21/2014 <br />12/21/2015 <br />$1000,00DAgg/1000.000 Es Cl $0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I 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. I'll, <br />(. T <br />City of Santa Ana (The) <br />Finance & Management Services Agency <br />20 Civic Center Plaza <br />PO Box 1988 M-16 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010105) <br />I N 5025 (201 ga5) 01 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Eynon/JEREMY <br />1988-2010 ACORD <br />The ACORD name and logo are registered (narks of ACORD <br />All rights reserved. <br />
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