ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER -OCCTAC - 2017

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J Ar IY CERTIFICATE OF LIABILITY INSURANCE .--""'' DATE(MMIDDIYYYYI 11/2/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s), PRODUCER NACOME:NTACT Certificate Issuance Team Comprehensive Insurance Services 26429 Rancho Parkway South pI ONNo Ext• (O49) 7O9-BBOO qIC No: (949)709-1668 ADO IL . info8 theeomprehensiveinsuranee.00m Suite 120 Lake Forest CA 92630 INSURERS) AFFORDING COVERAGE NAIG e INSURBRA:Non rofits Ins Alliance of CA 11845 INSURED INSURERS Orange County Children's Therapeutic Arts Center INSURERC: 2215 N. Broadway INSURERD; INSURERS PREMISES Ea occurrence $ 500,000 Santa Ana CA 92706 INSURERF: COVERAGES CERTIFICATE NUMBER:WL/Auto/,ISO/SST REVISION NIIMPIFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDjNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To W1ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, MIR TYPE OFINeURANCE IVSDAODL SUSRwn POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENSRAL LIABILITY CLAIMS -MADE ❑ OCCUR % EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 500,000 MED EXP (my one person) $ 20,000 X 2018-p92tlY-N4o v 12/21/2016 12/21/2017 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY M JEaT X❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGO $ 2,000,000 $DDedudlble $ OTHER: AUTOMOBILE LIABILINT Ea accident $ 1,000,000 BODILY INJURY (Par person) $ AANY AUTO AUTL. OWNED AUTEULED 2016 -09201 -SPO 12/21/2016 12/21/2017 BODILY INJURY (Per accident) $ X HIRED AUTOS X NPN-OVAEOpER�yp AUTOS A $ U, ecd ant $0 oedudlble $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ WORKERS C014PENSATION ANDEMPLOYERS'LIABILITY YIN ANY PRO PRIETORlPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? � N/A PER 0TH- STATUTE ER L EEACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatary In NH) If Yes, describe Ander E. L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS belbw A Social Sery professional 2016 -09201 -NPO 12/21/2016 12/21/2017 $1,000,000Agg/1, 000, OODOCC $0 Deductible A Improper Sexual Conduct 2016-09201-KPO 12/21/2016 12/21/2017 $1000000Agg/H000,000E'a Cl $0 Deductible DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be attached rmore space Is required) The City of Santa Ana, its officers, employees, agents, and representatives are included as Additional Insured per attached endorsement CG2026. This insurance is primary and non-contributory per attached endorsement _NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. Privacy and Cyberliability is included by way of the attached endorsement NIAC E52 endorsed to the General Liability policy. � City of Santa Ana (The) Finance & Management Services Agency 20 Civic Center Plaza PO Bax 1988 M-16 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED Eynon/JEREMY rW ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)