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ACORa CERTIFICATE OF LIABILITY INSURANCE <br />iff� <br />DATE(MMMDrYYYY) <br />12/11/2019 <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />It 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 endomement(s). <br />PROWLER <br />CONTA NAME: Certificate Issuance Team <br />Comprehensive Insurance Services <br />P"ONE (949) 709-8800 AXNo (949) 709.1668 <br />AIC <br />26429 Rancho Parkway South <br />AoliR _ Jeremy@thecompmhensiveinsurance.cram <br />Suite 120 <br />INSUREPAS) AFFORDING COVERAGE <br />NAIC0 <br />Lake Forest CA 92630 <br />INSURERA : Nonprofits Insurance Alliance of California <br />10023 <br />INSURED <br />INSURER B : State Compensation Insurance Fund <br />35076 <br />Orange County Children's Therapeutic Arts Center <br />INSURER C : <br />2215 N. Broadway <br />INSURERO: <br />NSURER E <br />Santa Ana CA 92708 <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: C59112104374 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 NTH 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUEIR <br />JIM <br />WVD <br />POLICY NUMBER <br />POUCY EFF <br />MMIDDNYYY <br />POLICY EKP <br />MMIDDIYYYY <br />LIMITS <br />EACH OCCURRENCE <br />E 1.000,000 <br />rCOMMERCIALGENERALLIABILJTY <br />CIAIMSMADE ® OCCUR <br />PREMISES Ea occunw <br />E 500,000 <br />MED EXP An caw , <br />E 20,000 <br />I <br />PERSONAL& AOV INJURY <br />$ 1.000,000 <br />A <br />Y <br />2019-09201 <br />12/21/2019 <br />12/21/2020 <br />GEN•LAGGREGATE LIMITAPPUES PER: <br />GENERALAGGREGATE <br />8 2,000,000 <br />POLICY JET F> <br />PRODUCTS-COMPIOPAGG <br />E 2,000,000 <br />E0 Deductible <br />E <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED IN LELIMIT <br />Ea acdd.t <br />E 1.000,000 <br />BODILY INJURY(Per person) <br />E <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />201 M9201 <br />12/21/2019 <br />12/21/2020 <br />BODILY INJURY (P. .ckkrt) <br />E <br />AUTOS ONLY AUTOS <br />PROPERTYOAMAGE <br />Per accident <br />E- <br />HIRED NON VVNED <br />AUTOS ONLY AUTOS ONLY <br />$O Deductible <br />E <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />E <br />EXCESS LIAR <br />CWMS-MADE <br />DIED I I RETENTION E <br />E <br />WORKERS COMPENSATION <br />Er+ OTH- <br />STATUTE Eft <br />EO Deductible <br />AND EMPLOYERS UAINUTY YIN <br />E.L. EACH ACCIDENT <br />E 1,000,000 <br />B <br />ANY PROPRIETORIPARTNERIEY.ECUTIVE ❑ <br />NIA <br />9255171.2019 <br />06/05/2019 <br />06/06/2020 <br />1,000,000 <br />M OFFICEREMBER EXCLUDED? <br />(Mandatory In NH) <br />E.L. DISEASE - EA EMPLOYEE <br />E <br />If yes. daaalba user <br />1,000,000 <br />DESCRIPTION OF OPERATIONS b0ow <br />EL. DISEASE - POLICY OMIT <br />E <br />T 1,000,000/1,000.000 <br />Aggregate/Occurr <br />Social Service Professional Liability <br />A <br />Improper Sexual Conduct Liability <br />2019-09201 <br />12/21/2019 <br />12/21/2020 <br />E1,000,000/1,000,000 <br />Aggregate/Occum <br />EO Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks SCNdule, may W aii If moo apace Is rpuirW) <br />The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are included as Additional Insured per attached endorsement <br />CG2026. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by <br />this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds per attached <br />endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. <br />City of Santa Ana. Risk Management <br />20 Civic Center Plaza <br />4th Fl. yP12AII <br />Santa Ana L <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Hunt. resarved <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />