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.ACORN® CERTIFICATE OF LIABILITY INSURANCE <br />lk.. 1 <br />DnrecMMmOmm <br />112/1 B(201B <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 />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />Suite 120 <br />Lake Forest CA 92630 <br />CONTACT Certificate Issuance Team <br />NAME: <br />�^ <br />PHONE (949) 709.6800 I�et: (949) 709-/668 <br />ADDRESS: leremy@thecomprehenslvetnsurance.com <br />INSURER G AFFORDING COVERAGE <br />all <br />_ <br />INSURER A: Nonprofit$ Insurance Alliance of California <br />10023 <br />INSURED <br />Orange County Chlldren's Therapeutic Arts Center <br />2216 N. Broadway <br />Santa Ana CA 92706 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E <br />1 INSURER F; <br />COVERAGES CERTIFICATE NUMBER: CLIS121803754 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 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 />ILTR <br />TYPE OF INSURANCE <br />I o <br />POUCYNUMa9R <br />MMAn)YEFF <br />MOWLDIC EXP <br />LIMITS <br />1(' <br />COMMERCIAL GENEFlAL LIABILITY <br />EACH OCCURRENCE <br />$ l,OD0,000 <br />OlAIM3-MADE ® OCCUR <br />PREMISES Ea 0eononce <br />$ 500,000 <br />Men EXP An one been <br />$ 20,110 <br />PERSONAL&ADVINJURY <br />$ 1,000,000 <br />A <br />Y <br />2018-09201 <br />12/21/2018 <br />12/21/2019 <br />LIMIT APPLIES PER <br />GENEHALAGGREGATE <br />$ 2,000,00D <br />GEN'LAGGREGATE <br />POLICY ❑ jECT ®IAC <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />$0 Deductible <br />$ <br />OTHER. <br />AUTOMOBILE LIABILITY <br />CEOMBBINEDiSINGLE LIMIT <br />$ 1,000.000 <br />BODILY INJURY (Per parson) <br />$ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTO, <br />HIRED NON -OWNED <br />x AUTO, ONLY x AUTOS ONLY <br />2018-09201 <br />12/21/2018 <br />12/21l2019 <br />aOUILY IN JURY IFereebreere <br />$ <br />PROPERTY DAMAGE <br />PeraccltlbM <br />$ <br />$0 Deductible <br />$ <br />UMBRELLA IJAB <br />OCCUR <br />EACH OCCURRENCE <br />% <br />AGGGATERE <br />5 <br />EXCES$LIAB <br />CLAIMS -MADE <br />DEC I I RETENTION $ <br />5 <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY Y/N <br />PTATU E EFH <br />ANY PROPRIETORIPARTNSNEXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />IMandetcryln NH) <br />N/A <br />E.L. EACHACCIDENT <br />& <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />t yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />$1,000,000/1,000,ODO <br />Aggregate/Occurr <br />A <br />Social Service Professional Liability <br />Improper Sexual Conduct Liability <br />20IM9201 <br />12/21/2018 <br />12/21/2019 <br />$1,000,000/1.000,000 <br />AggregatelOccurr <br />$0 Deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES LACORD 101, Additional aemerks Schedule, may he Mhohed It mare spade Ib squired) <br />The City of Same Ana, its offices, employees, agents, and representatives are Included as Additional Insured per attached endorsement CG2026. With <br />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 this policy Is <br />primary and Is not additional to or Contributing with any other insurance carried by or for the benefit of the additional Insureds per attached endorsement <br />NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium pet policy provision. <br />nflV1 <br />V <br />CERTIFICATE HOLDER CANCELLATION V 1 It-0 <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 />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />✓�'„ <br />/ <br />@ 1958.2015 ACORD CORPORATION. All rights reserved. <br />J <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />