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DELHI CENTER 31B-2016
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DELHI CENTER 31B-2016
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Last modified
9/14/2016 11:15:02 AM
Creation date
9/14/2016 10:03:23 AM
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Contracts
Company Name
DELHI CENTER
Contract #
A-2015-217-02
Agency
COMMUNITY DEVELOPMENT
Expiration Date
9/30/2016
Insurance Exp Date
9/30/2016
Destruction Year
2021
Notes
A-2015-217, 01
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Ac ®Rb' CERTIFICATE OF LIABILITY INSURANCE <br />`.../ <br />OATE(MM' /20 5 <br />10/30/2015 <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 pollcy(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 lieu of such endorsements). <br />PRODUCER <br />CONTACT <br />NAME: m Certificate Issuance Tea <br />Comprehensive Insurance Services <br />LAIC NE Extb (949)709 -8800 (HID a,, (949) 709 -1668 <br />26429 Rancho Parkway South <br />ADDRESS, info@ thecompr'ehensiveinsurance. com <br />Suite 120 <br />INSURER(S) AFFORDING COVERAGE NAIC If <br />Lake Forest CA 92630 <br />INSURER A:NonIDrofits Ins Alliance of CA <br />INSURED <br />INSURER B:Com West Insurance Company 12177 <br />INSURER C: <br />Delhi Center <br />505 E. Central Ave. <br />INSURER D: <br />INSURERE: <br />Santa Ana CA 92707 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: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 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 />ILTR <br />TYPE OF INSURANCE <br />ADD ISUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />MMIDD/YYYV <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />CL x l AIMS -MADE OCCUR <br />DAMAGE TORENTED <br />PREMISES (Ea occurrence) <br />$ 500,000 <br />X <br />2015- 01376 -NPO <br />11/1/2015 <br />11/1/2016 <br />MED EXP(Any one person) <br />$ 20,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />POLICY PEA ' ° LOC <br />PRODUCTS - COMPIOP AGO <br />$ 3,000,000 <br />$ <br />OTHER <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY I NJURY(Per person) <br />$ <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />2 015 - 013 7 6 -NPO <br />11/1/2015 <br />11/1/2016 <br />BODILY INJURY (Per accident) <br />$ <br />HIRED AUTOS 'Y AUTOS EO <br />Pe a c'd AMAGE <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DEO RETENTION$ <br />— <br />$ <br />WORKERS COMPNSATION AND EMPLOY RSELIA ILIITY YIN <br />X STATUTE FIR <br />-_ <br />E. L. EACH ACCIDENT <br />$ 1 000,000 <br />B <br />ANY PROPRIETOR/PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />NIA <br />cAO05006169 -004 <br />11/1/2015 <br />11/1/2016 <br />E. L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />rr <br />$ <br />I 1 000 000 <br />DESCRIPTION OF OPERATIONS below <br />A <br />Social Sery Professional <br />2015 - 01376 -NPO <br />11/1/2015 <br />11/1/2016 <br />$3,000.00OAgg11,000,0000cc $0 Deductible <br />A <br />Improper Sexual Conduct <br />2015- 01376 -NPO <br />11/1/2015 <br />11/1/2016 <br />$1,000,e00Agg11,D00,0000de $0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Additional Insured status applies per attached special City agreement <br />CERTIFICATE HOLDER CANCELLATION V U v <br />ACORD 25 (2014101) <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 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Richard Eynon /JEREMY <br />ACORD 25 (2014101) <br />INS025 (201401) <br />©1988 -2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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