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A- ac>IS- M8 <br />A� DF CERTIFICATE OF LIABILITY INSURANCE <br />BATE 1 <br />11/30/20152015 <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(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 />CON <br />NAM EA t Certificate Issuance Team <br />NAME: <br />ON0-8800 -168ANExf: _AICNJ_ <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />gooalESS:info@thecomprehensiveinsurance. com <br />Suite 120 <br />INSUR_UFFORDING COVERAGE _ _ <br />j NAICk _ <br />_ Lake Forest CA 92630 <br />INSURER A:Nonprofits Ins Alliance of CA <br />i___ _ <br />INSURED <br />INSURER B <br />X <br />Orange County Children's Therapeutic Arts Center <br />INSURER C: <br />112/21/2015 <br />INSURER D; <br />MEO EXP (Any ane person) <br />PERSONAL B ADV INJURY <br />2215 N. Broadway <br />_ <br />INSURER E: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />INSURERF: <br />Santa Ana CA 92706 <br />COVERAGES CERTIFICATE NUMBER'GL/Auto/Prof /ISC REVISION NUMBER: <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 />LT�IN5ft <br />TYPE OF INSURANCE <br />A US➢9R <br />- <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSLXOCCUR <br />EAGHOCCU' ENCS �$ <br />DA A E RTt✓ ED <br />PREMISES Ea occuUenc'$_ <br />1,000,000 <br />"_- <br />500,000 <br />_ <br />X <br />12015 -09201 -NPO <br />112/21/2015 <br />12/21/2016 <br />MEO EXP (Any ane person) <br />PERSONAL B ADV INJURY <br />$ 20,000 <br />$ 1,000,000 <br />GEN'LAGGREGATE LATTAPPLIES PER <br />POLICY PRO-�JECTX LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />$ 2,000,000 <br />_PRODUCTS-COMP(OPAGG <br />$0 Deductible <br />_ <br />$ <br />A <br />AUTOMOBILE LIABILITYCOMSINEp <br />�___ ANY AUTO <br />XALL OWNED SCHEDULED <br />AUTOS XIIAUTOS NEDAGE <br />AUTOS AUTOS <br />2015 -09201 -NPO <br />12/21/2015 <br />12/21/2016JURY <br />SING LE LIMIT <br />-(Ea accident) _ _ <br />BODILY INJURY (Perperson) <br />(P raccidenQ <br />FIROPEI' <br />ent) lma <br />$ 1,000,000 <br />$ <br />$ <br />$HIRED <br />$ <br />UMBRELLALIAB <br />EXCESS LIAR L <br />OCCUR <br />CLAIMS-MADEAGGREGATE <br />i EACH OCCURRENCE <br />$ <br />$ <br />DED I RETENTION $ <br />I $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE r' -'",i <br />OFFICERIMEMBER EXCLUDED? LJ <br />(Mandatary M NH) <br />NIA <br />STATUTE OTT - <br />ER <br />El. EACH ACCIDENT <br />$ <br />E L DISEASE - EA EMPLOYE <br />$ <br />FL DISEASE-POLICYI IMIT <br />$ <br />es, describe. under <br />DIf ESCRIPTIONDFOPERATIONSbelow <br />A <br />Social Sery Professional <br />2015 -09201 -NPO <br />12/21/2015 <br />12/21/2016 <br />$1,000,000A,11,000,0000CC $0 Deductible <br />A <br />I Improper Sexual Conduct <br />2015 -09201 -NPO <br />12/21/2015 <br />12/21/20161 <br />$1,000,000AZ;11,000,000 Ed Cl $0 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS /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 endorsement special city agreement. This insurance is primary and non-contributory. <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premiumper policy <br />'NAL\ <br />provision. - <br />d.J,9..\-L/ <br />R� �� <br />iJt <br />J <br />l I <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014/01) <br />INS025 (2014011 <br />©19882014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana (The) <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Finance & Management Services Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />PO SOX 1968 M-16 <br />Santa Ana, CA 92702 <br />Richard Eynon/JEREMY <br />ACORD 25 (2014/01) <br />INS025 (2014011 <br />©19882014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />