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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />ATE(MM/DD(YYYY) <br />r6/4/2018 <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(ies) 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 endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Edgewood Partners Insurance Center <br />License No. OB29370 <br />P.O. Box 13847 <br />CONTACT <br />Heather Crane <br />PHONE FAC <br />• 916-974-4617 ac No: <br />ADDRESS: heather.crane@epicbrokers.com <br />Sacramento CA 95853 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURER A: Lloyds of London 85202 <br />INSURED COTAD-1 <br />Cota Cole &Huber LLP <br />INSURER B: Federal Insurance Company 20281 <br />INSURER C: <br />2261 Lava Ridge Court <br />INSURER D: <br />Roseville CA 95661 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 80732707 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR I ADDL SUBR� POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY) (MMIDDfYYYYI LIMITS <br />B <br />x COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE x OCCUR <br />6044290 <br />1/15/2018 <br />1/15/2019 <br />EACH OCCURRENCE $1,000,000 <br />DAMAGE T RENTED <br />PREMISES Ea occurrence $ 1,000,000 <br />MED EXP (Any one person) $ 10,000 <br />_ <br />PERSONAL & ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />CT a LOC <br />POLICY ❑ JEO <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS- COMP/OP AGG $ <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />73596574 <br />1/152018 <br />1/152019 <br />COMBINED SINGLE LIMIT $ 1 000000 <br />Ea ac�idenl <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />SCHEDULED <br />AUTOS ONLY AUTOS <br />OWNEDFXX <br />(Per accident) BODILY INJURY (P $ <br />x <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />� <br />B <br />x <br />UMBRELLA LAB OCCUR <br />HCLAIMS-MADE <br />78184076 <br />1/152018 <br />1/152019 <br />EACH OCCURRENCE $ 4.000,000 <br />AGGREGATE $4,000,000 <br />EXCESS LAB <br />DED I x I RETENTIONS p <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />71756163 <br />1/152018 <br />1/152019 <br />x PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />ANYPROPRIETOR/PARTNER/EXECUT VEF—]N <br />OFFICE R/MEMBER EXCLUDED? <br />/A <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />— <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />A Professional Liability <br />Claims -Made <br />BN300890M 6/1/2018 <br />6/1/2019 Each Claim $5,000,000 <br />Aggregate $5,000,000 <br />Deductible $50,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re. All Contracts/Written Agreements between the Certificate Holder and the Insured. VVhen required by written contract, additional insured status with primary <br />coverage and waiver of subrogation apply to General Liability and Automobile Liability, all per the attached endorsements. <br />f�YP VED AS TO FORM <br />�a <br />ands ,N1. Schwarzmann <br />%,r -r% I IrT1..H i r- nULuCr[ _ L ANGtLLA I IUlyi <br />,L'1110r F a �Iltv tiLlitkIl 11%..! <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Sandra Marie Flores Schwarzmann, Esq. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Senior Assistant City Attorney ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />P.O. Box 1988 AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza, 7th Floor�-- <br />Santa Ana CA 92702 �1!i6l <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />