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ACOR'O CERTIFICATE OF LIABILITY INSURANCE DATE,MM/ODIYYYY) lls.. 02/12/2019 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 pollcy(ies) must have ADDITIONAL INSURED provisions or 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 Associates Insurance Group 7395 E. Orchard Rd. NCONT AME:CT Cory GoumlC PHONE (303)793-3388 FAx (303)793-3388 E MAILo Ext : A/C, No ADDRESS: cgournic@getagacom IN SURER(S) AFFORDING COVERAGE NAICN Greenwood Village CO 80111 INSURERA: ACE Fire Underwriters Insurance Company 20702 INSURED INSURER B Green Play, LLC INSURER C: 1021 E. South Boulder Rd. INSURER o: Suite N INSURER E Louisville CO 80027 INSURER F: COVERAGES CERTIFICATE NUMBER: Master REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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, _SR TIN LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDDNYYY P LICYEXP MMIDDp(YYY) LIMITS A COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE OCCUR Professional Liability EONCOF711871952 05/01l2018 05/01/2019 EACH OCCURRENCE $ 2,000,000 A ETORE PREMISES Ea occurrence $ X MED EXP(Anyone person) $ PERSONAL S ADV INJURY $ GEN'LAGGREGATE X LIMITAPPLIES PER: POLICY ❑ PRO- ❑ ECT OC GENERALAGGREGATE g 2,000,000 PRODUCTS -CO MPIOPAGG $ Disciplinary Expense $ 5,000 OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOSONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peraccident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE OEO RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA PER OTH- STATUTE ER E. L. EACH ACCIDENT $ E, L. DISEASE -EA EMPLOYEE $ (Mandate, in NH) If yes, descdit.mder E. L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) u^. y{ `I° r � f�eJSwc�')5� C1 GANULLLAIIDN 'w,J'" NN „y yq SHOULD ANY OF THE ABOVE DESCRIBED P CI��E ��''AASd)P LLED BEFORE THE EXPIRATION DATE THEREOF, NOT ILL BEj I*EiE0 IN City of Santa Ana ACCORDANCE WITH THE POLICY PR ISIONS. `�' 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 ©1988-2016 ACORD CORPORATION. All rlahts reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD