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CERTIFICATE OF LIABILITY INSURANCE BATEIMM/2015Y) <br />s/zz/ols <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(lesj must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certaln pollcles may require an endorsement. A statement on this certificate does not Confer rights to the <br />PRODUCER <br />Comprehensive insurance Services <br />2fi929 Rancho Parkway South <br />Suite 120 <br />Lake Forest CA 92630 <br />NAME; <br />PHONEfgQ9) 7O9 -BBDO PAX <br />No; (949)909-1669 <br />AIL <br />ADDRESS:in£o@thecomprehensivainsurance.com <br />INSURERS AFFORDING COVERAGE <br />NAICH <br />INSURERA:State Compensation Insurance Fund <br />35076 <br />INSURED <br />Grandma's House Of Hope <br />174 West Lincoln Avenue <br />$541 <br />Anaheim CA 92805 <br />INSURER B: <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />EACH OCCURRENCE $ <br />INSURER r•: <br />MED EXP Any one person $ <br />COVERAGES CFRTIFICATF NI IMRFR•WC ocammnKi em mm000. <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, NOTWTHSTANDING 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 />INSR <br />LTR <br />TYPE OF INSURANCEADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />DD <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />EACH OCCURRENCE $ <br />A <br />PREMISES Eeocegrcen0e $ <br />MED EXP Any one person $ <br />PERSONAL &ADV INJURY $ <br />OEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JEO ❑ LDC <br />GENERAL AGGREGATE $ <br />PRODUCTS - CDMP/OP AGG $ <br />$ <br />OTHER', <br />AUTOMOBILE <br />LIABILITY <br />COMB NED WOLE LIMIT$ <br />Ee eccldenl <br />BODILY INJURY (Per peeon) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accitlenl $ <br />( ) <br />_ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ "' <br />1pe4 r eocidenl <br />UMBRELLA LIAR <br />Li <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAS <br />CLAIMS -MADE <br />AGGREGATE $ <br />PED RETENTION $ <br />$ <br />A <br />WORKERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />Mandatory In NH MBEREXCLUDED? ❑ <br />( story ) <br />If Keadescribe under <br />OF OPERATIONS below <br />NIA <br />9028555-15 <br />6 1 2015 <br />/ / <br />6/1/2016 <br />�. PER OTry. <br />TATUTE ER <br />E.L. EACH ACC IDENT__ $ 1,000,000 <br />__ <br />E.L. DISEASE. EA EMPLOYE $ 1,000,000 <br />EL DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS J LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more apace 19 rogUlmd) <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />Jeremy Eynon/JEREMY <br />0 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INIfi09A romem � <br />