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"C"R br CERTIFICATE OF LIABILITY INSURANCE
<br />�/17/2o 8"'
<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 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 />BOGART & BROWNELL OF MD.INC.
<br />7648 Standish Place
<br />Rockville MD 20655
<br />CONTACT Virginia Stone
<br />IPA NCON E(301)444-4500 FAX
<br />A .(301)444-4510
<br />ADDRESS: certif icatesftogartandbrow ell. core
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC p
<br />INSURER A:Sentinel Insurance Company LTD
<br />11000
<br />INSURED WINBOURNE CONSULTING, LLC
<br />1611 N KENT ST STE 802
<br />ARLINGTON VA 22209
<br />INSURERB:Hartf Ord Casualty Insurance Cc
<br />29424
<br />INSURERC:AXis Insurance Company
<br />37273
<br />INSURER D:Travelers
<br />3609
<br />INSURER E:
<br />1 INSURER F:
<br />COVERAGES CERTIFICATE NUMBER:2018-2019 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 />ILTR
<br />TYPE OF INSURANCE
<br />Ltlm
<br />BR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMLDDYEXy LIMITS
<br />GENERAL LIABILITY
<br />--� --
<br />John Seguin/RAD
<br />EACH OCCURRENCE $ 1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED1,000,000
<br />PREMISES Ea occurrence $
<br />A
<br />CLAIMS -MADE OCCUR
<br />42SBAPB4058
<br />6/7/2018
<br />6/7/2019 MED EXP (Any one person) $ 10,000
<br />X Deductible - $500
<br />Business Personal Prop:
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />$68,200 - RC
<br />GENERAL AGGREGATE $ 2,000,000
<br />GENT AGGREGATELIMIT APPLIES PER:
<br />PRODUCTS-COMP/OP AGO $ 2,000,000
<br />POLICY X PRO LOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />EOMBIaccNEDcart SINGLELIMIT 1,000,000
<br />A
<br />ANY AUTO
<br />BODILY INJURY (Per person) $
<br />ALL OWNED SCHEDULED
<br />42SBAPB4058
<br />6/7/2018
<br />6/7/2019 BODILY INJURY (Per $
<br />AUTOS AUTOS
<br />accident)
<br />X
<br />X NON -OWNED
<br />PROPERTY DAMAGE $
<br />HIRED AUTOS AUTOS
<br />Per accident
<br />X
<br />Ded-$500
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 3,000,000
<br />A
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $ 3,000,000
<br />OED I X I RETENTION 10 , 00C
<br />42SBAPB4058
<br />6/7/2018
<br />6/7/2019 $
<br />B
<br />WORKERS COMPENSATION
<br />y WC STATU OTH-
<br />ANDEMPLOVERS'LIABILITY YIN
<br />ANY PROPRIETOWPARTNEWEXECUTIVE❑
<br />E.L. EACH ACCIDENT $ 11000,000
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />2PIECCF5270
<br />6/7/2018
<br />6/7/2019 E.L. DISEASE - EA EMPLOYE $ 11000,000
<br />If yes, describe under
<br />DE SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />D
<br />Employ Theft of Clent Pro
<br />105907770
<br />3/21/2018
<br />3/21/2019 $1,000,000
<br />C
<br />Professional Liability
<br />CN000213331501
<br />6/7/2018
<br />6/7/2019 Retention -$10,000 OCC/AGG $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are listed as
<br />additional insured. Waiver of subrogation in favor of additional insured. Certificate holder shall be
<br />given at least thirty (30) days notice prior to cancellation.
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2010105)
<br />INS025 (201005).01
<br />© 1988-2010 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 />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Clerk of the City Council
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaze (M-30)
<br />P.O. Bov 1988
<br />Santa Ana, CA 92702
<br />--� --
<br />John Seguin/RAD
<br />ACORD 25 (2010105)
<br />INS025 (201005).01
<br />© 1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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