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1`. 1 ] CERTIFICATE OF LIABILITY INSURANCE
<br />`'—""`�
<br />DATE IMMIDO/Y5
<br />3/18/2015
<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 pollcy(les) 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 />,Suite 120
<br />Lake Forest CA 92630
<br />CONTACT
<br />AME:
<br />PHONE (4q g)709-8800 PAX o: (90.9)709-1668
<br />sop lLlls, inPa@thpoampr®hensiveineurance. Good.
<br />INSURII AFFORDING COVERAGE NAICB
<br />INSURER A:Non rofits Insurance Alliance 11845
<br />INSURED
<br />INSURERS:
<br />Grandma's House of Hope
<br />INSURERC;
<br />174 West Lincoln AvenueINa-RERO:
<br />EACH OCCURRENCE $ 1,000,000
<br />_ffAMA
<br />#541
<br />_
<br />INSU RER E;
<br />Anaheim CA 92805
<br />INSURER P:
<br />COVERAGES CERTIFICATE NUMBER:GL/Auto REVISION NI IMRPR-
<br />THIS IS 1'0 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSH
<br />TYPE OF INSURANCE
<br />BR
<br />POLICYNUMSER
<br />POLICY EFF
<br />ID VYY)
<br />POLICY EXP
<br />agLaQ=
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />_ffAMA
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ril OCCUR
<br />X
<br />2015 -27514 -NPO
<br />/24/2015
<br />/24/2016
<br />ET ft
<br />PREMS Ea occurrence $ 500,000
<br />MEQ EXP LAny ono arson $ 20,000
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />No Deducithle
<br />GENERAL AGGREGATE $ 2,000,000
<br />GENT. AGGREGATE
<br />17 POLICY
<br />LIMIT APPLIES PER;
<br />F7 PRO- T LOC
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />$
<br />CflEO eocideOtaINGL LIMIT111 1 000 000
<br />AANY
<br />NOMOBILELIADILITY
<br />AUTO
<br />AUT SCHEDUTOSULED
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />015 -27514 -NPO
<br />3/24/2015
<br />/24/2016
<br />LOU ILY I NJURY(Per person) $
<br />BODILY INJURY (Par accident) $
<br />PROPERTY DAMAGE
<br />Per accident
<br />No Deductible $
<br />UMBRELLALIAB
<br />OCCUR
<br />EACII OCCURRENCE $
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE $
<br />DEO I I RETENTION$
<br />$
<br />WORKERS COMPENSATION
<br />I WCTATU- OTH-
<br />AND EMPLOYERS' LIABILITY Y/N
<br />ANY PROPRIETORMARTNERIEXECUTIVE
<br />OFFICERIMEMBF.R EXCLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />NIA
<br />RL EACH ACCIDENT $
<br />E.L. DISEASE - EA EMPLOYE $
<br />E.L. DISEASE - POLICYLIMIT $
<br />DESCRIPTION OF OPERATIONS belay
<br />A
<br />Social Sery Professional
<br />015 -27514 -NPO
<br />/24/2015
<br />/24/2016
<br />$2,000,OCOAGGII,ODO,O000CC No Deductible
<br />A
<br />Improper Sexual Conduct
<br />015 -27514 -NPO
<br />/24/2015
<br />/24/2016
<br />$1,000,000AGGI1,000,00000C No Deductible
<br />DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (Attach ACORG 101, Additional Remarks Schedule, If mare space Is required)
<br />The City of Santa Ana, its officers, employees, agents and representatives are included as Additional
<br />Insured per attached Special Additional Insured Agreement
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORD 25 (2 D1 0105)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Eynon/JEREMY
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