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N-2019-012
<br />WOOD&CU-01 VSANTOSUOS O
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DA12104/2018
<br />12/0412018
<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(ies) 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
<br />Ames & Gough
<br />859 Willard Street
<br />Suite 320
<br />CONTACT
<br />NAME:
<br />PHONE
<br />INC, No, Ext): (617) 328-6555 ac, Ne:(617) 328-6888
<br />ADDRESS: boston@amesgough.com
<br />Quincy, MA 02169
<br />_INSURER(S) AFFORDING COVERAGE NNC #
<br />INSURER A: Continental Casualty COM an CNA A XV 20443
<br />INSURED
<br />INSURER a : National Fire Insurance Company of Hartford AM) 20478
<br />INSURER C : Transportation Insurance Company A X 20494
<br />Woodard & Curran, Inc.
<br />INSURER D,
<br />2175 N. California Blvd., Suite 315
<br />Walnut Creek, CA 94596
<br />INSURER E
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: RFVLCIr1N M"MRFR-
<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 JJ
<br />IL
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />NI1tiENEIFAL LIASILITY
<br />CLAIMS -MADE X OCCUR6014561812
<br />X
<br />0212312018
<br />02&2Ii2019
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMAGE TO RENTED 5pg gpg
<br />PREMISES Ea oc une ce $
<br />MED EXP (My one erson $ 15,000
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />POLICY [ X] %ef FX] LOC
<br />GENERALAGGREGATE 2'000,000
<br />PRODUCTS - COMP/OP AGG 2,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILELIABILITY
<br />X
<br />ANY AUTO
<br />OWNED F7 SCHEDULED
<br />AUTOS ONLY AUTOS
<br />6014561843
<br />02123/2018
<br />02/2312019
<br />CEOM�BI tlEeDISINGLE LIMIT $ 1,000,000
<br />BODILY INJURY Per erson $
<br />BODILY INJURY Per accident $
<br />( AMAGE $
<br />Pe�acciTy
<br />AUTOS ONLY AN OSONLO
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE $
<br />AGGREGATE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />C
<br />WORKERS COMPENSATION
<br />OMP N A TIONY YIN
<br />AND AAqNYppPROPRIETOR/PARTNER/EXECUTIVE
<br />FF.I.1 abryl NH)EXCLUDEDI ❑N
<br />'Yesdescnbe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />6017075447
<br />02123/2018
<br />02/23/2018
<br />X STA E OTRH-
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />EL DISEASE -POLICY LIMIT $ 1,000,000
<br />A
<br />Profe3siontif Lt.b
<br />114135520
<br />0212312018
<br />02123/2019
<br />Per Claim 1,000,000
<br />A
<br />114135520
<br />0212312018
<br />0212312019
<br />Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS) LOCATIONS) VEHICLES IACORD 101, Addllbnal Remarks Schedule, ma be attached ifmore space is required)
<br />If Al box is checked, GL Endorsement Form# CNA75079XX, Auto Endt Form# SCA21500D to the extent provided therein applies and all coverages are in
<br />accordance with the policy terms and conditions.
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives shall be included as additional insured with respects to General
<br />Liability where required by written contract. General Liability is primary and Non-contributory as required per written contract. A 30 Day Notice of
<br />Cancellation is provided in accordance with the policy terms and conditions.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City Ana of Santa THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Executive Director, Public Works Agency ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza (m-21)
<br />P.O. Box 1988 AUTHORIZED REPRESENTATIVE
<br />,n..s
<br />Santa Ana, CA 92702 ft:
<br />0 iUR
<br />ACORD 25 (2016/03) ©1988.2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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