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ACC?RfJap CERTIFICATE OF LIABILITY INSURANCE <br />1.,..•/ <br />DATEIMMIDOrYYYY) <br />07115/2019 <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: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or he 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 cerdgcate does not confer rights to the certificate holder In lieu of such endarsement(s). <br />PRODUCER <br />NAMCONTACT Certificate issuance Team <br />Comprehensive Insurance Services <br />20429 Rancho Parkway South <br />PHOrJNEo (949)709-UN (949)709-1663 <br />lore OJe "-- <br />aDOREes: mY@ comprehensNBinsurerrJJ.com <br />Suite 120 <br />Lake Forest CA 92630 <br />INSURER(BI AFFORDING COVERAGE <br />NMC4 <br />INSURERA: State Compensation Insurance Fund <br />35076 <br />INSURED <br />INSURER 8: <br />Orange County Children's Therapeutic Arts Center <br />INSURERC: <br />2215 N. Broadway <br />INSURER O: - <br />INSURERS; <br />Santa Ana CA 92701 <br />INSURER F: <br />CERTIFICATE NUMBER: W6 <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 />LTR <br />TYPE OF INSURANCE <br />INSD <br />MD <br />POLICY NUMBER <br />IMMOILDIC <br />DMYYY <br />MMIOOryYYY CYEXP <br />LIMITS <br />GENERAL LIABILITY <br />OCCURRENCECOMMERCIAL <br />EACH OCCURRENCE <br />E <br />PRE SES Eemvnan. <br />s <br />CLAIMS•MADE DOCCUR <br />WO EXP (Any one non <br />; <br />PERSONAL E AM INJURY <br />E <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />POLICY PRO- <br />JECT LOC <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMPlOPAOG <br />E <br />E <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED E ao tlED SINGLE I <br />$ <br />BODILY INJURY (Pat pareem <br />; <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY A1R03 <br />BODILY INJURY (PeracGdane <br />; <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOSONLY <br />PROPEntt MMADE <br />Cra[ <br />$ <br />UMSRELLALIAB <br />OCCUR <br />EACHOCCURRENCE <br />; <br />EXCESS LIAR <br />CI.A -MADE <br />AGGREGATE <br />E <br />DEG RETENTION E <br />; <br />A <br />MR BE <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRMTOMPARTNEWEXECUTIVE ❑ <br />OFFICEWMEMBER EXCLUDED? <br />fMandatory In NH) <br />ItYaDE8 tlascdba Under <br />DESCRIPTION OF OPERATIONS Eelpw <br />NIA <br />9256171-2019 <br />06/06/2019 <br />06105/2020 <br />PER DTI+ <br />IN STATUTE ER <br />EL. EACH ACCIDENT <br />; 1,(190,000 <br />E.L. DISEASE-EAEMPLOYEE <br />E 1-000,000 <br />E1.01SEASE-POLICYUMIT <br />S 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO ICI. AEJlllonal Ramarka Schedule, may ba etmche4lf more Epaoa la nqulraE) <br />The City of Santa Ana, Its uf9cem, amp Mm:sJpamiscardr�rakefol tsar Uce afcanDellatlon WIN 10 day notice of cancellallon for non-paymenj <br />of premium per policy provision. ICC 91CYyCU t'I'ttV4CLJ <br />By Risk Ma DEMENT DIVISION <br />2019 <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) <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Mangement Divlslon <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />�T <br />�/nu•7j""' <br />UI l UaS•2015ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016)03) The ACORD name and logo are registered marks of ACORD <br />