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ACO°2br CERTIFICATE OF LIABILITY INSURANCE
<br />�'�
<br />DATEIMm/oa/
<br />3/21/20116 6
<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 palicy(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 an this certificate does not center rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT Certificate Issuance Team
<br />_CANT
<br />AUTHORIZED REPRESENTATIVE
<br />(949)709-8800 LFNO1, (999)T0A -1668
<br />Comprehensive Insurance Services
<br />26429 Rancho Parkway South
<br />EMAIL — " " " "'
<br />AaDRESa: info@ theoomprehensiveinsurance. com
<br />Snits120
<br />__. __,._..------ - -- -_L —..- .--- -�- --- ...- _._— .- -- -- - - --._ ....
<br />,,,__ INSURERIO AFFpMPG COVERAGE. NAIL p
<br />Lake Forest _CA 92630
<br />INSURER A'Nonprofits Ina Alliance of CA
<br />11045
<br />INSURED
<br />INSURER EI
<br />IN$URERC:
<br />_
<br />Grandma's House of Hope
<br />174 West Lincoln Avenue
<br />NSUER D;_„
<br />0541
<br />INSURERS!
<br />Anaheim CA 9260$
<br />INSURER o
<br />COVERAGES CERTIFICATE NUMBER GL 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 Shl_ OWN BEEN REDUCED BY PAID CLAIMS.
<br />INSii�
<br />TYPE OF INSURANCE
<br />ADOL
<br />_MAYHAVE
<br />POLL UMBER
<br />POLICY EPF
<br />MID N Y
<br />POLICY EXP
<br />o
<br />LIMITS
<br />A
<br />X
<br />ODMMERCIALGENERALLIABILITY
<br />CLAIMS.MADE OCCUR
<br />EACH OCCURRENCE
<br />DWAGE f0 RENTER
<br />- PRfLIlSEUEe- oW,,.[RS!fpJ._
<br />$ 1,000,000
<br />500 000
<br />r
<br />R
<br />2014 - 29814 -NDO
<br />3/24/2016
<br />3/29/2019
<br />MED EXP SA�ane o`rsonL_
<br />�^_ 20,OOD
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />POLICY El JECT ® LOG
<br />.—S
<br />GENERALAGCREGATE_
<br />$ 2,000,000
<br />PRODUCTS- COMP/OPAGG
<br />$ 2,000,000
<br />$O DedumlUa
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMEINE I SINGLE LIMIT
<br />$ 1,000,000
<br />BODILY INJURY(Pefporson)
<br />$
<br />A
<br />_
<br />R
<br />ANY AUTO
<br />AUTOS�EO AUiOBULEO
<br />NON - OWNED
<br />HIREU AUTOS R AUTOS
<br />2 016- 2 7514 -LIPO
<br />3/24/2016
<br />3/24/2017
<br />BODILY INJURY (Per aocltlenl)
<br />$
<br />PROPERTY DAMAGE
<br />_(P,eL9.gp10e,E) �
<br />$
<br />00etluglble
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURREN4E - - „_
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />$
<br />DED
<br />RETENTION$
<br />_AGGREGATE
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIARILITY YIN
<br />ANY PROPRIETORIEXCLUDRIEXECUTIVE
<br />OFPICERry In NU) EXCLUDED?
<br />(MAddatory In NH}
<br />Iiyekdescrlbo undsr
<br />NIA
<br />I PER OTH-
<br />ST_AlU.,E _, ER
<br />E.L. EACH ACCIDENT
<br />_-- ,.._......_...___
<br />$
<br />E, L. DI$FASE•FA EMPLOYE.
<br />$
<br />E. L.UISL'ASE•POLICY LIMIT
<br />$
<br />DES RIPTION OP OPERg710NS below
<br />A
<br />Social aery Professional
<br />2016 - 2 7 514 -Wo
<br />3/24/2016
<br />3/24/2017
<br />$2,000,000AGGIi,ODO,0000CC $0 Deductible
<br />A
<br />Improper Sexual Conduct
<br />2016- 27514 -NPO
<br />§/24/2016
<br />3/2412017
<br />$i,000,W0AGGA,000,O000CC $0 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addllloml Romarks Sohodule, may be aftached If more space is requlmd)
<br />The City of Santa Ana, its officers, employees, agents and representatives are included as Additional ,^1
<br />Insured per attached Special Additional Insured Agreement nn J
<br />CERTIFICATE HOLDER CANCELLATION
<br />©19882014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />INS0 2 5 12 01 4011
<br />O
<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 THC POLICY PROVISIONS.
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />Richard Eynon /JEREMY
<br />©19882014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />INS0 2 5 12 01 4011
<br />O
<br />
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