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Home My WebLink AboutCARE AMBULANCE SERVICES, INC.MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas May 31, 2018 FILE CITY OF SANTA ANA Finance and Management Services Agency 20 Civic Center Piaza s P.O, Box 1964 s Santa Ana, California 92742 EniAs nta-angora Troy Hagen, Chief Executive Officer CARE Ambulance Service, Inc. 1517 W. Braden Court Orange, CA 92868 A-2017-239-01 CITY MANAGER Raul Godinez II CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Re: A-2017-239, First Amendment to Emergency Transportation Agreement - Extension Dear Mr. Hagen, Pursuant to Agreement A-2017-239 ("First Amended Agreement"), entered into between CARE Ambulance Service, Inc. ("Contractor") and the City of Santa Ana ("City"), dated September 5, 2017, amending Agreement #A-2012-196, ("said Agreement") Section 5 Term, the time period of said Agreement is hereby extended for six (6) additional months. In accordance with the provisions of Section 5 of said Agreement, as amended by Section 2. of the First Amended Agreement, the City's decision to grant an extension has been made with the concurrence of the Orange County Fire Authority. The term of this extension shall begin 12 a.m. on July 1, 2018 and end on 12 a.m. January 1, 2019. The insurance certificates required pursuant Section 8 of the Agreement shall be required to be extended and/or renewed to cover this extension. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions regarding this matter, please contact Willard Holt, Treasury and Customer Services Manager in the Finance and Management Services Agency at 714-647-5456. Sincerely, CITY OF SANTA ANA Raul Godinez, 11 City Manager APPROVED AS TO FORM: CITY ATTORNEY Sonia R. Carvalho `,` Li7a E. Storck Assistant City Attorney w Maria D. Huizar Clerk of the Council "CONTRACTOR" CARE AMBULANCE SERVICE, INC. .A By: Name: (Fray eh. �I�a� Tale: Chief Executive Officer SANTA ANA CITY COUNCIL Mi"uei A. Pulltl Michele MaAe az vicanie Sarmiento Josa sdi,60 P, Davitl Benevides ,luan ViR gas Sal Tinajero Mayor Mayor Pro Tem, Ward 2 Wardt Ward3 Wad Wards Ward6 moulid @sante ana.oro rn marfnez@sanlaana oro vsarm'snto@sant+-ana.ora apja'o@sante-ana,gig dbep3,ieg@santa-an..0 villeoas@spill-ana.ora sLaero@sante-a a'rn Page 1 of 2 AC a® CERTIFICATE OF LIABILITY INSURANCE ATE D10/24/2017Y) 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 notoonfer rights to the certificate holder In lieu of such ondorsament a , PRODUCER A Willie of Seattle, Inc. c/o 26 Century Blvd ONE 1-077-945-7398 X 1-980-467-2379 'MARoXcarti£iaatea8willia. oo�el. $.$L_ P,O, Eox 305191 INSURER(B)AFFORDINGG COVERAGE _NAIC9 Naahvillo, TN 3 7 2 3 05191 USA _ INSURER A I Coverya specialty insurance Company 15606 INSURED Care AAbulanoe aervi0ea, Inc. 1517 west Braden Coart INSURER 1 Oreanwich Insurance Company 22322 INSURER C; 9teadfa3t Insurance Company 26397 _ INSURER U: XL Specialty Insurance Company 37885 Orunge, CA 92868 INSURER E: INSURER F, COVERAGES CERTIFICATE NUMBER: W4092490 .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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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, INS 11 TYPE OF INSURANCE AULL B POLICY NUI a POLICY EFF flD DLG E%1+ 0 LIMITS X COMMERCIAL GENER�AL LIUIOILITY CLAIMS-MACF. u OCCUR EACH OCCURRENCE $ 11000,000 ES (Ea O.oEB 1,000,000 REMISE' seam aence S MED EXP An ono Preen $ 5,000 A X Broduats-Claime Made y E-10013 10/01/2011 1D/O1/2018 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE UMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 E]0t POLICY 5g 0 Lao PRODUCTS -COMPIOP AGO $ 2,000,000 $ DHE: AUTOMOBILELIABILITYIts1B NED3INGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ �( ANYAVTO E A UTO AUT06ULEO y RAp500047302 10/01/2017 1/01/2018 BODILY INJURY (Per accident) $ HIRED NONANNED AUTOS ONLY AUTOSONLY PftOPERi DAMAGE $ Per cid I _ $ 0UNIORELLALIAe >< EXCESS LIAO X OCCUR CLAIMS4,1ADE y UMS414770-04 10/01/2017 10/01/2018 EACHOCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 OED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORA'ARTN59RECUTIVE Y N OFF)CERIMEMBEREXOWDED7 No (Mandelory In NR) NIA RWO30009ZB-02 10/01/2017 10/01/2018 X I TA UTE E E.L. EACH ACOIOENT 5 1, 000, 000 E.L. DISEASE• FA EMPLOYE $ 1,000,000 ff YYee deacdbo under DES6RIPTION OF OPERATIONS below E.L. DISEASE• POLICY LIMIT 5 1,000,000 A Mian Medical Profedaional 5-10013 10/01/2017 10/01/2018 Par Claim $1,0001000 Liability Aggregate S2, 000, 000 Claims Made Abuee 6 NOIaoLa Lion $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ADORE 101, AUditlanal Remarks Schodula, maybe attachad it more apace Is required) Umbrella/Excea$ pollow, Vorm. The City of Santa Ana and their rospootiva officers, officials, employees, representative and volunteers are included as Additional Insured$ per ContraoL or Agreementa with the City of Santa Ana in accordance with the policy provisions of the General Liability, Automobile Liability, and Umbrella/Exoeas Liability policies, w •'- / "' SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City o£ Santa Ma '/ A!p 0AUTHORIZEDREPRESENTAINE 20 Civic Center Plaza �/ 1111 (!„ e. n 01989.2515 ACORO CORPORATION. All rlchts reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD OR So, 15222435 eh=a 459671 A__Zn12-ja6`02 Page 1 of 2 A ®® CERTIFICATE OF LIABILITY INSURANCE 011/29ATE I/2017V) il/29/201T 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 pollcy(les) 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 ONTACT Willis of Seattle, Inc. c/o 26 Century Blvd P.O. Box 305191 PRONE 1-877-845-7375 FAX 1-888-467-2378 C o: M�FIU• ADDRESS: Corti€i0atea@wi1119.com INSURER(3)AFFORDING COVERAGE NAICB Nashville, TN 372305191 USA INSURERA; Cove-ys Specialty Inaurance Company 15686 INSURED INSURERBt Greenwich Insurance Company 22322 Cara Ambula.ca services, Ino. 1517 West Braden Court — INSURERC: steadfast Inaurance Company 26387 INSURERD: XL Specialty Insurance Company 37885 Orange, CA 92868 INSURER E; X MED EXP (Any one arson) $ 5,000 INSURER F: mm Products -Claims Made COVERAGES CERTIFICATE NUMBER: W4491393 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. :LTR TYPE OF INSURANCEADOL SUBR POLICY NUMBER POLI YEFF DD riI POLICY EXP (MMIOOYYYYI LIMITS X COMMERCIALOENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE I OCCURREMIS T R 1,000,000 ftE SES Ea occurrence $ X MED EXP (Any one arson) $ 5,000 A Products -Claims Made y 5-10013 10/01/2017 10/01/2018 PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEHL X POLICY ❑ JEC ❑ LOC PRODUCTS -COMPIOP ADD S 2,000,000 $ OTHER: AUTOMOBILELIASILITY COMBINED SINGLE LIMIT $ 1,000,000 ac dent _ BODILY INJURY(Perpersan) $ X ANY AUTO B OWNED AUTOS DONLY quTESULED y RAD500047602 10/01/2017 10/01/2016 BODILY INJURY( Per ecciden0 $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE -- Per mid 1 t $ C UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 15,000,0DO AGGREGATE $ 15,000,000 X EXCESS UAD CLAIMS -MADE y UPID5414770-04 10/01/2017 10/01/2018 DED ETENTION S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORUPARTNERIEXECUTIVE YIN OFFICER/MEMOEREXCLUDED7 N° (Mandetoryin NH) NIA RM3000955-02 10/01/2017 10/01/2018 X I PTRTUT ERN -- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 Ifyas,descdbe Littler DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Mie. Medical Professional 5-10013 10/01/2017 10/01/2018 Per Claim $1,000,000 Liability Aggregate $2,000,000 Claims Made Abuse S Molestation $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 7,7-17 7 I(.Y / /_../'% This Voids and Replaces Previously Issued Certificate Dated 10/24/2017 WITH ID: W4092490. Umbrella/Excess Follows Form. (-n ' The City of Santa Ana and their respective officers, officials, employees, representative and volunteers are included as Additional Insureds per Contract or Agreements with the City of Santa Ana in accordance with the policy provisions SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sa -0, 15362924 vacs: 526623 ACO/®® lk.—/ AGENCY CUSTOMER ID: LOC M ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 AGENCY NAMEDINSURED Willis of Seattle, Inc. Care Ambulance Services, 1.0. 1517 West Braden Court Orange, CA 92868 POLICY NUMBER See Page 1 CARRIER NAIL CODE See Page 1 Sae Page 1 EFFECTIVE DATE: See Page 1 The ACORD name and logo are registered marks of ACORD SR IO: 15362924 BATCH, 576623 CERT: W4491393 COVER,YS®°, , " INSURANCE COMPANY AMENDMENT TO THE DEFINITION OF INSURED Attachad to and forming First Named Insured: part of Policy Number: Policy Period: 5-10013 Fatek USA, Inc.; Care Ambulance Services 110/1/2017 —10/1/2018 Policy Number: First Named Insured: Policy Period: Effective Date of Change: 510013 Feick USA, Inc,; Care Ambulance Services 101112017-10/1/2018 10/1/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part— Occurrence Coverage Form SCHEDULE Name of Person or Party ID (if Retroactive Date Activities Organization applicable) (if applicable) The City of Santa Ana, its n/a n/a Ambulance service as described in contract officers, employees, agents, volunteers and representatives Subject to all other terms and conditions of the POLICY, it is agreed and understood that Section II. Definition of Insured is amended to include as an INSURED the Person(s) or Organization(s) shown in the Schedule above, but only with respect to the activities indicated above. This additional Insured shall share in the Limits of Liability of the FIRST NAMED INSURED, and this extension of coverage shall not increase OUR Limit of Liability. We agree to notify the Named Person or Organization in writing at least thirty (30) days in advance of cancellation of this policy. Nothing in this endorsement shall vary, alter, waive or extend any of the terms and conditions of the POLICY, other than as expressly stated above. A Sam Mezzich Richard G. Hayes President Treasurer i Activity No: COM 003 CS 03/15 Date Produced: 10/09/2015 Page 1 POLICY NUMBER: RADS00047602 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Alt This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: FALCK USA, Inc. Endorsement Effective Date: October 1, 2017 SCHEDULE Name Of Person(s) Or Organization(s): Where required by written contract executed prior to loss. Schad Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 4810 13 0 Insurance Services Office, Inc., 2011 1117-"`f%7 `nrn` Page 1 of 1" Endorsement # 27 General Purpose Endorsement ZURICH Policy No. I Of. Date of Pol. Exp. Dale of Pol. Eff. Date of End. Producer Add'I Prem. Return Prem. UMB 5414770-04 October 1, 2017 October 1, 2018 October 1, 2017 18501000 --- --- Named Insured and Mailing Address: Feick USA, Inc. 2154030th Drive SE, Ste. #250 Bothell, WA 98021 Producer: Willis of Seattle, Inc. 505 Fifth Avenue South, Ste. 200 Seattle, WA 98104 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: HEALTH CARE EXCESS LIABILITY POLICY Paragraph 3. Persons or Entitles Insured of Section II: General Policy Provisions is amended to include as an additional insured the person or organization shown in the Schedule of this endorsement, whom you are required to add as an additional Insured on this policy under a written contractor written agreement. Such person or organization is an additional Insured but only because of liability caused in whole or in part by your acts or omissions. The insurance provided by this endorsement will not be broader than that provided by the "governing underlying insurance policy'. Subparagraph D., Cancellation, of Paragraph 6., Conditions, is amended to include the following: If we cancelthis Insurance by written notice to the first "Named Insured" for any reason other than nonpayment of premium, we will provide 30 -day written notice to the additional Insured listed in the Schedule below. However, this advance notification of pending cancellation of coverage Is intended as a courtesy only and our failure to provide such advance notification will not extend the effective date of cancellation nor negate cancellation of this Insurance. Subparagraph M., Transfer of Any "Insured's" Rights and Duties, of Paragraph 6., Conditions, is amended to include the following: If the first "Named Insured" is required by written contractor agreement with the person or organization shown in the Schedule below to waive its rights of recovery, we agree to waive our rights of recovery. This waiver of rights only applies to the extent required by written contract, however, the contract must be entered into prior to the "occurrence" or "medical incident" that gives rise to a claim and shall not be construed to be a waiver with respect to any other operations in which the first "Named Insured" has no contractual interest. SCHEDULE Name of Person or Organization (Additional Insured): City of Santa Ana ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. OVED A( -5/s PkIi?, u b7. S U-HCU-405-A CW (2110) Page 1 of 1 Page 1 of 2 ACO 0 CERTIFICATE OF LIABILITY INSURANCE 010/24/2017" THIS CERTIFICATE 1S 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 pollcyiles) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollclas may require an endorsement, A statement on this certificate does not confer rights to the certificate holder hl (leu of auch ondorsement s . PRODUCER CONTACT Willis of 9oattlo, Inc. a/o 26 Century Blvd B.P. Box 305191 AR PHONE1^888^467-2978 1' 1-871-948-7378 €AIC Noy M�mcertificates6willis.com INSURER(B) AFFORDING COVERAGE �NAICY Nashville, TN 372308191 USA INSURER A Coverys specialty Insurance Company 15686 EACH OCCURRENCE _ INSURED INSURER d1 Greenwich Insurance Company 22322 Care Ambulenoe services, Inc. 1517 west eradan Court INSURER C; Steadfast Insurance Company 26387 INSURER D: XL Specialty Insurance Company 37885 cranes, CA 92868 INSURER E1 MED EXP (Ay oneperson) $ 5,000 INSURER PI Mad. COVERAGES CERTIFICATE NUMBERI W4092490 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MICH THIS CERTIFICATE MAY BE 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. ILT TYPED? INSURANCEAUUL R POLICY NUMBER POLpGY EFF POLIO E%P LIMITS MMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS.MALIE FV-11OCCURP tXV]ductfi-claima EMI5E oemr 8 1,000,000 MED EXP (Ay oneperson) $ 5,000 A Mad. y 5-10013 10)01/2017 10/01/2018 PERSONAL aAOV INJURY 8 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER: GENCRALAGGREGATE $ 2,000,000 X POLICY ❑ jEpGT 0 LOC PRODUCTS -COMPtOPAGG S 2,000,000 S O 11ER' AUTOMOBILE LIABILITY C 18 OSINGLE LIMIT S 1,000,000 GORILY INJURY (Per pamen) $ X ANYAUTO B A TUTU EDONLY SCHEDULED Y PADE00047602 10/01/2017 10/01/2015 BODILY INJURY (Par accoonq S HIRED NON-0Mal) AUTOS ONLY AUTOOONLY ROPERT DAMAGE r=DAMAGE Per S S^ C ,1( UMDRELLALIAB RODEOS LIAR X OCCUR OLAIMSAIADE y 01165414770-04 10/01/2017 10/01/2018 CACHOCCURRENCE $ L5, ORO, UUO AGGREGATE 4 15,000,000 DED I I RETENTION S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERI58RCUTIVE YIN OFPICERIMEMBEREXOLVOE07 No (MandetOgM NH) NIA AN03000955-02 10/01/2017 10/01/2018 T X PTATUTE ER E.L. EACH ACCIDENT $ 1, 000, 000 E.., DISEASE -EA EMPLOYEE S 11000,00 E.L. DISEASE- POLICY LIMIT $ 1,000,000 II yyes, tlesmla order pESCR PTION OFF OPERATIONS bel ! A )Ais. Hadical Professional 5-10013 10/01/2017 10/01/2018 Por Claim 81,000,000 Liability Aggregate 82,000,000 Claims Had. Abuse S Molestation 81,000,000 DESCRIPTION OPOPBRATIONB I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Saheduls, maybe aRachad it more space is mqulrod) Crabralla/EXOeS5 Ir011cws Bloom. The City of Santa Ana and their raepootive officers, officials, employees, rapreeentative and volunteers are included as Additional Insureds per Contract or Agreements with the City of Santa Ana in accordance with the policy provisions of the General Liability, Automobile Liability, and Umbrella/Gxoeroa Liability policies. "-/7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Sento Ma /q s, �e r,!! AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza c -C / Santa Ane, CA 92701 (c)1988-2015 ACORD CORPORATION. All rlahts reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD OR %D: 15222435 ZhecH, 489677