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Client#: 1086878 INTERCON35 A-2018-078 and A-2018-214 I ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/13/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Colorado, LLC Prof Liab P.O. Box 7050 Englewood, CO 80155 800 873-8500 CONTACT NAME: PHONE FAX Ext : 800 873-8500 (A/C, No): E MAILo ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # av INSURER A :Trelers Properly Cas, Co, of America 25674 INSURED Interwest Consulting Group Inc P.O. Box 18330 INSURER B ; XL Speclalty Insurance Company 37885 INSURER C Boulder, CO 80308 INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSURANCE ADDILSUBR NSR WVD POLICY NUMBER MM/DD//YYYY MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 680611441235 11/14/2018 11/1412019 EACHOCCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 _ PRODUCTS-COMP/OPAGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y BAOJ093233 11/14/2018 11/14/201 COacccidentSINGLELIMiT $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY A X UMBRELLA LIAB X OCCUR Y Y CUP2F178249 11/14/2018 11/14/2019 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 EXCESS LIAR CLAIMS -MADE DEC) I X RETENTION $O $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? [N] (Mandatory In NH) N / A Y U138J034006 11/14/2018 11/14/2019 X gER UTE OTH- E.L. EACH ACCIDENT $1,000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF.OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 B Professional Liab Y DPR9933966 11/14/2018 11/14/2019 $2,000,000 per claim Pollution Liab $5,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ' Additional Insured: City of Santa Ana, its officers, employees, agents, volunteers and representatives. All policies include 30 Day Notice of Cancellation in favor of the City of Santa Ana. As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic n (See Attached Descriptions) t City of Santa Ana 20 Civic Center Plaza (M-30) PO Box 1988 Santa Ana, CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i I ACORD 25 (2016103) 1 of 2 #S24475055/M24330283 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHAZP