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,acoRLi® CERTIFICATE OF LIABILITY INSURANCE <br />GATE (MMIDD YYYV) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />9/28/2018 <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms 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 endorsement(s). <br />PRODUCER Risk Stratagles Company <br />CONTACT Emil Elsbree <br />700 Airport Boulevard, Suite 300 <br />Burlingame, CA 94010 <br />PHONEFAX <br />Ext' 650 762-0425 AIC No: 650 762-0490 <br />EMAIL <br />ADDRESS: eelsbree risk -strata ies.com <br />INSURERS AFFORDING COVERAGE <br />NAICIN <br />10/1/2019 <br />INSURERA: Sentinel Ins. Co. <br />11000 <br />MED EXP(An one person) $1(),000 <br />INSURED <br />Circlepoint <br />200 Webster Street, Suite 200 <br />INSURER B: Hartford Ins CO Of the Midwest <br />37478 <br />INSURER C: Axis Insurance Company <br />INSURER D: <br />Oakland CA 94607 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: aaRRRaan REVISION NIIMRFi <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />D <br />SUER <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYV <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />,/ COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑✓ OCCUR <br />✓ <br />57SBARI3554 <br />10/1/2018 <br />10/1/2019 <br />EACH OCCURRENCE $2,000000 <br />PREMISES Ea occurrence $1,000,000 <br />MED EXP(An one person) $1(),000 <br />✓ Contractual Liability <br />PERSONAL&ADV INJURY $2.000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY � PE' LOC <br />GENERAL AGGREGATE $4,000,000 <br />PRODUCTS-COMP/OP AGG $4,000000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />57SBARI3554 <br />10/1/2018 <br />10/1/2019COMBINE <br />tSINGLE LIMIT $2000,000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident)$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />✓ <br />PROPERTY DAMAGE $ <br />Per accident <br />A <br />�/ <br />UMBRELLALIAB <br />�/ <br />OCCUR <br />57SBARI3554 <br />10/1/2018 <br />10/1/2019 <br />EACH OCCURRENCE $1000,000 <br />AGGREGATE $1,000,000 <br />EXCESS LAB <br />CLAIMS -MADE <br />DED ✓ I RETENTION$10,000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBEREXCLUDED7 F7 <br />NIA <br />57WECGH2835 <br />10/1/2018 <br />10/1/2019�/ <br />gTAR1 <br />TUTE 0RH <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L DISEASE -EA EMPLOYEE $1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />C <br />Professional Liability <br />AEA000149042018 <br />10/1/2018 <br />10/1/2019 <br />Per Claim $2,000,000 <br />Retroactive Date 1: 11/01/1987 <br />Annual Aggregate $2,000,000 <br />Retroactive Date 2: 05/14/2015 <br />Pollution Liability Included <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Ref: project number 4.4797 <br />The City of Santa Ana, it's officers, employees, agents, and representative are included as additional per form SS00080405 <br />where primary insurance and waiver of subrogation also apply with respects to General Liability <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />T <br />20 CIVIC CENTER PLAZA <br />L <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />SANTA ANA 92 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Mike Christian <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />44568430 1 18/19 GL -AU -➢MB -WC -XS -E&0; Per Project I Emily Elebree 19/29/2018 11:15:46 AM (PDT) I Page 1 of 8 <br />