My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (10)
Clerk
>
Contracts / Agreements
>
O
>
ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (10)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/25/2020 11:05:50 AM
Creation date
9/12/2017 2:19:39 PM
Metadata
Fields
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
33
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACCWH' CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDNY(Y) <br />04/13/2018 <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(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 endorsement(s). <br />PRODUCER <br />CONTACT Certificate Issuance Team i <br />NAME: <br />Comprehensive Insurance Services <br />(949) 709-8800 AX (949) 709-1666 <br />PHPIC ONENo Ext: No <br />AIC : <br />26429 Rancho Parkway South <br />E-MAIL <br />ADDRESS: Jeremy@thecomprehensiveinsurance.com <br />Suite 120 <br />INSURER(S) AFFORDING COVERAGE NAIC9 <br />Lake Forest CA 92630 <br />INSURERA: Wesco Insurance Company 25011 <br />INSURED <br />� <br />INSURER B: <br />INSURER C: <br />Orange County Children's Therapeutic Arts Center <br />2215 N. Broadway <br />INSURER D: <br />INSURER E: <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 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYri <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />PREMISES Ea occurrence $ <br />CLAIMS -MADE 7 OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL &ADV INJURY $ <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $ <br />POLICY1:1 JET LOC <br />PRODUCTS-COMP/OPAGG $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />(En accident <br />BODILY INJURY (Per person $ <br />ANYAUTO <br />1 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Peraccident) S <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />n <br />PROPERTY DAMAGE $ <br />Per accident <br />8 <br />UMBRELLA LIAB <br />OCCUR <br />— <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATIONPER <br />OTH - <br />%� <br />A <br />AND EMPLOYERS' LIABILITY Y / N <br />OFFICER EMBERIPARTNDED' CUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandalaryin NH) <br />NIA <br />WWC3347881 <br />04/14/2018 <br />04/14/2019 <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1.000,000 <br />yes, describe antler <br />DESCRIPTION OF OPERATIONS below <br />D <br />EL DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTIONOFOPERATIONSILOCATIONSIVEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />30 day notice of Cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. <br />x-11 I <br />CERTIFICATE HOLDER CANCELLATION <br />@ 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana (The) Finance & Management Services Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />PO Box 1988 M-16 <br />Santa Ana CA 92702 <br />@ 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.