KIDWORKS COMMUNITY DEVELOPMENT CORPORATION (CDBG 2016)

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A� �® CERTIFICATE OF LIABILITY INSURANCE DAT Y) 18/2016 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 Ileu of such endorsement s). PRODUCER CONTACT Certificate Issuance Team NAME: Comprehensive IRSllraRCe Services ACNNEO Eao (949) 709 -8800 (q /C NoY (949)709 -1668 ADMDARIESS: info@ thecomprehensiveinsurance. com 26429 Rancho Parkway South Suite 120 INSURER(S) AFFORDING COVERAGE NAIC# Lake Forest CA 92630 INSURER A:Security National Insurance Cc 33120 INSURED INSURER B INSURERC: RidWorks Community Development Corporation INSURER D: 1902 W. Chestnut Ave. INSURER E INSURER F: Santa Ana CA 92703 COVERAGES CERTIFICATE NUMBER: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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY NUMBER MM /OD/YYYY POLICY EXP MMIDDIVYYY LIMITS COMMERCIAL GENERAL LIABILITY Richard Eynon/JEREMY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL B AOV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ PRO- J POLICY JECT LOG .__.__.. PRODUCTS - COMP /OP AGO $ $_ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (`EOM, $ ANY AUTO BODILY INJURY (Par person) $ ALL OWNED SCHEDULED AUTOS U A OS j BODILY INJURY Per accident) $ NON-OWNED HIRED AUTOS AUTOS PROPERTYDAMAGE ! Pe,accitlenl _ $ $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X PER OTH- STATUTE ER E.L. EACH ACCIDENT _ $ 1,000,000 ANY PROPRIETORIPARTNEMEXECUTIVE A OFFICERIMEMBER EXCLUDED? n (Mdndatory lnNH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA BWC1101081 2/1/2016 2/1/2017 E. L. DISEASE - EA EMPLOYEE$ E. L. DISEASE - POLICY LIMIT - - - -- 1,000 000 I "— I $ 1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 30 .day notice of cancellation with 10 day notice of cancellation for non - payment of premium per policy provision. I l CERTIFICATE HOLDER CANCELLATION ACORD 26 (2014101) INS025 (201401) ©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 Community THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Development Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE PO BOX 1988 Santa Ana, CA 92704 -1988 Richard Eynon/JEREMY ACORD 26 (2014101) INS025 (201401) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD