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TE <br />A� o CERTIFICATE OF LIABILITY INSURANCE DA1/6/2016Y) <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 />PRODUCER NAME7" Certificate Issuance Team <br />Comprehensive Insurance Services HONNo Extr (949) 709 -BBDO Iq/c NNoj;_I9991709-1668 <br />26429 Rancho Parkway South ADDRESS:info@ thecomprehensiveinsurance. com <br />Suite 120 INSURER(S) AFFORDING COVERAGE NAIC9 <br />Lake Forest CA 92630 INSURER A:Nonprofits Ins Alliance of CA <br />INSURED <br />INSURER B, <br />KidWorks Community Development Corporation INSURER C: <br />1902 W. Chestnut Ave. INSURER D: <br />INSURER E <br />Santa Ana CA 92703 INSURER F: <br />COVERAGES CERTIFICATE NUMBER:GL/Auto/UMB 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 />INSR�AODCam - POLICY EFF I POLICY EXP -- <br />TYPE OF INSURANCE INSD VD POLICY NUMBER MM/DDIYYYY MMIDDNYYY LIMITS <br />20 Civic Center Plaza <br />X COMMERCIAL GENERAL LIABILITY <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92704 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />---_-�- <br />(CLAIMS <br />DAMAGE TO RENTED <br />500,000 <br />A <br />-MAGE X OCCUR <br />PREMISES (Ea occurrence) <br />I$ <br />X <br />2016 -45659 -NPO <br />1/7/2016 17/1/2016 <br />MED EXP(Any one parson) <br />$ 20,000 <br />PERSONAL&ADV INJURY $ 1,000,000 <br />GE_N'L AGGREGATE LIMIT APIPLLIVIES PER'. <br />GENERAL AGGREGATE '', $ 3,000,000 <br />POLICY JECT LSI LOC <br />�i. <br />PRODUCTS-COMPIOP AGO $ 3,000,000 <br />Employee Benefits $ <br />OTHER'.' <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident _ <br />A <br />X ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWN .SCHEDULED <br />AUTOS AUTOS <br />2016 -45659 -NPO <br />1/7/2016 7/1/2016 <br />BODILY INJURY(Peraccidenp $ <br />NON -OWNED <br />_ <br />PROPERTY DAMAGE $ <br />HIRED AUTOS ,AUTOS <br />! <br />(Peraccitlen0 - <br />i,. <br />$ <br />X UMBRELLA LIAR X OCCUR <br />EACH OCCURRENCE <br />_ 1,000 000 <br />A <br />EXCESS LIAB (CLAIMS -MADE <br />�$__ <br />AGGREGATE <br />Is 1,000 000 <br />DED RETENTION $ <br />2016 -45659 -DNB <br />1/7/2016 7/1/2016 <br />f $ <br />WORKERS COMPENSATIONPER <br />OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />I STATUTE ER <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />$ <br />OFFICERWEMBER EXCLUDED' ( <br />N/A. <br />- -- <br />E.L. DISEASE - EA EMPLOYE <br />IMandatoryinNH) - <br />$ <br />If yes, describe under <br />- - <br />DESCRIPTION OF OPERATIONS below <br />iEL DISEASE -POLICY LIMIT <br />$ <br />A <br />Social Service Professional <br />2016 -45659 -NPO <br />1/7/2016 7/1/2016 <br />$1, 000,00DAgg11, 000,0000cc <br />A <br />Improper Sexual Conduct <br />2016 -45659 -NPO <br />1/7/2016 7/1/2016 <br />Ali $3,000,000Agg11,000,000Ea Cl <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be anached If more space is rationed) <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 of cancellation for <br />non-payment of premium per policy provision. <br />CERTIFICATE HOI OFR CANCFI I ATIIIN <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS026(201401) <br />6ZQ,U � e'o CA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Risk Management <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92704 <br />Richard Eynon/JEREMY <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS026(201401) <br />6ZQ,U � e'o CA <br />