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1 <br />A U CERTIFICATE OF LIABILITY INSURANCE 1DATE 911/2016 ) <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 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 />PRODUCER <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />Suite 120 <br />Lake Forest CA 92630 <br />INSURED <br />America On Track <br />P.O. Box 4141 <br />NAME�V� Certificate Issuance Team <br />PIC, N. Ear), (999)709-8600 (q)C, No): (999)'!09-1668 <br />E-MAIL......... ..... <br />ADDRESS:info@ thecomprehensiveinsurance. com <br />WSURER(S) AFFORDING COVERAGE NAIC# <br />INSURER A;Nonprofats _ Ins Alliance of CA 11845 <br />INSURERS: <br />INSURER C : _ <br />........... <br />INSURER D <br />INSURER E: <br />Tustin CA 92761-4141 1INSURER F: <br />COVERAGES CFRTIFICATF NIIMRFR-GL/Auto/ISC RF1/ISlnm NI IMRF'R. <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 ---- AOpL SUBR .. .............------ POLICY EFFPOLICVEXP_� --- <br />TR TYPE OFINSURANCE POLICYNUMBER IMMIDD/YYVY(MMIDDNYYYf LIMITS <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />X COMMERCIAL GENERAL LIABILITY <br />AUTHORIZED REPRESENTATIVE <br />Richard Eynon/JEREMY—>--9�-�^ -=z—.--� <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />CLAIMS OCCUR <br />DAMAGETORENTED <br />DAMAGETo <br />500,000 <br />-MADE <br />R occurrence) <br />$ <br />X <br />2016 -06180 -NPO <br />9/1/2016 <br />9/1/2017 <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />GEHL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />X POLICY PRO JECT X LOC <br />PRODUCTS � COMPIOP AGG <br />$ 2,000,000 <br />OTHER: <br />$0 Ded,mtible <br />$ <br />AUTOMOBILE <br />__ <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea a.dd.ri) <br />$ 1,000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OS SCHEDULED <br />AUTOS AUTOS <br />2016 -06180 -NPO <br />9/1/2016 <br />9/1/2017 <br />BODILY INJURY (Per ecadenl) <br />$ <br />NON -OWNED <br />PRO DAMAGE <br />$ <br />HIRED AUTOS AUTOS <br />AUTOS <br />ircorIPERTY <br />_(Per accident) <br />$ Deductible <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIgB <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DEO RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />I PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />_ __;-STATUTE ER <br />ANY PROPRIETOMPARTNERIEXECUTIVE <br />El EACH ACCIDENT <br />S <br />OFFICERIMEMBER E%CLUDED'+ <br />NIA <br />------ <br />- <br />(Mandatory In NH) <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />If yes, describe under <br />DESCRIPTIONOFOPERATIONS below <br />E. L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Improper Sexual Conduct <br />2016 -06180 -NPO <br />9/1/2016 <br />9/1/2017 <br />$1000 GOOAgg11,000,000EaCl $ Deductible <br />A <br />Social Sery Professional <br />1 <br />2 01 6 -0 61130 -NPO <br />9/1/2016 <br />9/1/2017 <br />$2, 000000I1,000,00CEa Doc $ Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedula, maybe inferred If more space Is required) <br />Additional Insured status applies automatically per written contract or agreement per attached <br />endorsement CG2026. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of <br />premium per policy provision. <br />p <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014101) <br />INS026 G01401) <br />D 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City Of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Richard Eynon/JEREMY—>--9�-�^ -=z—.--� <br />ACORD 25 (2014101) <br />INS026 G01401) <br />D 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />