Laserfiche WebLink
AC. cWc" <br />�,.. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDIYYYY) <br />06/18/2018 <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 RPRODUCER, AND THE TIFIC HOLD <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />cadificaw holder In lieu of such endorsemeDtfs). <br />PRODUCER <br />°OMEpCr Karen Bronson <br />CorRisk Solutions <br />nnaxe 312-637-8755 Duo.�ti <br />225 W. Washington St. Suite 1560 <br />E.u,L <br />vmeas• kbronson@corrisksolutions.com <br />Chicago, IL 60606 <br />INSURERS) AFFORDING COVERAGE <br />NAIC0 <br />INSURER A: New Hampshire Insurance Company <br />23841 <br />INSURED <br />INSURER 8: <br />MDG Associates, Inc. <br />INSURER C: <br />10722 Arrow Route <br />INSURERD: ""— <br />Suite 822 <br />INSURER E: <br />Rancho Cucamonga., CA 91.730 <br />INSURER F: <br />COVFRAGFS CERTIFICATE NUMBER: REVISION NUMBEK: <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 />INSK <br />Lm <br />TYPE OF INSURANCE <br />ADO'L <br />INSRD <br />SUBR <br />me <br />POLICY NUMBER <br />POLICY EFF <br />{NNdDDtY m <br />POLICY EXP <br />(NONDDA'YYY1 <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURANCE <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES (EaaNTED ce? <br />CLAIMS MADE OCCUR <br />MEDEXP(Anymapernim) <br />DOES NOT APPLY <br />PERSONAL B AND INJURY <br />GFNERALAGGREGATE <br />PRODUCTS - COMPIOP AGO <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY 7 PROJECT 0LOC <br />AUTOMOBILE LIABILITY <br />iMPA. NED swine LIMIT (Ea <br />mxHentl <br />......... <br />BODILY INJURY(Per person) <br />...... <br />ANYAUTO - <br />BODILY INJURY (Pei axltlenl) <br />ALL OWNED SOHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS Al Dine <br />DOES NOT APPLY <br />PRweNTv TAMAUE (Par <br />n9t <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURANCE <br />AGGREGATE <br />EXCESS LIAB <br />CLAIM' MADE <br />DOES NOT APPLY <br />DED <br />RETENTION IS <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />WC STATU- <br />TORY LIMITS <br />OTHER <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOWPARTNE WFXECUTIVE <br />OFFICIDMEMSER EXCWDED7 YIN <br />(Mandatory in NH) ❑ <br />N/A <br />DOES NOT APPLY <br />L.L. vlStSAt-EA <br />EMPLOYEE <br />E.L. DISEASE, POLICY LIMIT' <br />It yee, describe under DESCRIPI ION OF <br />OPERATIONS below <br />A <br />Professional Liability <br />064 R91891- <br />02 <br />07/01/18 <br />07l01ji9 <br />wOccurrence: <br />Annual Aggregate: $^< 000, 000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space is required) <br />CERTIFICATE HOLDER CANCELLAI ION <br />ty of. Santa Ana, Community Development <br />n.: Terri Eggers, Sr. Mgmt. Analyst <br />Civic Center Plaza <br />Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />REPRESENTATIVE <br />t.„� <br />;if <br />ACORD 25 (2010195) 01888-2010 ACORD CORPORATION. Affrights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />