,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 />
|