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DELHI CENTER (3) - 2016
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DELHI CENTER (3) - 2016
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Last modified
5/18/2017 12:47:20 PM
Creation date
9/13/2016 12:34:05 PM
Metadata
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Template:
Contracts
Company Name
DELHI CENTER
Contract #
A-2016-176
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
7/5/2016
Expiration Date
9/6/2040
Insurance Exp Date
11/1/2017
Destruction Year
2045
Notes
A-2000-154
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TE MMIDDfYYY <br />AC ORo CERTIFICATE OF LIABILITY INSURANCE I DAT/6/2016Y) <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 />PRODUCER <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />Suits 120 <br />Laka Forest CA 92630 <br />INSURED <br />Delhi Center <br />505 E, Central Ave, <br />NA....' Certificate Issuance Team <br />. .. _. <br />PHO <br />FAX <br />(AIC, NPRXti1..(999)7D9-BBDO. _. _.._{AIC, No): 949)909-1668. <br />E-MAIL <br />ADDRESS: thecomprehensivainsurance. com <br />INSURER($) AFFORDING COVERAGE HAICN <br />INSURER.A;Nonprofi is Ins Alliance of CA <br />INSURER D COmpWeSt Insurance Company 12177. <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />LSanta Ana CA 92707 1INSURER F: <br />COVERAGES CERTIFICATE NIJMBER:GL/Auto/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 <br />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 />INBRR TYPE OF INSURANCE ADDS POLICY UMP POLICY ERE POLICY MODIYEXP <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />1,000,000 <br />A CLAIMS -MADE X OCCUR <br />DAMAGE TO RENTED <br />PREMISES(Eapccurtemtd -3_ <br />500,000 <br />X 2015 -01316 -NPO 11/1/2015 11/1/2016 <br />MED EXP(Any one person) $ <br />20,000 <br />PERSONAL &ADV INJURY $ <br />1,000,000 <br />SENT AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ <br />3,000,000 <br />POLICY. jECoT X LOG <br />PRODUCTS-COMPIOP AEG $ <br />3,000,000 <br />OTHER. <br />Eledronio Dataddenbty Thep $ <br />Included <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMI1 - $ <br />EA am dent <br />1,000,000 <br />A ANY AUTO <br />BODILY INJIJRY(Per Person) $ <br />ALL OWNED 'SCHEDULED 2015 -01376 -NPO 11/1/2015 11/1/2016 <br />AUTOS AUTOS <br />BODILY INJURY (Par arxldan) $ <br />X X''. NON -OWNED <br />PROPERTY DAMAGE $ <br />FARED AU'I OS AUTOS <br />{Par acc,danl) <br />5 <br />UMBRELLA LIAS OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAS CLAINIS-MADE <br />AGGREGATE $ <br />DED RETENTION S <br />$ <br />WORKERS COMPENSATION <br />X PER OTT- <br />ANDEMPLOYERS' LIABILITY YIN <br />----STATUTE _ ER <br />ANY PROPRIETORIPARTNERIEXECUTIVE - <br />EL EACH ACCIDENT $ <br />1,000,000 <br />OFFICERIMEMBER EXCLUDED? NIA <br />- - <br />- — - <br />B (MandatorylnNH) MV5900420 11/1/2015 11/1/2016 <br />E.L DISEASE - EA EMPLOYEE $ <br />1,000,000 <br />I(yas. describe under <br />--_-- <br />DESCRIPTION OF OPERATIONS below <br />El DISEASE -POLICY LIMIT $ <br />1 000 000 <br />A Social Sery Professional 2015 -01316 -NPO 11/1/2015 11/1/2016 <br />53.900,IXIOAgUIt.W0,00V0u <br />$0 Deductible <br />A Improper Sexual Conduct 2015 -01376 -NPO 11/1/2015 11/1/2016 <br />$1.000.000AWII,00.0000cc <br />$D Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached It more epaee IS requlo d) <br />RE: 505 E. Central Ave., Santa Ana, CA 92707 - The City of Santa Ana its officers, employees, <br />agents and <br />volunteers are included as Additional Insured automatically per written contract <br />or agreement <br />per <br />attached endorsement CG2011. 30 day notice of cancellation with 10 day notice of cancellation for <br />non-payment of premium per policy provision. <br />yy <br />J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana GV,Pi ',THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza :'YXa\'a 60 ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, OA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Richa--d Eynon/JEREMY <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS026 (201401) <br />
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