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ACORH CERTIFICATE OF LIABILITY INSURANCE <br />ls./ <br />DATE(MM/DD/YYYY) <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) 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 />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Certificate Issuance Team <br />NAME: <br />PHONE <br />No (949)709-8800 AAIXC No: (969)709-1668 <br />Comprehensive Insurance Services <br />ADDRESS: inf o@ thecomprehensiveinsurance. com <br />26429 Rancho Parkway South <br />Suite 120 <br />INSURERS) AFFORDING COVERAGE NAIC9 <br />Lake Forest CA 92630 <br />INSURERA:Non rofits Ins Alliance of CA <br />INSURED <br />_ <br />e: <br />_INSURER <br />INSURER C: <br />Orange County Children's Therapeutic Arts Center <br />INSURER D: <br />2215 N. Broadway <br />INSURER 9: <br />X <br />INSURER F: <br />Santa Arta CA 92706 <br />COVERAGES CERTIFICATE NUMBER'GL/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. 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 <br />LTR <br />ADDL <br />TYPE OF INSURANCE <br />SUBR <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />MMIOD/YYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />Richard Eynon/JEREMY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />CLAIMS -MADE X OCCUR <br />_ <br />DAMAGE TO RENTED 500,000 <br />PREMISES (Ea occurrence) $ <br />X <br />2015 -09201 -NPO <br />12/21/2015 <br />12/21/2016 <br />MED EXP (Any one person) $ 20,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 2,000,000 <br />POLICY - JECT CX] LOC <br />PRODUCTS-COMP/OP AGG $ 2,000,000 <br />$O Detlucllble $ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />_ <br />Ea BINE <br />Ea soca Ent D SINGLE LIMIT $ 1,000,000 <br />_ _ <br />BODILY INJURY (Per person) $ <br />A <br />ANY AUTO ! <br />- <br />BODILY INJURY (Per accident) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />2015 -09201 -NPO <br />12/21/2015 <br />12/21/2016 <br />X UAUTOS EO <br />AMAGE $ <br />HIRED AUTOS <br />Par accident <br />- <br />$0 Deductible $ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $� <br />II <br />_ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE'. <br />DED RETENTION 1 <br />_ <br />I:' $ <br />1 WORKERS COMPENSATION <br />PER 0T - <br />IAND EMPLOYERS' LIABILITY(STATUTE <br />YIN! <br />ERH- <br />MANY PROPRIETORIPARTNER/EXECUTIVE <br />E.L.EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? �I NIA <br />Ali <br />- -- <br />(MandatoryinNH) <br />E. L. DISEASE - EA EMPLOYEE$ <br />If yes, describe antler <br />- <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />A <br />I Social Sery Professional <br />2015 -09201 -NPO <br />12/21/2015112/21/2016$1,000B00Agg/1,X0000OCC <br />$0 Deductible <br />A <br />Improper Sexual Conduct <br />2015 -09201 -WPC <br />12/21/2015112/21/2016 <br />$1,000,000Agg11,000,000 Ea 01 $0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be munched 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 day notice of cancellation for non-payment of premium per policy <br />provision. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014/01) <br />INS025 (201401) <br />© 1988.2014 ACORD 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-16 <br />Santa Ana, CA 92702 <br />Richard Eynon/JEREMY <br />ACORD 25 (2014/01) <br />INS025 (201401) <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />