ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (17) - 2016

Home Browse Search

j)_ dots CgtB /'A CC)IR& CERTIFICATE OF LIABILITY INSURANCE V DATE(MMIDDIYYYY) 4/8/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Comprehensive Insurance Services p CONTACT Certificate Issuance Team NAME: PHONE (949)709-8800 FAX (949)709-1668 AIC N E I' (AIC Na)u _ thecomprehsnsiveinsurance.com 26429 Rancho Parkway South _n_o_oa1Ess:info@ INSURER(SI AFFORDING COVERAGE NAIC# Suite 12D INSURERA:W0SCO Insurance Company_ 25011 Lake Forest CA 92630 _ INSURED 8: _INSURER INSURER C: DE OCCt1R Orange County Children's Therapeutic Arts Center INSURER D: 2215 N. Broadway INSURER E TO RENTED PREMISES Ea occurrence $MED 1 INSURER F: Santa Ana CA 92706 r.OVFRAr r.R CERTIFICATE NUMBER:WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 1000 E. Santa Ana Blvd. INSURANCE FADDL SUER POLICY NUMBER POLICY EFF M DDIYY V POLICY EXP MM DD YW LIMITS ENERAL LIABILITY EACH OCCURRENCEDAMAGE DE OCCt1R TO RENTED PREMISES Ea occurrence $MED EXP (Any ane person)PERSONAL& MENERAL ADV INJURYIMIT APPLIES PER: GENERAL AGGREGATERO- LOC PRODUCTS-COMP/OP AGG $ECT $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea aEcMentl _ $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY(Peraccident) $ ALL OWNED SCHEDULED AUTOS AUTOS NObFOWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accidentl — $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE _ $ EXCESS ILIAD CLAIMS -MADE DED F RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE VIN OFFICER/MEMBER EXCry LUDE09 (MandatoIn NH) NIA WWC3196477 4/14/2016 4/14/2017 R PER OTH- STATUTE ER -„_ „- E.L. EACH ACCIDENT _ 000 $ 1,0 L0 -- E.L. DISEASE EA EMPLOYEE $ 1,000,000 E . DISEASE -POLICY LIMIT $ 1,000,000 "'w”descrlba under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1000 E. Santa Ana Blvd. ACCORDANCE WITH THE POLICY PROVISIONS. Ste. 200 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92706-3398 Richard Eynon/JEREMY��..�-�- ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD