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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM4IDWYYY) <br />05121/2020 <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 />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 endomement(s), <br />PRODUCER <br />CONTACT Certificate Issuance Team <br />NAME. <br />Comprehensive Insurance Services <br />PHONE (949) 709-8800 ac Ne: (949) 709-1668 <br />26429 Rancho Parkway South <br />Aisremy@thecomprehensivelnsurance.com <br />pDURE3a. <br />Suite 120 <br />INSURERS AFFORDING COVERAGE <br />NAIC A <br />Lake Forest CA 92630 <br />o1SURERA: Slate Compensation Insurance Fund <br />35076 <br />INSURED <br />INSURER B <br />Orange County Children's Therapeutic Arts Center <br />INSURER C: <br />2215 N. Broadway / <br />INSURER 0: <br />INSURER E: <br />Santa Ana CA 92706 <br />INSURER F: <br />CERTIFICATE NUMBER: WC <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />MMIDONYYY <br />MMN)DIYYYPY <br />LIMITS <br />COMMERCIAL GENERALLIABILITY <br />EACH OCCURRENCE <br />S <br />NIW <br />PREMISES JFa cr,orm,A) <br />S <br />CLAIMS.6IADE OCCUR <br />S <br />NED EXP M one ersom <br />PERSONAL B ADV INJURY <br />S <br />GENL AGGREGATE LIMITAPPLIES PER: <br />POLICY ❑ ECT OLOC <br />GENERAL AGGREGATE <br />S <br />PRODUCTS - COMP/OPAGG <br />S <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT(EX accidepi) <br />$ <br />ANYADTO <br />BODILY INJURY pre, persml <br />S <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Peraccitlenl <br />S <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACHOCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESS LIAB <br />CLAIMS-1,A E <br />DED I I RETENTION S <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y <br />ANY PRGPRIETOMPARTNER/EXECUTIVE N <br />OFNCERIMEMSER EXCLUDED? <br />(Mandatary In NH) <br />N yes, deoddbe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />9255171-2020 <br />06105/2020 <br />06/052021 <br />PER OTH- <br />X TA TE ER <br />E.L. EACH ACCIDENT <br />t 1,000,000 <br />El DISEASE.EAEMPLOYEE <br />S 11000,000 <br />E.L. DISEASE -POLICY LIMIT <br />S 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1e1. Additional Remarks Schacule, may be attached If more apace Is required) / <br />The City of Santa Ana, Its officem�ployees, agents, and representatives. 30 day notice of cancellation with 10 day notice of Cancellation for non-payment <br />of premium per policy provision. REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />12020 <br />City of Santa Ana, Risk Management <br />Division <br />20 Civic Center Plaza 4M Ff. <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />All dnHra .vee....A <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />