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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MNUDDIYYYY) <br />0312072018 <br />THIS CERTIFICATE IS ISSUED ASA 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 BYTHE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE 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 pollcy(les) must have ADDITIONAL INSURED provisions or he endorsed. <br />If SUBROGATION IS WAIVED, subject to the terns 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 ondorsement(s). <br />PRODUCER <br />NAM Anna AOdonian <br />Pours $Assoalales Insurance Brokere <br />CA License PU814733 <br />N-`20'18-174 <br />IMPHONE - (800) 578-8802 L (818) 449-9321 <br />Alc. Not <br />� <br />ADDRESS: aandoniNSURERmsasaoacom <br />5790 Canoga Ave. #400 <br />INSURER(fiI APFOft01N0 COVE AGE NAIL p <br />Woodland Hills CA 91367 <br />INSURERA: AmerICBn ALIO Ins. Co,7FF ---�' 21849 <br />INSURED <br />INSURERS: Technology Insurance Co.. Inc. <br />MCCUNE & HARDER, LLP. <br />INSURER C : Aspen Specialty Insurance <br />515 S Figueroa St, Ste 1100 <br />INSURER 0: <br />INSURER E :�•~ <br />1 <br />LOS Angeles CA 90071 <br />1INSURER F•� <br />COVERAGES CERTIFICATE NUMBER; 18-19 PKGIWCIE&O REVISION NUMBER: <br />THIS IS TO CERTIPYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />,TR, <br />TYPE OF INSURANCE <br />AUTHORIZED REPRESENTATIVE <br />POLICY NUMBER <br />IDD Y <br />MMIDD <br />LIMITS <br />COM MERCIAL GENERAL LIABILITY <br />C 2,000,000 <br />EACHO GUR ENCS $ <br />rr $ 100,000 <br />CLAIMS -MAGE 0 OCCUR <br />_ <br />MED XP An on croon $ 10,000 <br />A <br />AZC80921232 <br />0411812018 <br />04118/2019 <br />PERSONAL a ADV INJURY $ 2,000,000 <br />O N'L AGGREGATE LIMITAPPLIES PER: <br />GFNERAI.A GREGATE $ 4,000,000 <br />POLICY C] PRO- fel <br />JECT (J LUC <br />PROOUCTB-COMP/OPAOG Included <br />$ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />IalziI L $ Included <br />ANYAUTO <br />BODILY INJURY (Per ponem) $ <br />AOWNED <br />I$ <br />SCHEDULED <br />AUTOS ONLY AUTOS <br />AZO80921232 <br />04718/2018 <br />04/18!2019 <br />BODILY INJURY (Par accidene $ <br />v <br />x <br />HIRED NON -OWNED <br />A b <br />AUTOS ONLY AUTO$ONLY <br />P id n <br />UMBRELLALIAS <br />Id <br />OCCUR <br />EACHOCCURRENCE S <br />EXCESS UAB <br />CLAIMS -MADE <br />A OR OATF, <br />DEO RETENTION Is <br />WORKERS COMPENSATIONP <br />R 0 H- <br />19 <br />AND EMPLOYERS' LIABILITY YIN <br />D <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFRCENMEMBER EXCLUDED/ <br />TWC3706030 <br />05/15/2018 <br />05/15/2019 <br />E. L. EACHADCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1.000,000 <br />(Mandatory In NH) <br />If yea desc,"order <br />E.L. DISEASE - POLICY LIMIT $ 1.000,000 <br />DESCRIPTION OF OPERATIONS baPo <br />_ <br />Limit of Liability 11000,000 <br />Professional Liability <br />C <br />LR0081M18 <br />06!04/2018 <br />O6/04/2019 <br />.Aggregate Limit 11000,000 <br />Retention 35,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Romer" Schedule. may be atei It more space is required) <br />alliAiROVP AS TO FORM <br />11A,y+' <br />CERTIFICATE HOLDER "---s;--9 �F _ "fes CANCRu. ATIQN - - - <br />/ <br />t A�SiSta `City Attorney <br />SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />V <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Evidence of Insurance <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1908.2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />