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AC"Ra CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />4/3/2017 <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 cortlilcato holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, sub]oct to <br />the terms and conditlons of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in llou of such endorsament(s). <br />PRODUCER <br />CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />26429 Rancho Parkway South <br />PHONE(949)709-880 FAX (949)708-1666 <br />AlC. No. Ext): AIC No <br />ADDRESS:info@thecomprehensiveinsurance. cam <br />Suite 120 <br />INSURERS) AFFORDING COVERAGE HAIL <br />Lake Forest CA 926.30 <br />INSURERAIWeSCO Insurance Company 25011 <br />INSURED <br />INSURER 8 '. <br />Orange County Children's Therapeutic Arts Center <br />INSURER C: <br />2215 N. Broadway <br />INSURER D' <br />INSURER EI <br />Santa Ana CA 92706 <br />1 INSURER F <br />COVERAGES CERTIFICATE NUMBER:WC REVISION NUMRFR, <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 />NR <br />LTRPOLICY <br />TYPE OF INSURANCE <br />D <br />SUB <br />NUMBER <br />POLICV EFF <br />MMIDDIVVYV <br />POLICY EXP <br />MMIDDIYYYY. <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 11 OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMMISES IT1L <br />PREMISES Eaoyeprrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY 0 jECT [:_I LOC <br />GENERAL AGGREGATE <br />GE"N'I.. <br />_ <br />PRODUCTS- COMP/OP AGG <br />If <br />OTHER <br />AUTON1081LE <br />LIABILITY <br />CO B ''I GLE LIMIT <br />Ea aoo,dont., <br />BODILY INJURY (Pei pemon) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident) <br />I ) <br />$ <br />NON-DO,NED <br />HIREDALTOS AUTOS <br />POPERTY DAMAGE— <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />If <br />fyes, describe under <br />N/A <br />4/14/2017 <br />4/14/2018 <br />X PER 01 IT <br />oTATUTE ER <br />C-. L. EACH ACCIDENT <br />$ 1,000,000 <br />E. L. DISEASE - EA EMPLOYE <br />$ 1 000 000 <br />E1-DISEASE-POLICV LIMIT <br />$ 1 000 DDA <br />OF OPERATIONS below <br />DESCIRPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy <br />provision. <br />City of Santa Ana (The) <br />Finance & Management Services Agency <br />20 Civic Center Plaza <br />PO Box 1950 M-16 <br />Santa Ana, CA 92702 <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 />remy Eynon/JEREMY <br />RATION. All <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />I NS025 (201401 ) <br />