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ACOR[7�® CERTIFICATE OF LIABILITY INSURANCE <br />�..,,...� <br />DATE(MMIDDnYYY) <br />2/14/2017 <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 />NAcONTE: T Certificate Issuance Team <br />M <br />Comprehensive Insurance Services <br />HONE Ext: (949) 709-8800 FAX <br />No: (899)709-1668 <br />26429 Rancho Parkway South <br />nooRILss:info@thecomprehensiveinsurance.com <br />Suite 120 <br />INSURERS) AFFORDING COVERAGE BAD # <br />INSURERA:Non ro£its Ins Alliance of CA 11845 <br />Lake Forest CA 92630 <br />INSURED <br />INSURER B <br />INSURER C: <br />Orange County Children's Therapeutic Arts Center <br />2215 N. Broadway <br />INSURER <br />INSURER E: <br />NT <br />ORErunenco <br />PREMISES RE <br />_ <br />1 INSURERF: <br />Santa Ana CA 92706 <br />COVERAGES CERTIFICATE NUMBER:GL/Auto/ISC/SSP 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. 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />S B <br />POLICY NUMBER <br />MM DDIYYYY <br />MMIDOIYYYY LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />CLAIMS -MADE XO OCCUR <br />NT <br />ORErunenco <br />PREMISES RE <br />$ 500,000 <br />$ 20,000 <br />X <br />2016 -09201 -NPO <br />12/21/2016 <br />12/21/2017 MED FAR (Any one person)) <br />$ 1,000,000 <br />PERSONAL &ADS IN,PJRV <br />AGGREGATE LIMIT APPLIES PER <br />$ 2,000,000 <br />GETL <br />GENERAL AGGREGATE <br />POLICY D PRP LOC <br />GT <br />PRODUCTS - COMP/OP AGO <br />$ 2,000,000 <br />$ <br />OTHER. <br />$0 Deductible <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLEEMIT <br />Ea accident <br />$ 1,000,000 <br />$ <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />2016 -09201 -NPO <br />12/21/2016 <br />BODILY INJURY (Per person) <br />12/21/2017 BODILY INJURY (Per accident) <br />$ <br />X <br />HIRED AUTOS X NON-OVMIED <br />AUTOS <br />PROPERTY DAMAGE <br />Peracciden[ <br />$ <br />$ <br />$O Deductible <br />UMBRELLA LIAB <br />El <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE _ <br />DED RETENTION $ <br />If <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />IPER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />— <br />$ <br />(Mandatory In NH) <br />P Poo, describe Vnda <br />EL. DISEASE - EA EMPLOYEE <br />-- <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />So Pial Sery Professional <br />2016 -09201 -NPO <br />12/21/2016 <br />12/21/2017 $1, 000.00OAgg/1, 000, OOOOCC $0 Deductible <br />A <br />Improper Sexual Conduct <br />2016 -09201 -NPO <br />12/21/2016 <br />12/21/2017 $1, 000,OOOA99/'I, COO, 000 Ea CI $0 Deductible <br />DESCRIPTION OF OPERATIONS I 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 endorsement CG2026. With respect to claims arising out of the operations and uses <br />performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary <br />and is not additional to or contributing with any other insurance carried by or for the benefit of the <br />additional insureds per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice <br />of cancellation for non-payment of premium per policy provision. Privacy and Cyberliability is included <br />,by way of the attached endorsement NIAC E52 endorsed to the General Liability otic . <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 26 (2014/01) <br />INS025 (201401) <br />O 1988-2014 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 BOX 1988 M-16 <br />Santa Ana, CA 92702 <br />= 7 <br />Richard Eynon/JEREMY <br />ACORD 26 (2014/01) <br />INS025 (201401) <br />O 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />