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<br />ACC> �l
<br />�. CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDDIYYYY)
<br />2/14/2017
<br />THUS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THUS
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lien of such endorsement(s),
<br />PRODUCER
<br />CONTACT Certificate Issuance Team
<br />NAME:
<br />Comprehensive Insurance Services
<br />6+ I'�r3nCIZ0 Parkway 5auth
<br />(AlC,NN ,Ext): (949)709-8800„__ AiX Noj,;,,,_('999)709-1568
<br />E-MAIL .....
<br />ADDRESS: info@thecolmprehensiveinsurance. COIR
<br />1NSURER(5)AFF OROING COVERAGE NAIC#r
<br />Suite 120
<br />INSURER'A;1°ion rofits Ins Alliance of CA 11845
<br />Lake Forest CA 92630
<br />INSURED
<br />INSURERS: _.......
<br />INSURER
<br />Orange County Children's Therapeutic Arts Center
<br />2215 N. Broadway
<br />INSUR'ERO:
<br />INSURER E
<br />1NsLIRERF:
<br />Santa Ana CA 92706
<br />COVERAGES CERTIFICATE NUMBER:GL/Auto/ISC/SSP REVISION NUMBER:
<br />I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED, TO THE INSURED NAMED ABOVE FOR THE: POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT' TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H'EREUN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUICH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />iNSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADOLSUSR
<br />INSD
<br />WVQ
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDFYYYY
<br />(POLICY EXP
<br />(MMIDDIYYYYI
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE ;$ ...1,000,000
<br />A
<br />CLAIMS -MADE � OCCUR
<br />DRvIAOETO REcr 500 .000
<br />PI7EIvIISES. Ea e�rcurrence)._.-.i °..
<br />MED EXP (my one person) $ 20,000
<br />X
<br />2016 -09201 -NPO
<br />12/21/2016
<br />12121/2417
<br />PERSONAL BADV MRY $ 1,000,000
<br />AGGREGATE LIMIT APPLIES PEP,
<br />GENERAL AGGREGATE $ 2,000,.000
<br />GEN'L
<br />POLICYEI O- LOC
<br />PRODUCTS-COMPIOPAGG'6 2,000,000
<br />$0 Dedudide 8
<br />OTHER.
<br />III A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />COMBINED INGLE UMIT 1,000, 000
<br />BODILY INJURY (Per person ) $
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />2015-092.01-HHO
<br />12/21/2.415
<br />12/2112017
<br />BODILY INJURY (Per accident) a
<br />XHIRED
<br />NON -OWI ED
<br />AUTOS' Ix AUTOS
<br />PROPERTY DAMAGE
<br />Perecr,�dent �..$
<br />$0 Dedudidle
<br />ISI
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAR,
<br />CLAIMS-MP,CdE
<br />AGGREGATE b.
<br />DEG RETENTION I,.;
<br />�§
<br />NIORXERSCOMPENSATIONI,iTH-....
<br />AND EMPLOYERS' LIABILITY' Y / N
<br />ANY PRO PRIETOR/PARTNERtlEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED'?
<br />N I A
<br />_ STATUTE ER
<br />E.L. EACH ACCIDENT
<br />E DISEASE - EA, EMPLOYEE `F
<br />(Mandatory In NH)
<br />Itdescribe under
<br />IL-L.17iSEASE- POLICY LIMN
<br />DQE,SCIRIPTIONOFOPERATIONS below
<br />t
<br />t I
<br />I
<br />A
<br />SocialS'ery professional
<br />2016-09201-UPO
<br />12/21/2016
<br />12/2112417
<br />$1,600,000A991I000.0000CC $0 Deductible
<br />A
<br />Improper Sexual Conduct
<br />2016 -09201 -NPO
<br />12121/2016
<br />12/21/2017
<br />;I 1,000,00OAc011,000,00nEaCl $0 Deductible
<br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule,maybe attached Ir mare space is required.)
<br />The City of Santa Ana,, its officers, employees, agents, and representatives are included as Additional
<br />Insured per attached endorsement CO2026. With respect to claims arising out of the operations and uses
<br />performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary
<br />and is not additional to or contributing with any other insurance carried by or for the benefit of the
<br />additional insureds per attached endorsement NIAC E61. 30 day notice of cancellation with 1.0 day notice
<br />of cancellation for non-payment of premium per policy provision. Privacy and Cyberliability is included
<br />by way of the attached endorsement NIAC E52 endorsed to the General Liability policy.
<br />CERTIFICATE HOLDER CANCELLATION
<br />1988-2011,4 ACORD CORPORATION All,,rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I""
<br />INS025 (20MOI t �
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana (The)
<br />Finance & management Services Agency
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISION'S.
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />PO BOX 1988, M_'16
<br />Santa Ana, GA 92702
<br />�7
<br />Richard Eynon/JEREMY
<br />1988-2011,4 ACORD CORPORATION All,,rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I""
<br />INS025 (20MOI t �
<br />
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