LARRY-HERRERA-CABRERA, LKHC CONSULTING

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CERTIFICATE OF LIABILITY INSURANCE CATE(MMIDDIYyyY) 02/14/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Hiscox Inc. d/b/al Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor CONTACT NAME: PHORLICNE (888) 202-3007 AIX No: tl EMAIL ADDRESS: contact@hiscox.com INSURERS AFFORDING COVERAGE NAIC# New York, NY 10022 _ INSURER A: Hiscox Insurance Company Inc _ 10200 INSURED LKHC Consulting 28086 Via Del Cerro INSURER B: INSURER C INSURER D I San Juan Capistrano CA 92675 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR I OF INSURANCE ADDLSUBRTYPE INSD WVD POLICYNUMBER MMIDDIYYVY POLICY EF OLICY EXP MMIDD YYYR&ADV LIMITS X' COMMERCIAL GENERAL LIABILITY RRENCE 5 2000,000 1"� CLAIMS -MADE � OCCUR PREMISES Ee occurrence $ 100,000 ny one parson) $ 5,000 Primary & Non Contributory INJURY $ 2,000,000 A X Y Y UDC-2086768-CGL-18 10/20/2018 10/20/2019&ADV AGGREGATE LIMIT APPLIES PER', GGREGATE $ 2000000POLICY GENE ❑ PRO- ❑ LOC ECT -COMP/OP AGO $ SIT Gen. Agg. $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accldenl $ BODILY INJURY (Par person) $ ANY AUTO _ ALL OWNED r -� SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Peraccident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE $ E%CESS LIAB CLAIMS: MADE _J DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN IPER OTH� STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/IdEMBEREXCLUDED7 ❑ NIA E. L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD IW, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana is listed as an Additional Insured. The Hiscox General Liability policy is primary and any other insurance maintained by the additional insured is excess and Non - Contributory subject to the policy terms and conditions. Cy.Yvif F CERTIFICATE HOLDER CANCELLATION City of Santa Ana 20 Civic Center Plaza (M-30) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box 1988 - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92702-1988 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD