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<br />`� CERTIFICATE OF LIABILITY�I�1�N k, Y,
<br />, A rri9w6s/zoz2
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER OTHE E CERTIF L ATE OLQQDE�jR§§.����cc--���HE77I��S77
<br />CERTIFICT NOT IINSURAN
<br />AMEND, EXTEND ORACT
<br />ANOT
<br />BELOW. IS CERTIFICATE OFATEDOES IATIVELY NSURANCE CONSTITUTE A CONTTIVELY BALTERTWE N THE ISSUING NFFORD AER(S,' I-1iD12iZED'
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) nr
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an Andorsemsf� A e on r 1
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). I .L.J lq n0 / O0
<br />PRODUCER
<br />CONTACT Certificate Issuance TP'..n
<br />NAME:
<br />Comprehensive Insurance Services
<br />PHONE (949) 709-8800 (949) 709-1668
<br />C No E#: A/C No:
<br />26429 Rancho Parkway South
<br />ADDRESS: Jeremy@thecompmhensiveinsumnce.com
<br />Suite 120
<br />INSURERS AFFORDING COVERAGE
<br />NAIC4
<br />Lake Forest CA 92630
<br />INSURERA: Nonprofits Insurance Alliance of California
<br />10023
<br />INSURED
<br />INSURER B: Security National Insurance Co
<br />33120
<br />KldWofks Community Development Corporation
<br />INSURER C:
<br />1902 W. Chestnut Ave.
<br />INSURER D:
<br />NSURERE:
<br />Santa Ana CA 92703
<br />1 INSURERF:
<br />COVERAGES CERTIFICATE NUMBER: CL2167U5234 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 WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />D
<br />POLICY NUMBER
<br />MMaID/YYYY
<br />MMIDD/YYYY
<br />LIMITS
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ©OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000.000
<br />PREMISESEaexurence
<br />$ 500,000
<br />MED ENP (Any one rson)
<br />$ 20,000
<br />PERSONAL SADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />Y
<br />202145669
<br />07/01/2021
<br />07/01/2022
<br />GENL AGGREGATE LIMIT APPLIES PER:
<br />POLICY jECT N LOC
<br />GENERALAGGREGATE
<br />$ 3,000,000
<br />PRODUCTS-COMP/OPAGG
<br />$ 3,000,000
<br />$
<br />OTHER
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY(Perperson)
<br />$
<br />ANY AUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />2021-45659
<br />07/01/2021
<br />07/01/2022
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED NON -OWNED
<br />AIJTOSONLY AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />8
<br />UMBRELLALMB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />A
<br />EXCESS LIne
<br />CLAIMS -MADE
<br />2021-45659-UMB
<br />07/01/2021
<br />07/01/2022
<br />DEG_
<br />RETENTION $ 10000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />ANDEMPLOYER5LIABILITY YIN
<br />ANY PROPRIETORIPARTNEWEXECUTIVE E
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />SNP1374003
<br />02/01/2022
<br />02/01/2023
<br />v PER OTH-
<br />/� STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />Social Service Professional Liability
<br />Improper Sexual Conduct Liability
<br />2021-45659
<br />07/0112021
<br />07/01/2022
<br />$1,000,00011,000,000
<br />$3,000,000/1,000,000
<br />Aggregate/Occurr.
<br />A re ate/Occurr.
<br />99 9
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />City of Santa Ana its officers, officials, employees and volunteers are incldued as Additional Insured automatically per written contract or agreement per
<br />attached endorsement CG2026 and CG 2037. 30 day notice of cancellation with 10 day notice of Cancellation for non-payment of premium per policy
<br />provision. Such insurance as is afforded by this policy is primary and is not additional to or Contributing with any other insurance carded by or for the benefit
<br />of the additional Insureds per attached endorsement NIAC E61. Waiver of Subrogation applies per attached endorsement NIAC E26.
<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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92701 w RIAMmagenadDMdwt
<br />REVIEWED 6 APPROVED BY:
<br />©1988-2015 ACOF 9i, l'Irycpp? A,,P AICV44
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD®' Risk Management specialist
<br />
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