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`le. o CERTIFICATE OF LIABILITY INSURANCE
<br />L---''
<br />p0/17/DD018
<br />10/17 /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 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 />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Degginger McIntosh and Associates
<br />3977 Harbour Pointe Blvd SW
<br />Mukilteo WA 98275
<br />NA MNTe�CT Ginger Pioli
<br />PNEMAILONE . 1421)740-5200 FAX a,(aas)74p-sap)
<br />.ginger®DMAinsurance.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC A
<br />_
<br />INSURERA:His COx Inc.
<br />L19704
<br />INSURED
<br />Ergometrics & Applied Personnel Research, Inc.
<br />National Testing Network, Inc.
<br />18720 33rd Ave W STE 200
<br />ILynnwood WA 98037
<br />INSURER B:Amer i can Fire and Casualty Co.
<br />INSURER C;Evans ton Insurance Company
<br />INSURER o;
<br />INSURER E:
<br />INSURER F:
<br />lrl�l9aYA�f�-�tlli[\]little\]aPPit41-1a:i!\•lIc>ans:n,�.Ye�lulEf J0.��:]yr1 LYbI. \JUL4@Tye
<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 />ILTR
<br />TYPE OF INSURANCE
<br />OOL
<br />UB
<br />POLICYNUM85R
<br />POLICY
<br />BYY
<br />POLICY
<br />MI DYEXP
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />PL1004042.18
<br />10/27/2018
<br />0./27/2019
<br />EACHOCCURRENCE
<br />S 11000,000
<br />X COMMCRCIAL GENERAL LIABILITY
<br />CIAIMS-MADE ❑X OCCUR
<br />X
<br />PREMISES Ea occur e
<br />S so, 000
<br />MED EXP UaYone person)
<br />_
<br />$ 5,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />X DE➢➢CTIBLE: $2,500
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS-COMPIOP AGO
<br />$ 2,000,000
<br />X POLICY
<br />ECT 1-1 PRO- LOC
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />AA58229925
<br />10/27/201810/27/2019
<br />Eaaccident)SINGLE LIMIT
<br />1 000 000
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />SALL
<br />Ix
<br />OWNED SCHEDULEDAUTOS AUTO$
<br />SS
<br />BODILY INJURY(peracciden0
<br />$HIRED
<br />AUTOS X NON.
<br />AUTOS
<br />p O ERTY DAMAGE
<br />cci el t
<br />$
<br />C
<br />LIAB
<br />X
<br />I OCCUR
<br />KSMP12L3318
<br />10/27/2018
<br />0/27/2019
<br />EACHOCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />IUMBRELLA
<br />EXCESS LIAB
<br />CLAIMS-MAtlE
<br />DED I X I RE'I'EN'TIONS 10,000
<br />$
<br />A
<br />MPLOYEBSiNO5iOIXK
<br />>VIS
<br />'LIABILITY YIN
<br />ANYPROPRIETORIPARTNEPoEXEcunvE --j
<br />OFFICERIMEMBER EXCLUDED?
<br />N I A
<br />L1004042.18
<br />KA STOP GAP
<br />10/27/2018
<br />0/27/2019
<br />TQBYLIMIWCSTA U. X TH-
<br />E.L. EACH ACCIDENT
<br />$ 11000,000
<br />E.L. DISEASE, EA EMPLOYEE
<br />$ 1,000,000
<br />(scudded, I,, NH)
<br />If yes, describe sutler
<br />DESCRIPTION OF OPERATIONS W.
<br />E.L DISEASE. POLICY LIMIT
<br />$ 11000,000
<br />A
<br />PROFESSIONAL LIABILITY
<br />XPL1004042.18
<br />10/27/201810/27/2019
<br />EACH OCCURRENCE $2,000,000
<br />DEDI IBLE: $5,000
<br />BTRO DATE 06.23-1998
<br />AGGREGATE $3, 000, 000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addhicuial Remarks Schedule, If more space Is required)
<br />City of Santa Ana its officers, employees, agents and representatives are included as Additional Insured
<br />per attached form WCLP0002CW(1014) with respect to any and all operations of the Named Insured. Coverage
<br />is Primary/Non-Contributory per same form. Notice of Cancellation, Non -Renewal and Material Change on
<br />General Liability and Professional Liability applies per attached Endorsement WCLE60470W(O5/13). All
<br />endorsements apply per required Written Contract. RE1 NTN Testing Services
<br />7146476956@myfax.com
<br />City of Santa Ana
<br />Clerk of the City Council
<br />20 Civic Center Plaza (M-30)
<br />PO Box 1988
<br />Santa Ana, CA 92702-1988
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />McIntosh/OGDON
<br />©1988-2010 ACORD CORPORATION. All richts reserved.
<br />NS025(20100501 /{the ACO ame and I are registered marks of ACORD
<br />It {/"
<br />
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