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ACOROCERTIFICATE OF LIABILITY INSURANCE
<br />F -p-TE
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />1(/02/2017
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEP, 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 certiRcate holder is an ADDITIONAL INSURED, the POhoy(ie8) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the Polley, certain Policies may require an endorsement. A statement
<br />on
<br />this certificate does not confer rights to the certificate holder in lieu of such ondorsement(s).
<br />PRODUCER
<br />wNT4CTCenihcatelswaree Team
<br />NAME.
<br />Comprehensive insurance Services
<br />PHONE —gyp
<br />Em (940)709-8800 IIND, NaI: (949)70&t66e_
<br />28429 Rancho PaowaY South(am,
<br />ArDRE55: mo,@thecomprehenslvoinsurance corm
<br />Suite 120
<br />INSURER(S)AFFORDINGCOVERAGE NAICE
<br />EACH OCCURRENCE S 1,ODO,ODD
<br />—
<br />Lake Forest CA 92630
<br />INSURERA: Nonprofits Insurance Alliance of California 11845
<br />INSURED
<br />CompWast Insurance
<br />INSURERS. _ Company 72177
<br />Delhi Center
<br />INSURER C:
<br />505 E. Central Ave,
<br />INSURER D:
<br />WSUrIER E:
<br />Santa Ana CA 92707
<br />INSURER F:
<br />:ATE NIIMRFR- CLI 103103057
<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 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR
<br />TYPE OF INSURANCE
<br />INaD
<br />WV
<br />POLIGYNUMEM
<br />lmwoDrYYYYl
<br />Santa Ana CA 92702
<br />UMm$
<br />X cOMMERCIAU GENEMLLIABILITY
<br />EACH OCCURRENCE S 1,ODO,ODD
<br />—
<br />GWMS-MADE X
<br />ETO'RENTE1
<br />PREMISES (Ea o Ywnoii S 500,000
<br />OCCUR
<br />MED EXP WY om pawo S 20,000
<br />PERSONAL S ADV IWURY S 1,000,000
<br />A
<br />Y
<br />2()17 -01376 -NPO
<br />11!0112017
<br />11/0"2018
<br />GENT AGGREGATE UNIT APPLIES PER:
<br />GENERALAGGREGATE 0 3,000,000
<br />PAP
<br />X
<br />PRODUCTS -LOMPIpP AGG S 3,000,000
<br />POLICY ❑ JECi LOC
<br />a
<br />OTHER:
<br />$0 Deductible $
<br />AVTOMOBAELIABILITY
<br />N: INGL LIi s 1,000=0
<br />Ea emde_n_tl __
<br />ANY AUTO..
<br />BOfALY INKIRY iPerlwMan) 3
<br />A
<br />CHEDULED
<br />�ps ONLY SAUTOS
<br />2017-01376-NP0
<br />11A)II2017
<br />11101120tH
<br />BOOILYINIURY(PxactlEenO S
<br />X
<br />HIRED X NONOWNED
<br />ROPE
<br />AUTOS ONLY AUTOS ONLY
<br />Poraccimi S
<br />$0 Deducible It
<br />UMBRELIA UAB�CUp
<br />EACH OCCURRENCE E
<br />EXCESS WB
<br />CIAIMSIAADE
<br />AGGREGATE f
<br />OEO
<br />I I RETENTION S
<br />S
<br />WORKERS COMPENSATION
<br />i PER
<br />X STATUTE E3µ
<br />AND IDIPLOYERS' LIABILITY YIN
<br />EACH ACCIDENT S 1.000,000
<br />B
<br />ANY PROPRIETORIPARTNEWEXECUTIVEE.L
<br />OFRCERRAEMBER EXCLUDED
<br />NtA
<br />VJCV590042002
<br />1110112017iiPo112016
<br />E.L DISEASE-EAEMPLOYEE S 1,000,000
<br />sAm"tory In NHl
<br />IIya3,065 bl, ar
<br />E. L. DISEASE, POLICY LAUT S 1.000,000
<br />DESCRIPTION OF OPERATIONS be'oN
<br />Social Service Professional Uolity, y
<br />E3,000,00011,000,000 AggregatelOccuo.
<br />A
<br />Improper SeXual Conduct Liabiliry
<br />2017.01378 -NPO
<br />1"D7l2017
<br />7110112018
<br />E7,000,00011,000,000 AggregatetOccur
<br />$0 Deductible
<br />DESCRIPTION OF OPERADONS! LOCATbN31 VEHICLE6 IACORD 101, Adtlillolul RamaHu SCbeIA,N, may bo atlacAe4 Bmore apace k regWretll
<br />The City of Santa Ana its officers, employees. agents and volunteers are included as Additional Insured automatically per written Contract
<br />cr agreement pct afiached wd=omenl CG2026. 3D day notice of cancellation with 10 day notice of cancellation for non-payment of premium
<br />per policy provision. This insurance is Primary and Non.Conlnbuwry per attached endorsement NIAC E61.
<br />rTtr,\\t0✓MhV
<br />CERTIFICATE HOLDER re"rFl I ATI^N
<br />®1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City Of Santa Ana
<br />ACCORDANCE PATH THE POLICY PROVISIONS.
<br />2D Civic Center Plaza
<br />AUTHORItED REPRESENTAT WE
<br />Santa Ana CA 92702
<br />®1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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