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A� a® CERTIFICATE OF LIABILITY INSURANCE F DATE/6/2018 ) 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 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 lieu of such endorsement(s). PRODUCER Hub International Southeast 2430 Mall Drive, Suite 260 North Charleston SC 29406 CONTACT NAME: PRONE 843-529-5470 FAX No -866-403-1454 ADfpAIL s: SOEinfo hubinternafional.com INSURERS AFFORDING COVERAGE NAIC 9 6024881766 INSURER A: CNA 7/3/2019 INSURED MACLWAT-01 MacLeod Watts Inc INSURER B: Admiral Insurance Company 24856 RENTED PREMISES RENTrrenc $300,000 PREMISES 5200 SW Macadam Ste 310 INSURER C: INSURER D: Portland OR 97239 INSURER E: GENERAL AGGREGATE $4,000,000 INSURER F: $ COVERAGES CERTIFICATE NUMBER: 2087730454 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. ILTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDUTYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR V 6024881766 7/312018 7/3/2019 EACH OCCURRENCE $2,000,000 RENTED PREMISES RENTrrenc $300,000 PREMISES GEN'L X MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT F7LOC OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGO $4,000,000 $ A AUTOMOBILE LIABILITY ANVAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OX HIRED AUTOS X AUTOS WNEO 6024881766 7132018 7/3/2019 COMBINED SINGLE LIMIT EaacCImm $J.DDQ 000 BODILY INJURY (Per person) $ Per accident) tid BODILY INJURY ( ) $ PROPERTY accidentDAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION ANDEMPLOYERTLIABILITY YIN ANY PROPRIETOWPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If Yes desce under DE SCribRIPTION OF OPERATIONS below NIA 6024881783 7132018 713/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 B Professional Liability Retro date 6/12118 E000004549501 6/12/2018 61122019 1, 000, 000 per claim 3,000,000 aggregate 2,500 retention DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION ©1988.2014 ACORD CORPORATION. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD All rights reserved., kvl C� Rfbv (OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD All rights reserved., kvl C� Rfbv (OF