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A� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM DD Yl
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
<br />10102/2017
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: If the certificate holder Is rt ADDITIONAL INSURED, the poliCy(ies) must haveADDITIONAL INSURED b 'endorsed,
<br />provisions or
<br />if SUBROGATION IS WAIVED, subject to the terms and conditions of the poilCy; certain policies may require an endorsement. A statement on
<br />tills Certificate does not confer rights to the certificate holder in lieu Pismo ondorserrair ),
<br />PRODUCER
<br />CONTANAME:CT Issuance Team
<br />Comprehensive Insurance Semces
<br />26429 Rancho Parkway South
<br />PHONE 949 709.6600 �._
<br />AIC No xt : (o } 1011 C No: L049}708.1888
<br />NA"
<br />A'M
<br />Suite 720
<br />theCorap rehensiveiur
<br />ADDRESS: neance Com
<br />_ ____ INSURER(SI AFFORDING COVERAGE NAICR
<br />Lake Forest CA 92630
<br />INSURERA: Nonprofits Insurance Alliance of California 11845
<br />INSURED
<br />INSURERA: CompWest Insurance Company 12177
<br />_............._..-_.._....____.-..-.��,_.�
<br />Delhi Center
<br />_
<br />INSURER C_:
<br />506 E. Central Ave.
<br />INSURER D: ..T_.._._._..._-._-......._--_�.�......._...�_
<br />INSURER E
<br />MED ExPNIY one person) § 20,000
<br />Santa Ana CA 92707
<br />INSURER F;
<br />COVERAGES CERTIFICATE NUMBER- CL17103103057 ceurmnu eeumee.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 1. POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />TW
<br />LTR
<br />TYPE OF INSURANCE
<br />WIDE
<br />INBB
<br />R
<br />_POLICY NDMBEfl
<br />-
<br />MMIOOIYTYY
<br />MMIDOfrYYY
<br />OMITS
<br />)( COMM6RCWL GENERAL LIABILITY
<br />EACHOCCURRENCE § 1,000,0W
<br />CLAIMS -MADE OCCUR
<br />PREMISES E...... S 500,000
<br />MED ExPNIY one person) § 20,000
<br />PERSONAL AW INJURY § 1,000,000
<br />A
<br />Y
<br />2017 -01376 -NPO
<br />1110-1/2017
<br />11101/2018
<br />GENIL
<br />AGGREGATE LIMIT APPLIES PER.
<br />GENERALAGGREGATE § 3,000,000
<br />?C
<br />POLICY ❑ PEBP F-1 LOC
<br />PRODUCTS-COMPIOPAGG S 3,00=0
<br />OTHER.
<br />$0 Deductible S
<br />AUTOMOBILE
<br />LIABtUTY
<br />CONBNE L LLA `
<br />IS acddom $ 1,000,000
<br />ANY AUTO
<br />BODILY INJURY Par person) s
<br />A
<br />OWNED ECHEDULEp---•---
<br />OME ONLY AUTOS
<br />2017 -01376 -NPO
<br />1VO/12017
<br />11101/2010
<br />EODRYINdu yeerawdenO 5
<br />HIRED i{ NO"MEO
<br />AUTOSONLY AUTOS ONLY
<br />ROPE T DAMAGE 4 --
<br />Par PXI T l -S`_
<br />$0 Deductible
<br />UMBRELLA UAB
<br />OCCUR
<br />a
<br />EACHOCCURRENCE §
<br />EXCESSIAAB
<br />CLAIMSMADE
<br />AGGREGATE §
<br />DECRETENTION
<br />S
<br />§
<br />_
<br />WORKERS COMPENSATOR
<br />kr SRM H.
<br />TATUT
<br />AND EMP40YER6'LIABILITY YIN
<br />E
<br />F..L EACHACCIpENT $
<br />B
<br />ANY PROPRIETOWPARTNINVEXECUFIVE1,000,000
<br />OFFICEWMEMBER EXCLDpEDo
<br />NIA
<br />WCV590042002
<br />11/01/2017
<br />tifOV2tl18
<br />_
<br />11 . DISEASE � EA EMPLOYEE $ 1,000,000
<br />(Manda0m in NHl
<br />II Yes, describe under
<br />..
<br />E. L. DISEASE -POLICY LIMIT I, uoo,000
<br />OESCRIPTION OF OPERATIONS DeIow
<br />Socl91 Service Professional Liability
<br />$3,000,000/1,000,000 AggregatalOCcun.
<br />A
<br />Improper Sexual Conduct Liability
<br />2017-0137&NP0
<br />11A)II2017
<br />11/01/2018
<br />$1,000,00011,000,000 AggregatelOocur.
<br />$0 Deductible
<br />non yr oeenq corm r wGRRRN3 f YEHIGLB6 IAGDRR 161, Adtlitlonpi Remaeke Sotredula, may iw rtfacnotl II Moro epeco le mqulredl
<br />The City of Santa Ana its officers, employees, agents and volunteers are included as Additional Insured automatically per written Contract
<br />or agreement per attached endorsement CG2026. 30 day notice of cancellation with -10 day notice of Cancellation for non-payment of premium
<br />Per policy provision. This Insurance is Primary and Non-Contdbutoiy per attached endorsement NIAC E61.
<br />CERTIFICATE HOLDER rANCKi I Arinu
<br />©1888.2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />SHOULDANYANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />AUTFIORIP.eD REPRESENTATIVE
<br />Santa Ana CA 92702
<br />©1888.2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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