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ACCIR& CERTIFICATE OF LIABILITY INSURANCE <br />1113/21/2016 <br />DATE(MM/DDIYYYY) <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 />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 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 endorsements . <br />PRODUCER <br />NAME: certificate Issuance Team <br />Comprehensive Insurance Services <br />PHONEI, (949) 709--8600 [A/X No}• (94 9) 709-1668 <br />26429 Rancho parkway South <br />E-MAIL thecomprehensiveinsurance.com <br />Suite 120 <br />INSURER{s)AFFORDING COVERAGE-,_._._.,.._.,...._.-........_ - NAIGC <br />_ d <br />Lake Forest CA 92630 <br />.----- -- -- _-_ <br />o f CA <br />INsuRERA:Nonprofits Ins Alliance of cCA 11845 <br />INSURED <br />--- ._. _ __-- <br />INSURER B: <br />Grandma's House of Hope <br />_ <br />INSURER C: <br />174 West Lincoln Avenue <br />lNSURERD: <br />#541 <br />_.._.....-------- <br />ME 1(Anyoneperson <br />_ <br />Anaheim CA 92805 <br />INSURER <br />COVERAGES CFRTIFICATF NI lMRFR•GL 09=11rQlAkt AEI IHAFMID <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 6ELOW 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 />igk <br />TYPE OF INSURANCE <br />ADDL <br />SUS <br />V- <br />POLICY NUMBER <br />POLICY EFF <br />M!D IY Y❑ <br />POLICY EXP <br />LIMITS <br />A. <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />EACH OCCURRENCE$ <br />E TO R <br />PREMI PREMISEUEaocENTED <br />1, 000,000 <br />500,000 <br />X <br />2016-27514-Npo <br />3/24/2016 <br />3/24/2017 <br />ME 1(Anyoneperson <br />$ 20,000 <br />PERSONAL & AAV INJURY <br />$ 1,000,000 <br />Gi AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JERCOT-LOC <br />_ <br />GENERAL AGOREGATE <br />$2,090,000 <br />PRODUCTS -COMPIOPAGG <br />_ <br />$ 2,090,009 <br />$0 Deductible <br />OTHER: <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1,000,()00 <br />BODILY INJURY (Per person) <br />$01 <br />A <br />X <br />ANY AUTO <br />ALLOWVEC SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />26a <br />-2751.4 -NPO <br />3/24/2016 <br />324/2017 <br />/ <br />BODILYINJURY(Perccident <br />_ 1 <br />PROPERTY bAMAGE -..-. _ �u <br />(Per_eccid-er1O_ _ <br />_ $ <br />- <br />$ <br />_ <br />$ <br />0 Deductible <br />UMBRELLA LIAR <br />OCCUR <br />- <br />EACH OCCURRENCE <br />$ <br />EXCESS i <br />CLAIMS -MADE <br />$ <br />DED RETENTION$ <br />_AGGREGATE <br />u <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORlPARTNERIEXECUTIVE <br />CFFICERIMEMBER EXCLUDED? <br />N 1 A <br />PER OTH- <br />STATUTE ER <br />$ <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYE <br />- <br />$ <br />(Mandatory In NH) <br />If yes, dnscrlhe under <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Social Sery Profea4ional <br />2016 -27514 -NPO <br />3/24/2016 <br />3/24/2017 <br />$2,000,000AGG11,000,00000C $0 Deductible <br />A <br />Improper SexuaL Conduct <br />2016-27514-Hp0 <br />3/24/2016 <br />3/24/2017 <br />$1,000,000AGG11,000,00000G $0 Deductible <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more 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 />CERTIFICATE HOLDER CANCFI I ATION <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 />