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GRANDMA'S HOUSE OF HOPE (6) - 2015
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GRANDMA'S HOUSE OF HOPE (6) - 2015
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Last modified
5/26/2016 4:52:05 PM
Creation date
9/21/2015 10:35:48 AM
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Contracts
Company Name
GRANDMA'S HOUSE OF HOPE
Contract #
A-2015-060-02
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/21/2015
Expiration Date
6/30/2016
Insurance Exp Date
3/24/2017
Destruction Year
2021
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AC"Rff CERTIFICATE OF LIABILITY INSURANCEFDATE(MMIDDIYYYYJ <br />�--� <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 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 <br />CONTACT <br />NAME: <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />Suite 120 <br />Lake Forest CA 92630 <br />PHONE (949)709-8800 FL -LAC o;(9A9)709-1668 <br />EDpAIL info@thecomprehensiveinsurance.00m <br />INSURERS AFFORDING COVERAGENAIL# <br />INSURER A:Non rofits Insurance Alliance 11845 <br />INSURED <br />INSURER B <br />Grandma's House of Hope <br />INSURERC; <br />174 West Lincoln Avenue <br />INSURERD: <br />#541 <br />INSURER E; <br />Anaheim CA 92805 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:GL/Auto REVISION NIUMRFR- <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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />1�7R <br />TYPE OF INSURANCE <br />ADDL <br />BR <br />POLICY NUMBER <br />MM OIDY YYY <br />MMIDDI EXP <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITYAMA <br />CLAIMS -MADE FX OCCUR <br />X <br />015 -27514 -NPO <br />/24/2015 <br />/24/2016 <br />E TO R ENT <br />PREMISES Ea occurrence $ 500,000 <br />MED EXP JAny one person) $ 20,000 <br />PERSONAL &ADV INJURY S 1, 000, 000 <br />No Deducithle <br />GENERAL AGGREGATE $ 2, 000, 000 <br />GEN'L AGGREGATE LIMIT APPLES PER: <br />PRODUCTS - COMPIOP AGG $ 2,000,000 <br />PRO- X LOC <br />POLICY E <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED LIMIT 1,000,000 <br />A <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />015 -27514 -NPO <br />/24/2015 <br />/24/2016 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY Par accident $ <br />( ) <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accidenf - <br />No Deductible $ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DFD RETENTION $ <br />$ <br />WORKERS COMPENSATIONWC <br />STATU- p7H- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? El <br />NIA <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mandatary In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT $ <br />DFSCRIPTION OF OPERATIONS below <br />A <br />Social Sery Professional <br />015-27514-NPO/24/2015 <br />/24/2016 <br />$2,000,000AGG/1,000,000OCC No Deductible <br />A <br />Improper Sexual Conduct <br />015 -27514 -NPO <br />/24/2015 <br />/24/2016 <br />$1,000,000AGG11,000,00000C No Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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 />lei <br />CERTIFICATE <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />AUUKU lb ('LUT UIUb) <br />IN Cf19A tuna nng} ni <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 � <br />O 1988-2010 ACORD CORPORATION. All rights reserved. <br />71 - A r�f%r]r% ____ --a 1--- n- _ _1_6_4 4 ......,L.. -9 A flr%nr% <br />
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