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A� p® CERTIFICATE OF LIABILITY INSURANCE <br />DATE YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />v2a2a1e /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 CONTACT <br />MARSH RISK & INSURANCE SERVICES NAME: <br />345 CALIFORNIA STREET, SUITE 1300 PNONN Ext) E (FAX. <br />IC No <br />CALIFORNIA LICENSE N0.0437153 E-MAIL <br />SAN FRANCISCO, CA 94104 ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC# <br />CN102668209-BLX3-E&O-1&19 INSURER A: XLSpecialty Insurance Company 37885 <br />INSURED <br />BLX GROUP LLC INSURER e <br />777 SOUTH FIGUEROA STREET, SUITE 3200 INSURER C: <br />LOS ANGELES, CA 90017 <br />INSURER D <br />INSURER E: <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: SEA -003389194.09 REVISION NUMBER: 14 <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 />ADOL <br />p <br />SUSR <br />MID <br />POLICYNUMBER <br />POLICY EFF <br />MWDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />of Marsh Risk & Insurance Services <br />COMMERCIAL GENERAL LIABILITY <br />Raquel lldefonzo <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE ❑OCCUR <br />DAMAGETO RE D <br />PREMISES IEa occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑PRO- <br />JECT ❑OC <br />GENERAL AGGREGATE <br />$ <br />GEN'L <br />PRODUCTS - COMPIOP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY over person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />;BODILY INJURY Per accident <br />( ) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />I PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS'LIABILITY YIN <br />ANVPROPRIETORIPARTNEMEXECUTIVE <br />OFFICEWMEMBER EXCLUDED? ElNIA <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />A <br />PROFESSIONAL LIABILITY <br />ELU168859-18 <br />11128/2018 <br />11/28/2019 <br />LIMIT OF LIABILITY: <br />$2,000,000 <br />INVESTMENT COMPANY <br />RETENTION: <br />$250,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />REF: EVIDENCE OF PROFESSIONAL LIABILITY COVERAGE <br />IIIIIIIIII TO WHOM IT MAY CONCERN IIIIIIIIII <br />THIS IS A CLAIMS MADE POLICY, EXCEPTAS OTHERWISE PROVIDED HEREIN, THIS POLICY ONLY APPLIES TO CLAIMS FIRST MADE DURING THE POLICY PERIOD, <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ATTENTION: SARAH RO <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA, M-25 <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />SANTA ANA, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />Raquel lldefonzo <br />© 1988.2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />