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A! & CERTIFICATE OF LIABILITY INSURANCE <br />DA4/(3M/2oiYY) <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 polioypes) 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 endorsoment(s). <br />PRODUCER <br />CONTACT NAME: Certificate Issuance Team <br />Comprehensive Insurance Services <br />26429 Rancho parkway South <br />(AICNNo.E,W (9.49)709-8000 (AIC No: (949)709_1588 <br />ADDRESS,info@ theeomprehensiveinsurance. corn <br />INSURER(S)AFFOROINGCOVERAGE NAICi <br />Suite 120 <br />Lake Forest CA 92630 <br />INSURERA:Weor- Insurance Company 25011 <br />INSURED <br />_ <br />INSURERB: <br />Orange County Children's Therapeutic Arts Center <br />INSURERC: <br />2215 N. Broadway <br />INSURERD: <br />INSURERE: <br />Santa Ana CA 92706 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: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 MICH 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 BEEN REDUCED BY PAID CLAIMS. <br />MR <br />TYPE OF INSURANCE <br />D <br />B <br />_HAVE <br />POLICY NUMBER <br />POUCYEFF <br />MMiDDIVYW <br />PBLI4Y EXP <br />MMIODIYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />J CI -AIMS -MADE 0 OCCUR <br />EACH OCCURRENCE $ <br />DIAV E TU ffl7ff 7T ---- <br />PRENIIEES Eaocwnanca $ <br />_ <br />MF..'D EXP (Any one person) $ <br />PERSONAI. 3 ALV INJJRY $ <br />'L AGGREGATE LIM IT APPLIES PER: <br />GENERALAGGREGATE $ <br />0 EN <br />PRO <br />POLICY []CT LOC <br />_ <br />PRODUCTS-COMPIOPAGG $ <br />— <br />$ <br />OTHER-. <br />AUTOMOBILELIABILITY <br />COMBINED SINGLEL $ <br />Ea awtlenfl <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />AT L OOWNEDSCNEDULE.G <br />AUTOS AUTOS <br />BODILY INJURY Per awident) $ <br />NON OWNED <br />HIREDAU'1'OS AUTOS <br />PRGPERTY DHMAGE $ <br />_(Per accident) .__. <br />UMBRELLA LIAR _ OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB CLAIMS -MACE <br />._......._........—_ __..._...$._._. <br />DED RETCIVTION <br />A <br />WORKERS COMPENSATIONPERANT <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECU I [VE <br />OFFICEWMEMBER EXCLUDED? �N/A <br />(Mandatary In NH) <br />4114(2017 <br />4114/2019 <br />-7­7T - <br />3TE. ER <br />— . <br />EL EACH ACCIDENT $ ,000 <br />1 000 <br />--- _ r. _ <br />E.L. DISEASE EA EMPLOYEE $1i0ODD <br />--- <br />IF Yes, describe under <br />E.L. DISEASE-POLICYLIMIT $ 1 000 000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ADORD 101, Additional Romero Schedule, may be attached it more space Ie required) <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy <br />provision. <br />C <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana ('Phe) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Finance & Hanagentent Services Agency ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza _ <br />PO BOX 1988 M-16 AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />Jeremy Eynon/JEREMY <br />ACORO CORPORATION. Ali rinhfe racarvnd <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />