Laserfiche WebLink
C =4�'3 <br />vv ry <br />CERTIFICATE OF LIABILITY II SURA NCE 7 <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 CONTACT Certificate Issuance Tern <br />NA?7E; <br />Comprehensive Insurance Services (Aic,NN Exk (949) 709W 8B6O..._��ao : (949)709 1656 <br />E-MAIL_.mn._ .....-_._., <br />26429 Rancho Parkway South. ADDRESS,info@thecomprehensivein,surance.com. <br />Suite. 120INSURER(S) AFFORDING COVERAGE NAIL � <br />Take Forest CA 92630 INSURERA Wesco Insurance Cam azar 25011 _ <br />INSURED INSURERS: <br />Orange County Children's Therapeutic Arts CenterLINSURER <br />RERC: <br />2215 N. Broadway 0RER E <br />Santa Ana CA 92706 1INSURERF: <br />COVERAGES CERTIFICATE NUMBER:WC 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />.. .. .. <br />INSR I <br />_ ..,..__-.._.-POLICY' <br />" POLICY EFF POLICY EXP <br />...._._._____. __....._.... ....-._ -- <br />TYPE OFaINSURANCE.. <br />LTR. NUMBER <br />JNSnNIMPDDTYYYY MMddDLayZ <br />'.. LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EuC H f t LIFtFiEt7C" <br />q <br />__ <br />i <br />- <br />Cd 1fNl Xkf.l I Y�{�I"`Il l.d <br />00_.IUR <br />PREPA jF, urEL6 �cAV <br />.f <br />_..._., <br />_... <br />-MED EJP wAlnyP n 12rY,d'walnu'o} <br />$ <br />PEF1 ;?B�d,AL 1 AL' , IIV,k,J'h. Y' <br />T� <br />inCP41 <br />.�,f.EL. ".tl r IPv91T APPL17-3 PER <br />(-ENEF yL AGC,REGATE <br />`r <br />_ <br />P LIC �� -`HJT LOC <br />OTHER <br />AUTOMOBILE <br />LI!ABILrrY' <br />COMBINED S11 -LE UM,PI <br />AN f AU 1 0 <br />EvE���II d It�iJ(Jrt a iPkr Weti surel <br />ffi <br />._._....1 <br />IC"llU FD, i-.. <br />IALL t^ 1M1,gI=p,'i SCHEDULED <br />AUTOS .,w...... AUTO5 , i <br />, <br />BODILY INJUP IF^er a..,i]ent) <br />NCd 01,N ED <br />PP PERTC QAAGE <br />� .._.... .. <br />FifF7 A17�JS �_. <br />, <br />.__.... <br />o <br />CCURMI('=:; <br />UMBRELLA LIAR F""', <br />;- L r LL;, GE <br />EXCESS LAIM NlA1'F'I <br />.... <br />.. ----- <br />.. .. ._.... ... , `i <br />.. l I <br />I <br />-- -------------------------- ------- ----- ----- - <br />----------------- - - - ------- <br />L LQ RETEN I ON .$ <br />S, <br />WORKERS COMPENSATION i <br />ff Lf ti rill <br />A,NDEMPLOYERS'LIABILITY 3 <br />Y f N i <br />! <br />w', <br />,ir1'd Pf�Vff'f'1=�T'rdNIFAN.,"P,IL�-NIL�E.:.'IJ-i`VJt f 1 <br />E1 EACH ACC IC)ENT <br />1 000,000 <br />0_.__FI Est+MCh�9 ER. F r,C1LUDECY' NPA <br />-------._ <br />__.... <br />A <br />(Mandatory in NH) <br />411412017 <br />4/1412018 <br />EL DC r -.;E E,AENIP".7 EF <br />11, 1 000 000 <br />I�ves, le c ihp wdoi <br />DF:r.,tl;=T C,+IOFtIF'L,F?A'1dONS6lelnwu <br />E UNEASE PCi.L[w_:''�^LINfli <br />-`t 1 Ci�Pa 000 <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101„ Additional Remarks Schedule, maybe attached If more space Is required) <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy <br />provision. <br />CERTIFICATE HOLDER <br />City of Santa Arra ( The) <br />Finance & Management Services Agency <br />20 Civic Center Plaza <br />PO Box 1988 M-16 <br />Santa Aria, CA 92702 <br />1988-2014 ACORD CORPORATION. All rights reserved., <br />The ACORD name and logo are registered marks of ACORD <br />-r w <br />.: �'... -1k1. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />