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A� ae CERTIFICATE OF LIABILITY INSURANCE
<br />o11 /30 20YS
<br />11/3o/z015
<br />' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />6ERTIFICATE 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 0ON7RACT 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 polloy(ies) must be endorsed. If SUBROGATION IS 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
<br />Comprehensive Insurance Services
<br />26429 Rancho Parkway South
<br />coNTACT Certificate Issuance Tasm
<br />NAME'
<br />PHONN Extl. (949)709 -8800 � x_(949)9094660
<br />AIC,
<br />a,MAIL : infoethecomprehansiveinaurance .eom
<br />DDRESS
<br />INSURER(S) AFFORDING COVERAGE_
<br />NAICC
<br />Suite 120
<br />INSURER A:NOn rofits Ins Alliance of CA
<br />Lake Forest CA 92630
<br />INSURED
<br />INSURER 0:
<br />8 1,000, 000
<br />Orange County Children's Therapeutic Arts Center
<br />INSURER C
<br />_
<br />INSURER D _
<br />t, 20,000
<br />2215 N. Broadway
<br />INSURER E:
<br />X
<br />INSURER F: i
<br />12/21/2015
<br />Santa Ana CA 92706
<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, NOTVNTHSTANDING 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 />_
<br />ILTR
<br />TYPE OF INSURANCE
<br />ADULSUSR
<br />POLICY NUMBER
<br />POLICY YYV
<br />PMAD�NVXY
<br />LIMITS
<br />A
<br />X
<br />COMMEROIALOENERAL LIABILITY
<br />7 CLAIMS -MADE O OCCUR
<br />EACH OCCURRENCE _
<br />8 1,000, 000
<br />AGE TO RENTED
<br />PREMISES,LEE2 ourrancel I
<br />cc
<br />S 500,000
<br />MED EXP M y one eman
<br />t, 20,000
<br />X
<br />2015- 09201 -NPO
<br />12/21/2015
<br />12/21/2016
<br />PERSONAL &ADV INJURY
<br />,$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GENT
<br />POLICY jECOT [7X] LOC
<br />OTHER:
<br />_
<br />,PRODUCTS_ COMPIOPAGG
<br />$ 2,000,0130
<br />SA Deductible
<br />AUTOMOBILE LIABILITY
<br />ED
<br />I INhmi) LE LIMIT
<br />Ea ecc
<br />S 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />A
<br />ANY AUTO
<br />..T ALL OR'NEO SCHEDULED
<br />AUTOS
<br />R HIRED AUTOS .X NON -OMED
<br />2015- tl92D1 -NPO
<br />12/21/2015
<br />12/21/2016
<br />-- a, . -.. -.
<br />e001LY INJURY (Per accident)
<br />'"- '.�LL�.... -...
<br />$
<br />PROPERTY E "'
<br />$'- S -"'-..._"—__.__.. -.
<br />$9 Daductlble
<br />UMRRELLALIAe
<br />OCCUR
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />_$_____
<br />I $
<br />EXCESS LIAR
<br />CLAIMS-MADE
<br />T
<br />DED I I RETENTION $
<br />Is
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANY OFFICERIMEMBER EXCLUDED ECUTIVE ;NIA
<br />PER H-
<br />ju
<br />_ STATUTE__ ER
<br />E.L EACH ACCIDENT
<br />$
<br />E.L DISEASE � EA EMPLOYEF
<br />$
<br />(Marmara, in Nil)
<br />(yes, dwells under
<br />DESCRIPTIONOFOPERATIONSbelow
<br />.._
<br />El. DISEASE - POLICY LIMIT
<br />-� -- — -- - -
<br />$
<br />•
<br />Social Sery Professional
<br />2015 - 09201 -NRO
<br />12/21/2015
<br />12121/20161
<br />$1,000,ODOAggl1,000,0000CC 00 Deductible
<br />•
<br />Improper Sexual Conduct
<br />2015- 09201 -1190
<br />12/21/2015
<br />12/21/2016
<br />$1,000.000Agg11.000,000 Be 01 $0 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schadula, may be atlechdd 11 more space Is rsqulrad)
<br />The City of Santa Ana, its officers, employees, agents, and representatives are included as Additional
<br />Insured per attached endorsement special city agreement. This insurance is primary and non - contributory.
<br />30 day notice of cancellation with 10 day notice of cancellation for non- paymant of premium per policy
<br />provision.
<br />City of Santa Ana (The)
<br />Finance & Management Services Agency
<br />20 Civic Center Plaza
<br />PO Box 1988 M -16
<br />Santa Ana, CA 92702
<br />SHDULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />Eynon /JLREMY
<br />TION. All rinhts reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />INS025(2014D1)
<br />
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