DELHI CENTER 31A-2016 - Laserfiche WebLink

Home Browse Search

R � CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDI� 1., 130/20015 15 0/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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(les) 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 AICN u �), (949) 709 -8800 FAX No); (949)709 -1668 E- MAILs s: inf o @thecomprehensiveinsurance.com ADDR 26429 Rancho Parkway South Suite 120 INSURERS) AFFORDING COVERAGE NAICA Lake Forest CA 92630 INSURER A:Nonprofits Ins Alliance of CA INSURED INSURER B:CompWest Insurance Company 12177 INSURERC: Delhi Center 505 E. Central Ave. INSURER O: INSURER E: 11/1/2015 Santa Ana CA 92707 1 INSURER F: COVERAGES CERTIFICATE NUMBER:GL /Auto /WC REVISION NUMBER- 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. ILTR TYPE OF INSURANCE �AODLS INSID B ME POLICY NUMBER POLICY I�NYYV MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE nOCCUR EACH OCCURRENCE $ 1,000,000 AMA ETORENTED PREMISES ENurrence) $ 500,000 X 2015 - 01376 -NPO 11/1/2015 11/1/2016 MED EXP(Any one person) $ 20,000 PERSONAL B ADV INJURY — $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JEST LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS- COMP /OP ASS $ 3,000,000 OTHER'. is AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accoant I$ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 2015 - 01376 -NPO 11 1/2015 / 11/1/2016 BODILY INJURY Peraccideoi ( ) $ X HIRED AUTOS X AUTOS PROPERTY DAMAGE (Peraccideat) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEO RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA CA003006169 -004 11/1/2015 11/1/2016 X I PER OT H- STATUTE L_JER EL EACH ACCIDENT _._ $ 1 000,000 E.L. DISEASE- EAEMPLOYE5$ 1,000,000 E.L. DISEASE - POLICY LIMIT$ 1,000,00() A Social Sery Professional 2 0 15- 0137 6 -NPO 11/1/2015 11/1/2016 $3,000,00DAgg/1,000,0000cc $0 Deductible A Improper Sexual Conduct 2 015- 0137 6 -NPO 11/1/2015 11/1/2016 $1,000,00DAggl1,000,0000cc $0 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS ( VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Additional Insured status applies per attached special City agreement CERTIFICATE HOLDER CANCFI I ATIr1N b V I ACORD 25 (2014101) INS025 (201421) @ 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Richard Eynon /JEREMY ACORD 25 (2014101) INS025 (201421) @ 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD