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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (10)
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ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (10)
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Last modified
3/25/2020 11:05:50 AM
Creation date
9/12/2017 2:19:39 PM
Metadata
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Template:
Contracts
Company Name
ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER
Contract #
A-2017-091
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/18/2017
Expiration Date
6/30/2018
Insurance Exp Date
4/14/2019
Destruction Year
2023
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AC ORD® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />TYPE OF INSURANCE <br />12115/2017 <br />THIS <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: lithe certificate holder is an ADDITIONAL INSURED, the pblicy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsoment(s). <br />PRODUCER <br />CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />PHONE (949)709.8800 �RAX� <br />uc Eeginf )oQmeoomprehenSlVBlnsufanCB.COm IAC.Nm: (949)709-1998 <br />28429 Rancho Parkway South <br />I� <br />ADDRESS: <br />Suite 120 <br />MEDEXP(Aryoneirmacm) S 20,000 <br />A <br />INSURE S) AFFORDING COVERAGE NAICS <br />Lake Forest CA 92630 <br />INSURER A : Nonprofits Insurance Alliance of California 11845 <br />INSURED <br />INSURER 8: <br />Orange County Children's Ileerspeubc Arts Center <br />PERSONAL B ADV INJURY s 1,000.OGD <br />INSURER C: <br />2215 N. Broadway <br />INSURER o: <br />INSURER E: <br />Santa Ana CA 92706 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CLI7122203108 RFVIRInN NIIMRFR- <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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSLTR <br />TYPE OF INSURANCE <br />ADOL <br />RI <br />SUHR <br />POUCYNUMBER <br />POLICY SEE <br />MMIDDn'YYY <br />MMIDo EXP <br />UMns <br />X COMMERCIAL GENERAL W8IUTY <br />CLAIMSF <br />EACH OCCURRENCE $ 1,000,000 <br />Sl�cLD <br />PREMIESEa . S 500.000 <br />MEDEXP(Aryoneirmacm) S 20,000 <br />A <br />2017-09201 <br />12/21/2017 <br />12/2112018 <br />PERSONAL B ADV INJURY s 1,000.OGD <br />GENT AGGREGATE LIMIT APPLIES PER <br />PoDCY ❑ PRO? Q LOC <br />JECT <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS-COMPAPAGG S 2,000,000 <br />$0 Deductible S <br />OTHER: <br />1 <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />a acadent <br />ANY AUTO <br />_ <br />BWRV INJURY (Per person! $ <br />A <br />x <br />OWNED OS ONLY SCHEDULED <br />HIRED N <br />AUTOS ONLY RAAUTOSO LY <br />2017-09201 <br />1212112017 <br />12/21/2018 <br />BODILY INJURY (Par acodmi) S _— <br />PflOFERTY bPMA E <br />Par xti nt S <br />$O Deductible $ <br />UMBRELLA LIAR <br />OCCUR <br />EACHOCCURRENCES <br />EXCESS LIAR <br />CLAIMSd1ADE <br />AGGREGATE s <br />DEC) I I RETENTION $ <br />S <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNEIVEXECUTIVE ❑ <br />OFFICERIMEMSER EXCLUDED? <br />(Mandatory in NH) <br />II yes, desr,'ba carder <br />DESCRIPTION OF OPERATIONS berg <br />NIA <br />I PER OTW <br />STATUTE ER <br />EL. EACH ACCIDENTS <br />....._ <br />EL, DISEASE. EA EMPLOYEE S <br />EL. DISEASE -POLICY LIMIT s <br />A <br />Social Service Professional Liability <br />Improper Sexual Conduct Liability <br />2017-09201 <br />122112017 <br />127212018 <br />$1,000,00011,000,000 Aggregate/Occurr <br />$1,000,00011,000,000 Aggregate/Occup <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached Senora space IS rectuired) <br />Informational Purposes <br />4W, -X L <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 />Z, <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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