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`°� °� CERTIFICATE OF LIABILITY INSURANCE 6/30/2015 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, 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 CONTACT NAME: PHONE (949)709 -8600 FAX, (969)'109 -1668 AIC Nol: Comprehensive Insurance BBTVICE!a 26429 Rancho Parkway South _ E-MAIL ADDRESS: corn Suite 120 INSURERS AFFORDING COVERAGE NAIL# INSURER A:Non rofits Insurance Alliance 11845 Lake Forest CA 92630 INSURED INSURER B X COMMERCIAL GENERAL LIABILITY INSURER C America On Track INSURER D: PREMISES Ee cccurence PO BOX 4141 INSURER E: CLAIMS -MADE 1XI OCCUR Tustin CA 92781 -4141 INSDRER F: 014- 06180 -NPO COVERAGES CERTIFICATE NUMBER:GL /Auto /ISC 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, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF (MMIDDNYYYI POLICY EXP fMMIDONYYYI LIMITS GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ee cccurence $ 500,000 A CLAIMS -MADE 1XI OCCUR X 014- 06180 -NPO 9/1/2014 9/1/2015 MED EXP (Any one person) $ 20,000 PERSONAL &ADV INJURY $ 1,000,000 No Deductible GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $ 2,000,000 POLICY P". X LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 A X ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY ALL OWNED SCHEDULED 014- 06180 -NPO 9/1/2014 9/1/2015 AUTOS AUTOS Per accident $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Peraccitleol $ No Lisiblifity Deductible $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS' LIABILITY YIN I ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICERIMEMBER EXCLUDED? F7 NIA E. L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, deschbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Improper Sexual Conduct 014- 06180 -NPO 9/l/2014 9/1/2015 $2,000,00011,000,000Ea Ccc $0 Deductible A Social Sery Professional 014- 06180 -NPO 9/1/2014 9/1/2015 $1,000,000A9911,00Q000Ea CI $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schatlule, If more space Is required) City of Santa Ana, its officers, employees, agents and representatives are included as Additional Insured per attached agreement. 30 day notice of cancellation with 10 day notice of cancellation for non - payment of premium per policy provision. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) INS025 (201005).01 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 Richard Eynon /JEREMY ACORD 25 (2010105) INS025 (201005).01 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD