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A"R" CERTIFICATE OF LIABILITY INSURANCE D8/74 /2C115Yi
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON I 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 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 Specializing in Insurance for Nonprofits CONTACT
<br />NAME Certificate Issuance Team
<br />IAICNWO. Ext1. . ........ (A /C,,.No): (949)709-1668':
<br />Comprehensive Insurance Services (949)7079 -8800
<br />26429 Rancho Parkway South E-MAess: info @thecomprehensiveinsurance.com
<br />- -- ...... .
<br />Suite 120 INSURER(S) AFFORDING COVERAGE NA1C 0
<br />Lake Forest CA 92630 INSURERA:Nonprofits Ins Alliance of CA
<br />_ ... ........ ......... ....
<br />INSURED ....... ..............__ ._........._
<br />INSURER. B
<br />INSURER C
<br />America On Track INSURER 1)
<br />- -- -- _._
<br />PO Box 4141
<br />INSURER E:
<br />Tustin CA 92781 -4141 INSURER F:
<br />t:'nVFRAii C:FRTIFIr`.ATF MIIIMPIFli /Auto /ISC czFViclnnl ntilKARl i
<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, 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 />INSR ....... _ -_ -� �SUBR ...POLICYEFF POLICY EXP
<br />ADDL POLICY NUMBER MM /DDdYYYY IMMIDDIYYYY. ....... LIMITS
<br />LTR TYPE OF INSURANCE f
<br />X COMMERCIAL GENERAL LIABILITY
<br />1
<br />Santa Ana, CA 92701
<br />EACH OCCURRENCE
<br />11000,000
<br />A CLAIMS -MADE X I OCCUR
<br />11
<br />,`..$......._._
<br />I DAMAGE TO TENTED
<br />I PREMISES CEEB 9CCLIfC2F1�E)
<br />'� 500,000
<br />X
<br />1
<br />2015 - 06180 -NPO 9/1/2015 9/1/2016 MED EXP (Any one person)
<br />$ 20,000
<br />GENERAL
<br />$ 1,000,000
<br />i GEN'L AGGREGATE LIMIT APPLIES PER
<br />AGGREGATERY
<br />$ 2,000,000..
<br />POLICY PICT'... LOG
<br />-
<br />" PRODUCTS - COMPIOPAGO
<br />$ 2,000,000
<br />OTHER
<br />$0 Deductible
<br />$
<br />AUTOMOBILE LIABILITY
<br />...
<br />COMBINED SINGLE LIMIT 1 (a accids $.. 1,000,000
<br />A X... ANY AUTO
<br />BODILY INJURY (Per person) $
<br />......
<br />LOtiAIN•••••E.D SCHEDULED
<br />ALL
<br />A T45
<br />.... ... AUTOS
<br />12015- 06180 -NPO 9/1/201 5
<br />.. _..._._.
<br />BODILY INJURY Pidenti . $
<br />9/1/2016 (Per accident)
<br />(
<br />NON'. -OWNED
<br />.......... HIRED AUTOS ............ AUTOS
<br />-.. —.
<br />PROPERTY D
<br />. (Per aocudent)'AM'AGE $
<br />j i
<br />r $0 Deductible $
<br />UMBRELLA LIAR _ OCCUR
<br />1 EACH OCCURRENCE $
<br />EXCESS LIAR CLAIMS-MADE
<br />AGGREGATE
<br />DIED s RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />IPER OTH-
<br />AND EMPLOYERS' LIABILITY YIN
<br />1
<br />__ 1 STATUTE J i ER
<br />ANY PROPRIETORIPARTNERiEXECUTIVE
<br />1 EL EACH ACCIDENT $
<br />OFFICER /MEMBER EXCLUDED? � I N I A
<br />,,, -. ..,,
<br />(Mandatory m Ni
<br />E L DISEASE EA EMPLOYEE 5
<br />f es describe under
<br />... ..... ,. _ -_ ..
<br />1
<br />:DESCRIPTION OF OPERATIONS below
<br />i E.L. DISEASE POLICY LIMIT I $
<br />A. Improper Sexual Conduct
<br />lI 2015 - 06180 -NPO 9/1/2.015 1i 9/1/2016 $1,,000,00DAggd1,000.,OiDi0 $0 Deductible
<br />A Social Se:ry Professional
<br />I
<br />2015 - 0 618 0 -NPO 9/1/2015 9/1/2016 $2,000,00011,000,0001Occ $0 Deductible
<br />j
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may be attached it more space is required)
<br />City of Santa Ana, its officers, employees, agent's and representatives are included as Additional Insured
<br />per attached agreement. 30 day notice of cancellation with 10 day notice of cancellation for non - payment
<br />of premium per policy provision,
<br />rFRTIFbr:ATF Hi r'IFR CAhli I ATIr)KI
<br />@ 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered !marks of ACORD
<br />INS025 (201401)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />Richard Eynon/JEREMY
<br />@ 1988 -2014 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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