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DELHI CENTER (2)-2016
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DELHI CENTER (2)-2016
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Last modified
6/13/2022 5:10:59 PM
Creation date
8/9/2017 4:37:44 PM
Metadata
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Contracts
Company Name
DELHI CENTER
Contract #
A-2016-267-01
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
9/20/2016
Expiration Date
6/30/2018
Destruction Year
0
Notes
A-2016-267
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A�ORL?® CERTIFICATE OF LIABILITY INSURANCE <br />DATE ( <br />0/7/2016Y1 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsements . <br />PRODUCER <br />CONTACT NAME: Certificate Issuance Team <br />Comprehensive Insurance Services <br />PHD N )) 709-8800 ANM: (949)709-1669 <br />26429 Rancho Parkway South <br />aoo.S., info@ thecomprehensiveinsurance. Done <br />Suite 120 <br />INSURER(S) AFFORDING COVERAGE <br />MAID# <br />Lake Forest CA 52630 <br />INSURERA:Non rofits Ins Alliance of CA <br />11845 <br />INSURED <br />'����� <br />INSURER B:COm West Insurance Company <br />12177 <br />INSURERC <br />Delhi Center <br />505 E. Central Ave. <br />INSURERD: <br />INSURERE; <br />_ 1 <br />Santa Ana CA 927uSURERF: <br />IN <br />COVERAGES CERTIFICATE NUMBER:GL/Auto/WC REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AN D CONDITIONS OF SUCH .POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSLTR <br />TYPE OF INSURANCE <br />INqn <br />Well <br />POLICY NUMBER <br />POLKNEFF <br />MMIDOI <br />POUCYEXP <br />MM100 V <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GtAIMSMADE OCCUR <br />EACH OCCURRENCE_ <br />§ 1,000.,000 <br />_ <br />REMISES Be occurrence) <br />$ 500,000 <br />MED EXP(Any oneperson) <br />_ <br />20,000 <br />X <br />2016-01376-NPO <br />11/1/2016 <br />I1/1/2017 <br />PERSONAL& AOV IN..URY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY,E�T 1�1LOC <br />GENERAL AGGREGATE <br />1 3,000,000 <br />PRODUCTS-COMP/OPAGG <br />$ 3,000,000 <br />$0 DoWdible <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLELIMIT$ <br />Ea acdidem <br />L,000e 000 <br />BODILY NJURY(Per person) <br />$ <br />A <br />X <br />ANYAUTO <br />ABINNED LEG <br />AUTOS <br />HIRED AUTOS X NOT -OVdJED <br />2016-01376-FPO 1J <br />�\ev.e� ` <br />'11/112016 <br />-7- <br />11/1/2017 <br />BODILY INJURY Per accident t <br />$ <br />pendent <br />$ <br />Deduclve <br />$ <br />�f <br />UMBRELLA LAI <br />1CCUR <br />`Ia <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS UAB <br />CLAIMSMADE <br />!^ <br />v '\r. <br />DED <br />RETENTION $WORKERS <br />$ <br />VcV <br />B <br />AND EMPLOY RS'LIABILITYYIN <br />ANY PROPRIETORNPARTNERNEXECUTIVE <br />OFFICERJMEMBER EXCLUDED? ❑N/A <br />(Mandatory in NH) <br />IT yes, describa Under <br />DESCRIPTION 0F0PERATIONS below <br />�'} •J <br />WCV5900420. <br />1I/I/2016 <br />11/l/2017 <br />X STRTUTE ERH <br />E.A.. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE EA EMPLOYEE <br />$ 1,000,000 <br />El DECADE POLICY LIMIT <br />$ 1000 000 <br />A <br />Social Sery professional <br />2015-01376-FPO <br />11/1/2016 <br />11/1/2017 <br />$S.000.00QA29/1.000,0000cc $0 Deductible <br />A <br />Improper sexual Conduct <br />2016-01376-FPO <br />11/1/2016 <br />11/1/2017 <br />$100.000A,0000.0000cc $0 Deductible <br />DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (ACORD 101, AddMonal Remarks Schedule, may be attacled Irmera space A required) <br />The City Of Santa Ana its officers, employees, agents and volunteers are included as Additional insured <br />automatically per written contract or agreement per attached endorsement CG2026. 30 day notice of <br />cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />JEREMY-�.,-.....� , <br />m 1988-2014 ACORD <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />
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