COLETTE'S CHILDREN'S HOME-2017 - Laserfiche WebLink

Home Browse Search

A`C) " CERTIFICATE OF LIABILITY INSURANCE DAT3/05/2OIYYYY) 03/05/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Certificate Issuance Team NAME: Comprehensive Insurance Services PHONE (949)709-8800 FAX (949)709-1668 AIC Ext: AIC, No): 26429 Rancho Parkway South I E-MAIDRESS: Info@thecomprehensiveinsurance.com AD Suite 120 INSURERS) AFFORDING COVERAGE NAIC p Lake Forest CA 92630 INSURERA: Nonprofits Insurance Alliance of California 11845 INSURED INSURERS: Oak River Insurance Company 34630 Colette's Children's Home, Inc. INSURER C: 7372 Prince Dr. INSURER D: Ste. 106 INSURER E: Huntington Beach CA 92647 INSURER F: COVERAGES CERTIFICATE NUMBER: All REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR TYPE OF INSURANCE INSO MD POLICY NUMBER MMMO/YYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERALLIABILITY CLAIMS -MADE Fx_] OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES E. occurrence $ 500,000 MED EXP (Any one person) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 A Y 2017-08970 11/29/2017 11/29/2018 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY E] JECT PRO FX] LOC GENERALAGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $0 Deductible $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 2017-08970 11/29/2017 11/29/2018 BODILY INJURY(Pereoddent) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per axident $0 Deductible $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1.000,000 A EXCESSUAB CLAIMS -MADE 2017-08970-UMB 11/29/2017 11/29/2018 AGGREGATE $ 1,000,000 DED I I RETENTION $ 10000 $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y OFFICEWME BEER�EXCLU ED?ECUTIVE ❑ (Mandatory In NH) NIA COWC923550 02/01/2018 02/01/2019 PER OTH- X STATUTE ER Et. EACH ACCIDENT $ 1.000,000 E.L. DISEASE - EA EMPLOYEE $ 1.000,000 Ifyes, descrbe under - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Improper Sexual Conduct Liability Social Service Professional Liability 2017-08970 11/29/2017 11/29/2018 $1,000,000/1,000,000 Aggregate/Occurr $3,000,000/1,000,000 Aggregate/Occurr $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more apace is required) The City of Santa Ana its officers, employees, agents, volunteers and representatives are included as Additional Insured per attached endorsement NAC E61. This insurance is Primary and Non-contributory per attached endorsement E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. A� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92701 1 reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD