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,AC CERTIFICATE
<br />EpTIFI4ATE LIABILITY INSURANCE DATE (MMIDDIYYYY)
<br />11/30/2015
<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 be endorsed. If SUBROGATIONIS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this, certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER ....CONTACT Certificate Issuance Team
<br />NAME.
<br />Comprehensive insurance Services PHONE Ext): (949) 7079-8800 FAIL, No):(949)709 1669
<br />(AI26429 Rancher Parkway South EMAIL
<br />ADDRESS: infoCthecomprehensiveinsurance.com
<br />Suite 120 INSURER(S) AFFORDING COVERAGE NAIC #
<br />Lake Forest. CA. 92630 INSURER A:Nonprofits Ins Alliance of CA
<br />INSURED
<br />INSURER S
<br />Orange County Children's Therapeutic Arts Center INSURER C:
<br />2215 N. Broadway ...L NSURER D..— ........ ....... ___. _., .. _... _.
<br />Santa Ana CA 92706 ! INSURER F:
<br />COVERAGES CERTIFICATE NUMBER:GL/Auto/Prof/ ISC 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, TERNS 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
<br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSION'S AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED BY PARD CLAIMS.
<br />_
<br />IR ADDL SPOLICY
<br />....POLICY
<br />_. _
<br />LTT'Y'PE OF INSURANCE NUMBER
<br />LTR VD
<br />MM DD YYY LIMITS
<br />MMIDDYYYY.._ Y
<br />,X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />A CLAIMS -ADE ',.. X '. OCCUR
<br />DAMAGE TO E REN'T'ED 500,.000
<br />PEt.'�Iv115E5.[Ea occurrence) $
<br />X 2015 -09201 -NPC
<br />12/21./2015 12/21/201.6 MED EXP' (Any one person) $ 20,000
<br />'.. PER SONAL.$.ADV INJURY $ 1,000,000
<br />G..ENT AGGREGATE 1.IMI-I APPLIES PER ',.. ''.
<br />_..
<br />' GENERAL AGGREGATE $ 2,000,000
<br />POLICY.. PRO- X... LOC
<br />JECT
<br />PRODUCTS - COMPIOPAGG $ ..... 2,000,000
<br />'..... OTHER-
<br />$0 Deductible $
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />(Ea accident)
<br />ANY AUTO
<br />BODILY INJURY IPer Person} $
<br />A _....
<br />_
<br />ALL OWNED SCHEDULED 2015 -09201 -NPC)
<br />AUTOSAUTOS
<br />12/21./2.015 12/21./2016 BODILY INJURY (Per accident) $
<br />X.. NON -OWNED
<br />X
<br />PROPERTY DAMAGE $
<br />HIRED AUTOS ... AUTOS
<br />(Per.; accuderl)........ ........ ........
<br />$0 Deductible $
<br />UMBRELLA LIAB '.�..... OCCUR '..,
<br />EACH OCCURRENCE $ _
<br />',. EXCESS LIAB ,. .. CLAIMS -MACE..
<br />AGGREGATE $
<br />DEC '... RETENTION
<br />WORKERS COMPENSATION '...
<br />PER OTH-
<br />AND EMPLOYERS' LIABILITYY I N
<br />... STATUTE ER
<br />ANY PROPRIETORIPARTNEWEXECUTIVE '..
<br />E L EACH ACCIDENT $
<br />OFFICEWMEMBER EXCLUDED7 'NIA
<br />(Mandatory in NH)
<br />'.... E.L. DISEASE - EA EMPLOYEE.; $
<br />It yes.. describe under,, ',..
<br />.. _ ...... ._...
<br />DESCkIP1'ION OF GPERATIONS below
<br />E:. L. DISEASE - POLICY' LIMIT
<br />A Social Sery Professional '... 201,5 -09201 -NPO
<br />12/21/2015 1..2/21/2..016 $1,000,000Aggll000,000OCC $0 Deductible
<br />A '' Improper Sexual Conduct '.. 1 2015--09201-NPO
<br />'.12/21/2015 12/21./201.6 $r,000,000Agg11,000,000EaC1 $0 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks. Schedule, may be attached if mor, space Is required)
<br />The City of Santa Ana, its officers, employees, agents,
<br />and representatives are included as Additional
<br />Insured per attached endorsement special city agreement.
<br />This insurance is primary and non-contributory..
<br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium er policy
<br />provision.
<br />fi
<br />CERTIFICATE HOLDER
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana (The) THE EXPIRATION BATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Finance & Management Services Agency ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />P€) Box 1998 M-16 AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />Richard Tynan/,JZRh,MY
<br />0)1988-20'14 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and..,; logo are registered marks of ACORD
<br />INS025 (201401)
<br />
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