|
' I ;lli DATRIMMfoorf m
<br />CERTIFICATE OF LIABILITY INSURANCE 1011212017
<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 poilcy{les} must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemeriL A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ ..-.---._---.___.
<br />PRoaUoRR - rA4{ Certificate Issuance Teale
<br />NAMEt
<br />Comprehensive Insurance Services PHONE (949)709-E)S00 AIC Na : t
<br />26429 Rancho Parkway U info Ihecamprehensiveinsurarm.com
<br />ADDRESS:
<br />Suite 120 INSURE S) AFFORDING COVERAOS
<br />Lake Forest CA 82630 INSURER I Nonprofits ins Alliance of CA
<br />INSURED INSURER B
<br />Community Health Initiative of Orange County INsuRSRc:
<br />1505 E,17th Street, Suite 121 m'SURER D
<br />INSURER E
<br />Santa Ana CA 92705 INSURER lr,
<br />,OVERAGES CERTIFICATE NUMBER: CL17101203029 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 CONTRACTOR 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 PAIL) CLAIMS,
<br />VOL SUOK -_ -POLICY EFF POLICY FAP
<br />TYPE OF INSURANCE POLICY NUMBER IMWDPNM I�LIMITS
<br />{ COMMERCIALORNERALLIASILITY EACHOCCURRENCE $ 1,000,0i
<br />CLAIMS -MADE � OCCUR PREMISES occurcence � $ 600,000
<br />MEDE}CP An ono rsan $ 20,000
<br />A ry 201744927 -NPS? 14!1512017 10115/2018 PERSONAL& ADV INJURY $ 1;000,0(
<br />PGI?N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0(POLICY CT L,»'J LOC PRODUCTS »COMPIOPAGO 2,000,4i
<br />$0 Deductible $
<br />ANY AUTO
<br />A OWNED SCHEDULED
<br />AUTOS ONLYAUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY W AUTOS ONLY
<br />UMBRELLA LIAR OCCUR
<br />EXCESS LIAR 1-1.
<br />LIABILITY YIN
<br />PARTNERIEXECUTIVE M NI
<br />EXCLUDED?
<br />TU 0 Mrr S 1
<br />BODILY INJURY (Per parson)
<br />2017 -44927 -NPO 1011512417 10115/201$ BODILY INJURY (Par aeI ,c) S
<br />Per aceddeni A $
<br />$0 Deductible is
<br />{merevaurry,rr ,m} C.4. V!�cr,.�c • cr, cmr44
<br />IIyyeS<ile 3Cnffe under
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY U
<br />Social Service Professional $1,000,1,000,000
<br />A Improper Sexual Conduct 2017 -44927 -NPO 1011512017 10115/2018 $1,000,D0011,00000
<br />$4 Deductible
<br />DESCRIPTION OP OPERATIONS I LOCATION IVEHICLES fACORD 141, Additional Rardaft Sltk+eduie, may be e#ached If roore space Is mqulred)
<br />City of Santa Ana, Its Officers, employees, agents and volunteers are Included as Addltlonal Insured automatically per written contract or
<br />agreement per attached endorsement CG 026, 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per
<br />policy provision. This Insurance Is Primary and Non-contributory per attached endorsement NIAC E61.
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana
<br />ACORD 25 (2016143)
<br />r , ♦,e s • {i .jai,
<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 />CA 82702 z�. a
<br />01988-2016 ACORD C+
<br />The ACORD name and logo are registered marks of ACORD
<br />All rights reserved.
<br />
|