Laserfiche WebLink
A� RE® CERTIFICATE OF LIABILITY INSURANCE <br />OpTE(M5120ryYYY) <br />07'NMID019 ' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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: X the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 />N A T Cer191cale Issuance Team <br />NAMEI <br />Comprehensive Insurance Services <br />D E E (949)109 800 1A/C Not: (949)709.1608 <br />26429 Rancho Parkway South <br />ADDRESS: Jeremy@thecompmhensivalnsurame.com <br />Suits 120 <br />INSUREfl 9 AFFORDING COVERAGE <br />NAIC a <br />Lake Forest CA 92630 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURERS: <br />Orange County Children's Therapeutic Arts Center <br />INSLIMAC: - <br />2215 N. Broadway <br />INSURER 0: <br />INSURER E: <br />Santa Ana CA 92706 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: CL18121803754 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 CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE <br />INUID <br />VWD <br />POLICY NUMBER <br />POLMWDorvvYY <br />PMMDNYYYI <br />LIMITS <br />x <br />COMMERCIALGENERALLIABILITT <br />CLAIMSMADE X OCCU0. <br />EACH OCCURRENCE <br />S 1.000.000 <br />P MI9'.i1E n e <br />L_.E�.,ILS-L <br />S 500.000 <br />MED EXP{pn one emdm <br />S 20,0W <br />A <br />Y <br />2018-09201 <br />12121QOIB <br />12/212019 <br />PERSONALSAW INJURY <br />S 1,000,000 <br />EENLAGGREGATE LIMITAPPLIES PER <br />POLICY ❑ JECT Fx LOC <br />GENERALAGGREGATE <br />S 2,000.000 <br />PROULICls-COMPIOPAUG <br />S $0001000 <br />OTHER; <br />$0 Deductible <br />$ <br />AUTOMOBILE <br />LIABILITY <br />Ed eccO INED 9NG E LIMIT <br />bml! <br />S 1,000,000 <br />BODILY INJURY (Per person) <br />,. <br />S <br />ANYAUTO <br />A <br />DWNEo SCHEDULED <br />AUm9 DNLY NON -OWNED <br />HIRED x AUTOS ONLY <br />AlIT090NLY pIlT03 ONLY <br />2018-09201 <br />12121/2018 <br />12/21/2019� <br />BODILY INJURY(Peracclden9 <br />S <br />RGpERTYIr"AG <br />mdtlenl <br />S <br />$0 Deductible <br />S <br />UMBRELLA LIAD <br />OCCUR <br />EACHOCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESS LIAR <br />CLNMBMAOE <br />CEO I I RETENTION S <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERINEMBER EXCLUDED? <br />(Mandatory In NHl <br />Ityea, tleantlba Yndar <br />NIA <br />PER OTH- <br />ST1 ER <br />E.L. EACHAOCIDENT <br />$ <br />EA EMPLOYEE <br />S <br />POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONS LaIew <br />A <br />Social Service Professional Liability <br />Improper Smust Conduct Liability <br />2018-09201 <br />12/2112018 <br />:1:2:12:1/2019,000,000 <br />,000.D00 <br />n$1,000,00011.000.000 <br />Aggregate/Occurr <br />Aggregate/Occurr <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VENICLE9 (ACOR0101, Atltlltlonel flemerka Schedule, mry ha alMchad If more Specs le reaulredl <br />The City of Santa Ana, its ofBcros, employees, agents, and representatives are included as Additional Insured per attached endorsement CG2026. With <br />respect to claims aNang out of the operations and uses performed by or on behalf of the named Insured, such Insurance as Is afforded by this policy Is <br />primary and la not addlronal to orconDl6udn9 with spy other Insurance carded by or for the benefit of the additional Insureds per attached encasement <br />NIAC E81. 30 day notice of cancellation with 10 day miles of cancellation for non-payment of premium per policy provision.._ <br />REVIEWED & APPROVED <br />By Risk ANA EMENT DIVISION <br />CERTIFICATE HOLDER A il CANCELLATION <br />2 <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) �A AN <br />RISk Mangement Division <br />AM. LAMBERT <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana <br />CA 92701 <br />i <br />Vev <br />01980.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />