ORANGE COUNTY FAIR HOUSING COUNCIL (2) - 2015

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AC DATE (MMIDDiYYYY) �.. CERTIFICATE OF LIABILITY INSURANCE 5/2/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONF'E'RS NO RIGHTS UPON. THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies} must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Certificate issuance Team. NAME: Comprehensive Insurance Services PHONE (949)709_8800 FAX (949)709 - 166,8 (AIC, NO,..E %t➢ _. IAIC, Noy: ..... 26429 Rancho parkway South F- RIL info @thecomprehensiveinsurance.com Suite 120 ....... INSURER(S) AFFORDING COVERAGE Lake Forest CA 92630 1 INSURERA:State Compensation Insurance 35076 INSURED _. INSURER S: __.. ...... Change County Fair Housing INSURER C: 1516 Brookhollow Drive, Suite A INSURER D: INSURER E: Santa. Ana CA 92705 INSURER F C0VF1l C:FRTIFIC:d.TF N'I lMFl RFVIAIf9M1t NI IMRl THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE, MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR ADDL.SUBR ....... _ ..... POLICY EFF POLICY EXP TYPE OF INSURANCE LTR POLICY NUMBER. MMIDDrYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ... ..... DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL. 8 ADV INJURY $ ........ GENT AGGREGATE LIMIT APPLES PER : GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS - COMPIOP AGG $ OTHER: $ AUTOMOBILE LRABILITY COMBINED SINGLE LIMIT" $ ...(Pa accident) ... ANY AUTO BODILY INJURY (Per Person) $ ALL OWNED _ SCHEDULED BODILY INJURY (Per accidenty $ ..... . AUTOS AUTOS MON-OWNEO PROPERTY DAMAGE _.. $ ........ ....... _._.... HIRED AUTOS .._........ AUTOS (Per accident) __.. $ UMBRELLA LAB OCCUR _ _ EACH OCCURRENCE $ _... _ EXCESS LIAR CLAIMS -MADE AGGREGATE $ BED RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN .... STATUTE ER _ _.... ANY PROPRIETORIPARTNERIEXECUTIVE E EACH ACCIDENT $ 1,, 000, 000. OFFICERIMEM.BER EXCLUDED? NIA A (Mandatory in NH) _.. 9099740 -16 .... 5/16/2016 5/16/2017 E DISEASE EA EMPLOYEE $ 1,000,000 If yeS., describe under DESCRIPTION OF OPERATIONS below E DISEASE - POUCY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 191, Additional Remarks Schedule, may be attached it more space is required) City of Santa Ana . PO Sox 1988, M -25 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION'S. AUTHORIZED REPRESENTATIVE. curd: Eynon/JEREMY 919'88.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201461)