CONANT, SARA ELLIS - COACHING & CONSULTING

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ACOR®® CERTIFICATE OF LIABILITY INSl1RANCE (►..-/ DATEIMMIDDIYYYY) 07/24/2018 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(les) must 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 rights to the certificate holder In Ileu of such endorsement(s). PRODUCER CONTACT NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor PNONE (888) 202-3007 ac No: ADDRESS: ADDRESS: INSURERS AFFORDING COVERAGE NAIC p New York, NY 10022 INSURER A: Hlscox Insurance Company Inc 10200 PREMISES Ea occurrence) $ 100,000 INSURED INSURER B: Sara Ellis Conant Coaching and Consulting 1002 O'Reilly Ave San Francisco, CA 94129 INSURER C: INSURER D: INSURER E: $ INSURER F: AUTOMOBILE 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 CONTRACT OR 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. INSR LTR TYPE OF INSURANCE D- POUCYNUMBER POLICYEFF D Y POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR Y UDC -1488979 -CGL -18 09/03/201809/03/2019 ""'"-` EACH OCCURRENCE $ 2,000,000 PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL a ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY [�]JECT PRO- FLOC OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGO SSR Gen. Agg $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS AUOTOSWNED COMBI EDSNGLELIMIT $ Ea accident BODILY INJURY (Par person) g BODILY INJURY Per accident $ ( ) � pPe�acdde AMA E S $ UMBRELLA LIAR EXCESS ILIA e OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOMPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXC W DED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ EL.DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 901, Additional Remarks Schedule, may be attached if mar* epsco is required) City of Santa Ana Its officers, employees, agents and representatives are named as additional Insured subject to policy terms and conditions ttEVILWCD BY; � �EL€NICE HFRFDtA (PO ,�OF,�. ). City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 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 All rights rasarvsd. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD