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ABRD® ! Lambert CERTIFICATE OF LIABILI TY INSURANd"E amb,�,t�;�;,;:'�/.�!•' I
<br />/ Dlgltally signed by Samantha ;, Samantha M. DATE {MM/DDNYYY)
<br />05/09/2022
<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 certificat e holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy1 certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER �2�1�vT Certificate Issuance Team
<br />Comprehensive Insurance Services I rtiRN9o E x t l: (94 9) 709�8800 J fffc No!: (949) 709-1668
<br />26429 Rancho Parkway South iDMtJ�ss: jeremy@thecomprehenslvelnsurance.com
<br />Suite 120 INSURER(S) AFFORDING COVERAGE NAIC# Lake Forest CA 92630 INSURER A: Nonprofits Insurance Alliance of California 10023 INSURED INSURER B: State Compensation Insurance Fund 35076
<br />Orange County Children's Therapeutic Arts Center INSURER C: 2215 N, Broadway INSURER D: INSURER E: Santa Ana CA 92706 INSURER F:
<br />COVERAGES CERTIFICATE NUMBER· All REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO TWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CO NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INtiR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER I !��hli1YWv1 I r�2TJi�\r, LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 � D CLAIMS-MADE [81 OCCUR 1 PREMisiJYE����r;encel 500,000 $ �
<br />� MED EXP(Anu one person) $ 20,000
<br />A y 2021-09201 12/21/2021 12/21/2022 PERSONAL & ADV INJURY $ 1,000,000 � 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ R POLICY O �f8T [81 LOC PRODUCTS • COMP/OP AGG $ 2,000,000 OTHER: $0 Deductible I AUTOMOBILE LIABILITY li���t��llNGLE LIMIT I 1,000,000 -ANY AUTO BODILY INJURY (Per person) $ -OWNED -SCHEDULED 2021-09201 12/21/2021 12/21/2022 A BODILY INJURY (Per accident) $ -AUTOS ONLY 2$ AUTOS HIRED NON-OWNED rp��:b=J�8AMAGE $ AUTOS ONLY AUTOS ONLY $0 Deductible $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION XI ;ft\urE I I OTH-$0 Deductible AND EMPLOYERS' LIABILITY ER YIN I 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE 0 NIA 9255171-22 06/05/2021 06/05/2023 E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000
<br />lfyas, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ 1,000,000
<br />Social Service Professional Uablllty $1,000,000/1,000,000 Aggregate/Occurr
<br />Improper Sexual Conduct Liability 2021-09201 12/21/2021 12/21/2022 $1,000,000/1,000,000 Aggregate/Occurr
<br />$0 Deductible DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addition al Remarks Schedule, may be atlachacl lf more space Is required)
<br />The City of Santa Ana, Its officers, officials, employees, and volunteers are included as Additional Insured per attached endorsement 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 this poltcy Is primary and is not addi!lonal to or contributing with any other Insurance carried by or for the benefit of The City of Santa Ana, Its officers, officials, employees, and volunteers per attached endorsement NIAC E61. 30 day notice of cancellat!on with 10 day notice of cancellation for non-payment of premium per policy provision. See attached forms list.
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />Risk Management DMslon
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />CANCELLATI ON
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLI THE EXPIRATION DATE THEREOF, NOTICE WILL ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />.,.,.._,._ REVIEWEO&/'i'PROV8JB'r.
<br />��
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />EXHIBIT 1
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