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ACORO CERTIFICATE OF LIABILITY INSURANCE EX
<br />M DDIYYYY)
<br />05/15/2024
<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 />PHC N (949) 709-6600 uc No:
<br />E-MAIL erem
<br />ADOItEss: 1 Y@thecomprehensiveinsurance.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC C
<br />INSURERA: Nonprofits Insurance Alliance of California
<br />10023
<br />INSURED
<br />INSURERS: State Compensation Insurance Fund
<br />35076
<br />Orange County Children's Therapeutic Arts Center
<br />INSURER C;
<br />2215 N, Broadway
<br />INSURER D;
<br />INSURER E:
<br />Santa Ana CA 92706
<br />INSURER F:
<br />COVERAGES CERTIFICATF NIIMRFR• All -
<br />THIS 15 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 MAY BE 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 />ADUK
<br />INGO
<br />5usp
<br />YWD
<br />POUCYNUMBER
<br />POLICYEFF
<br />MMIDD
<br />POLICY UP
<br />MMIDDAfffI'1
<br />LIMITS
<br />COMMERCIALGENERALLIABILITY
<br />EACH OCCURRENCE
<br />$ 1.000,000
<br />PREMISES fee omurrencol
<br />500,000
<br />CLAIMSMADE I �l OCCUR
<br />MED UP(Anyone person)
<br />$ 20,000
<br />PERSONAL$ ADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />Y
<br />2023-09201
<br />12/2V2023
<br />12/21/2024
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERAI-AGGREGATE
<br />$ 31000,000
<br />❑ PRO- FX
<br />PRODUCTS
<br />$ 3.000,000
<br />POLICY JECT LOC
<br />OTHER:
<br />$0 Deductible
<br />g
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea acrident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />2023-09201
<br />12/21/2023
<br />12/21/2024
<br />BODILY INJURY Per accldenn
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PmidYDAMAGE
<br />Peerr accitlen[
<br />$
<br />$0 DeducUble
<br />$
<br />UMBRELLA UAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1.000,000
<br />AGGREGATE
<br />$ 1.000,000
<br />A
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />2023-09201
<br />12/21/2023
<br />12/21/2024
<br />DED
<br />I I RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />PER TH-
<br />O
<br />$0 DeducflbG
<br />AND EMPLOYERS'LIABILITY YIN
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />B
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE F-WI
<br />OFFICERM,EMSER EXCLUDED?
<br />NIA
<br />9255171-24
<br />06/05/2024
<br />06/05/2025
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(MAndetmy In NN)
<br />If yee, descHbe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS W.
<br />Social Service Professional Liability
<br />$1,000,000/1,000,000
<br />Aggregate/Occurr
<br />A
<br />Improper Sexual Conduct Liability
<br />2023-09201
<br />12/21/2023
<br />12/21/2024
<br />$3,000,000/1,000,000
<br />Aggregate/Occurs
<br />$0 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Adtlitional Remark; Schedule, may be attached if more Apace 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
<br />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 primary and
<br />is not additional to or contributing with any other insurance Carried by or for the benefit of The City of Santa Ana, its officers, officials, employees, and
<br />volunteers per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy
<br />provision. See attached forms list. Waiver of Subrogation applies per attached endorsement NIAC E26.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana
<br />CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTIr.P evil I RP npj tMFRFn IN
<br />ACCORDANCE WITH THE POLICY PROI
<br />AUTHORIZED REPRESENTATIVE
<br />REVI�WED6 APPROVm 8Y:
<br />A-. g Aco,44
<br />Rak Management Specialist
<br />@ 1988.20'
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks ofACORD
<br />
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