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CERTIFICATE OF LIABILITY INSURANCE <br />GATE (MM)°° <br />�"� <br />kol <br />11/2/201166 <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 />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Certificate Issuance Team <br />Comprehensive Insurance Services <br />AIC NNo R:--iii�f,o9@thecomprehensiveinsurance.com 709-8800 FAX <br />No: (999)709-1666 <br />26429 Rancho Parkway South <br />gDDRes5'.info@thecomprehensiveinsurance.com <br />Suite 120 <br />DAMAGE ED 6p0, 000 <br />PREMcc <br />PREMISES (E $ <br />INSURER(S) AFFORDING COVERAGE <br />NAICi <br />Lake Forest CA 92630 <br />INSURER A:Non rofits Ins Alliance of CA <br />11845 <br />INSURED <br />INSURER B:CCm West Insurance Company <br />12177 <br />Delhi Center <br />INSURER C: <br />505 E. Central Ave. <br />INSURER D: <br />INSURER E <br />GENERAL AGGREGATE $ 3,000,000 <br />Santa Ana - CA 92707 <br />INSURER F: <br />UJOVERAGEA' CERTIFICATE NUMBER:GL/Auto/WC REVISION NHMRFR- <br />THIS'IS TO CERTIFYTHAT 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 MAYHAVE BEEN REDUCED BYPAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />AUDLSUBft <br />POLICY NUMBER <br />MMIDDIYYYY <br />MMID IDYVYV <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE XIOCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE ED 6p0, 000 <br />PREMcc <br />PREMISES (E $ <br />X <br />2016 -01376 -NPO <br />11/1/2016 <br />11/1/2017 <br />MED ESP(Any one person) $ 20,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY EJE� ILOC <br />GENERAL AGGREGATE $ 3,000,000 <br />PRODUCTS-COMP/OP AGO $ 3,000,000 <br />$0 Deductible $ <br />OTHER'. <br />AUTOMOBILE <br />LIABILITY <br />BI ED SINGL IMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Pe[person) $ <br />AIx <br />ANY AUTO <br />ALL OWNED AUTOSSCHEDULED <br />AUTOS AUTOS <br />2016 -01376 -NPO <br />11/1/2016 <br />11/1/2017 <br />BODILY INJURY Per accident $ <br />( ) <br />HIRED AUTOS X NON-OVNNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per redden[ <br />$O Deductible $ <br />UMBRELLA LIAB Ld <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILIT' YIN <br />ANY PROPRIETOR/PARTNERIEXEIXITIVE <br />OFFICERIMEMBER EXCLUDED? F <br />(Mandatory In NH) <br />Hyee. under <br />NIA <br />WCV5900420 <br />11/1/2016 <br />11/1/2017 <br />.X PER OTH- <br />STATUTE ER <br />EL EACH ACCIDENT $ 1,0017 000 <br />EL. DISEASE - EA EMPLOYEE $ 11000,000 <br />5. L. DISEASE - POLICY LIMIT $ 1,000,000 <br />ESC IPTION <br />DESCRIPTION OF OPERATIONS below <br />A <br />Social Sery Pxo£esSional <br />2015-01376-11PO <br />11/1/2016 <br />11/1/2017 <br />$3, 000,000A00/1,OOg0000cc $0 Deductible <br />A <br />Improper Sexual Conduct <br />2016 -01376 -NPO <br />11/1/2016 <br />11/1/2017 <br />$1, DOC 000App/1, 000,0000cc $0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is rec ulmd) <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. This <br />insurance is Primary and Non-contributory per attached endorsement NIAC E61. <br />vW <br />I! - <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 />AUTHORIZED REPRESENTATIVE <br />Eynon/JEREMY <br />O 1988-2014 ACORD <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS025(201401) <br />Home <br />