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<br />CERTIFICATE C7� IV LIABILITY INSURANCE
<br />FATE(MMIDDNYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />11/30/2015
<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) roust 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 Certificate Issuance Team.
<br />NAME',
<br />Comprehensive Insurance Services
<br />PH �o._Exq (949) 709-8800 �AtC,No): (949)709-1668
<br />26429 Rancho Parkway South
<br />EMAILss:info@thecomprehensiveinsurance.corn
<br />ADDRE—......
<br />Suite 120
<br />INSURER(S) AFFORDING COVERAGE NAIC;q
<br />Lake Forest. CA 92630
<br />INSURERA Nonprofits Ins Alliance of CA
<br />--
<br />INSURED
<br />..........
<br />INSURER 8:
<br />Orange County Children's Therapeutic Arts Center
<br />INSURERC:
<br />2215 N. Broadway
<br />- -
<br />INSURER D
<br />BODILY INJ'UIRY(Peraccidanit).. $
<br />INSURER F::
<br />Santa Ana CA. 92706
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER:'Oh/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, NOTWU1THSTANDINO 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 />POLICY EFF POLICY EMP -_-----
<br />LTR TYPE OF INSURANCE POLICY NUMBER M�MfDDCCYYy MMPDEdYYYY LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE. $1,000,000
<br />A _-- CLAIM'S -MADE I X = OCCUR
<br />...,.,... .._......—....
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occurrence) $ 500,000
<br />X
<br />-09201 -NPO 112/21/2015 12/21/2016 MED EXP (Any one persanl $, 20,000
<br />12015
<br />--- ,., ..._._ -.
<br />_ PERSONAL & AOV INJURY l $ 1,000,000
<br />GFN L AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE $ 2,000,000
<br />11 _ POLICY -. .CECT' X LOC
<br />III PRODUCTS - COMP/OP AGO 2,000,000
<br />OTHER'
<br />_ .�$
<br />$0 Deductible
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />_[Es accidernt)_ $ 1,000,0
<br />A ANY AUTO
<br />BODILY INJURY (Per persan) $
<br />-- -- ....
<br />ALL OWNED I SCHEDULED
<br />2015 -09201 -NPO 112/21/2,015 12/21/2016
<br />BODILY INJ'UIRY(Peraccidanit).. $
<br />AUTOS AUTOS
<br />X X AN(U)TOS
<br />_ HIRED AUTOS AUTOS
<br />i
<br />I_- _-- -...............
<br />--
<br />I PROPERTY OAMAGE $
<br />I Per accident)_
<br />1
<br />_ ..
<br />$0 Deductible $
<br />UMBRELLA LIAR OCCUR
<br />EACH OCCURRENCE $
<br />E%GESS LIAR CLAIMS MAGE -i
<br />AGGREGATE IIS -..
<br />L ._—._ $
<br />DED I RETENTION $
<br />'WORKERS COMPENSATION
<br />PER CTH-
<br />AND YIN
<br />ANY PROPRIEEORIPARTINERYEXECUTIVE
<br />STATUTE ER
<br />I
<br />OFF@CERJMEMBER EXCLUDED. NIA
<br />�
<br />E L EACH ACCIDENT $
<br />_. ---- - -
<br />(Mandatory in NH) -�
<br />E L DISEASE. EA EMPLOYEE $
<br />If yes, describe under
<br />_-__. ,. ..........— ....
<br />DESCRIPTION OF OPERATIONS below1
<br />E.L. DISEASE. POLICY LIMIT $
<br />A Social Sery Professional
<br />2015 -09201 -NPO 12/21/2015 12./2:.1/20161
<br />$1,000,000Agg/1,000,000OCC $0 Deductible
<br />ISI
<br />A Improper Sexual Conduct
<br />2015 -092.01. -NPO 12/21/2015 12/2..1/2016
<br />$1,000,000Agg/1,000,000 Ea CI $0 Deductible
<br />DESCRIPTION. OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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 clay notice of cancellation for non -'payment of premium per policy
<br />provision.
<br />CERTIFICATE HOLDER
<br />CANCFII I ATION
<br />ACORD 26 (2014/01)
<br />INS025 (201401)
<br />Q 1968-2414 ACO'RD 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 />City of Santa Ana (The)
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Finance & Management Services Agency
<br />ACCORDANCE WITH! THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />PO Box 1988 M -1E
<br />Santa. Arta, CA 92742
<br />Richard Eynon/SERE'MY
<br />ACORD 26 (2014/01)
<br />INS025 (201401)
<br />Q 1968-2414 ACO'RD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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