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ACClf2hP CERTIFICATE OF LIABILITY INSURANCE <br />(MMIDDN <br />DATE <br />oq/1n 3/2018 a1zo16 <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 />NAME T Certificate Issuance Team ' <br />Insurance Services <br />PHONEoEx: (949)709-8800 AX (649) 70668N <br />AIAIC NoCOmprehen$IVe <br />: <br />26429 Rancho Parkway South <br />E-MAIL jerem thecom rehensiveinsurance.com <br />ADDRESS: y� P <br />Spite 120 <br />INSURERS AFFORDING COVERAGE <br />NAIC H <br />Lake Forest CA 92630 <br />INSURERA: Wesco Insurance Company .- <br />25011 <br />INSURED <br />INSURER B : <br />Orange County Children's Therapeutic Arts Center <br />_ <br />INSURERC: <br />2215 N. Broadway <br />INSURER D : <br />INSURER E : <br />Santa Ana CA 92706 <br />INSURERF <br />COVERAGES CERTIFICATE NUMBER: WC REVISION NUMBER - <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />L <br />TYPE OF INSURANCE <br />ADDL5UUKTR <br />IN$D <br />WVO <br />POLICY NUMBER <br />POLICYEFF <br />MMI-Ii <br />POLICYEXP <br />YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />R NT <br />PREMISES Ee accunence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />GENTAGGREGATE LIM17APPLIES PER: <br />POLICY ❑ PRO ❑ <br />JECT LOC <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMPIOPAGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANVAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />Pe BODILY INJURY (r acciden t) <br />$ <br />HIRED NON-OAMED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CIAIMS-MADE <br />RED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICER/MEMBER inNH)EXCLUDED? <br />NH) <br />NIA <br />VVWC3347881 <br />041l 4/2018 <br />04/14/2019 <br />v PER OTH- <br />/� STATUTE ER <br />1 <br />E.L. EACH ACCIDENT <br />5 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />§ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />§ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requlred) <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. <br />CERTIFICATE HOLDER CANCELLATION <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 />- <br />AUTHORIZED REPRESENTATIVE <br />PO BOX 1988 M-16 <br />Santa Ana CA 92702u*;ro"'"' <br />t/ <br />91988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD <br />