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Ate'© CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDDIYYYY)
<br /> l� 06l1612025
<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 INSUREII 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 CONTACT Certificate Issuance Team
<br /> NAME:
<br /> Comprehensive Insurance Services PAHrD NN Ext. (949)709-8800 AIC,No
<br /> 26429 Rancho Parkway South E-MAIL
<br /> ADDRESS: Jeremy@thecomprehenslveinsurance.com
<br /> Suite 120 INSURER(S)AFFORDING COVERAGE NAIC N
<br /> Lake Forest CA 92630 INSURER A: Nonprofits Insurance Alliance of California 10023
<br /> INSURED INSURER B: State Compensation Insurance Fund 35076
<br /> Orange County Children's Therapeutic Arts Center INSURER C:
<br /> 2215 N,Broadway INSURER D:
<br /> INSURER E:
<br /> Santa Ana CA 92708 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: All REVISION NUMBER:
<br /> THIS IS TO CERTIFY THATTHE 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 AIJL1L1ZiLR3K POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDNYYY MMIDDrrM LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR RENTED 500,000
<br /> PREMISES Ea occurrence $
<br /> ME EXP(Any one person) $ 20.000
<br /> A Y Y 2024-09201 12/2112024 12/2112025 PERSONAL&ADVINJURY $ 1.000.000
<br /> GEN'LAGGREGATELIMITAPPLIESPER: I GENERAL AGGREGATE $ 3,000,000
<br /> ECT POLICY ❑ PRO ® LOC PRODUCTS-COMPIDPAGG $ 3.000.000
<br /> OTHER: $0 Deductible
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y Y 2024-09201 12/2112024 1212112025 BODILY INJURY(Per accident) 5
<br /> AUTOS ONLY AUTOS
<br /> X HIRED �/ NON-OWNED PRCPERTY DAMAGE $
<br /> AUTOS ONLY X AUTOS ONLY Per accident
<br /> $0 Deductible $
<br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> A EXCESS LIAB CLAIMS-MADE 2024-09201-UMB 12/21/2024 12/2112025 AGGREGATE
<br /> $ 1,000,000
<br /> DED RETENTION$ 10000 $
<br /> WORKERS COMPENSATION X STATUTE OTTH $0 Deductible
<br /> AND EMPLOYERS'LIABTLITYER
<br /> ANY PRO PRIETORRARTNEWEXECUTIVE YIN 1,000,000
<br /> B OFFICERIMEMBER EXCLUDED? N/A' Y 9255171-25 06105/2025 06/0512026 E.L.EACH ACCIDENT $
<br /> (Mandatory In NH) E.L DISEASE-FA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $
<br /> $1,000,00011,000,000 AggregatelOccurr
<br /> Social Service Professional Liability
<br /> A Improper Sexual Conduct Liability 2024-09201 12/21/2024 12/21/2025 $3,000.000/1,000.000 AggregatelOccurr
<br /> $0 Deductible
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if 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&NIAC E131 &
<br /> NIAC Al. 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
<br /> this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of The City of Santa Ana,Its officers,
<br /> officials,employees,and volunteers per attached endorsement NIAC El 30 day notice of cancellation with 10 day notice of cancellation for non-payment
<br /> of premium per policy provision. See attached forms list. Waiver of Subrogation applies per attached endorsement NIAC E26,CA 0444&10217. 30 day
<br /> notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision,
<br /> n'igilany sgned
<br /> Tu Tra n M1 9uve ran
<br /> APPROVED
<br /> I=rrCERTIFICATE HOLDER CANCELL.ATIO _ q 1q 14-' By Tu Tran Nguyen at 3:38 pm,Jul 03,2025
<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-Attn:Executive Director ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Community Development Agency
<br /> 20 Civic Center Plaza,M-25 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 �:.
<br /> c01988.2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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