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<br />A` ORi� CERTIFICATE OF LIABILITY INSURANCE
<br />JKEEF
<br />;;4/M1201YYY)
<br />a1 snol s
<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(ies) 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 endorsements .
<br />PRODUCER
<br />C NTACT
<br />The Business Benefits Group
<br />The Chain Bridge Rd
<br />Fairfax, VA 22030
<br />PHONE FA%
<br />lac, No,Ext: 01-3612
<br />( ) laC, No :(703) 766-0202
<br />+^AIL . Certificates@bbgbroker.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC Y
<br />INSURER A: Hartford Casualty Insurance Co
<br />29424
<br />INSURED
<br />INSURERS: Hartford Insurance Group
<br />Hassett sett B s & Company
<br />7lA Hassett Willis 8 Company
<br />1100 New York Ave NW #25OW
<br />INSURER C:Hartford Fire Insurance Co
<br />19682
<br />INSURER D: Beazle Ins. Co
<br />37540
<br />INSURER E
<br />Washington, DC 20005
<br />INSURER F :
<br />COVERAGES f:ERTICIr:ATP MI IMRCD.
<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 />INSft
<br />TYPE OF INSURANCE
<br />ADOL
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />X
<br />2SBAIG6094
<br />4/11/2019
<br />4111/2020
<br />PREMISES Ma o=encelMED
<br />$ 300000
<br />EXP (Any one ersan
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMpII�T� APPLIES PER
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L
<br />PRODUCTS-COMPIOP AGO
<br />$ 2,000,000
<br />POLICY JECT LOD
<br />$
<br />OTHER'
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />1,000,000
<br />8
<br />BODILY INJURY PerPerson)
<br />$
<br />AUTO
<br />X
<br />2SBAIG6094
<br />4/11/2019
<br />4/11/2020
<br />DONLYNAUTOSULED
<br />IXANY
<br />AUTOS
<br />BODILY INJURY Pereccitlent
<br />$
<br />PeOaccRly AMAGE
<br />$
<br />ff EE��
<br />AURTOS ONLY AUONOSONLB
<br />8
<br />A
<br />X
<br />UMBRELLA UAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />I
<br />AGGREGATE
<br />S
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />2SBAIG6094
<br />4/11/2019
<br />4111/2020
<br />DED I X I RETENTIONS 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />OTH-
<br />X PERTUT
<br />ANY EMPLOVTORIPABRITY
<br />YIN
<br />E.L.EACH ACCIDENT
<br />8 11000,000
<br />ANVOFFICER/MEETORIPARTNDEDI CUTIVE
<br />2WECCQ6606
<br />4/11/2019
<br />4/11/2020
<br />(Mandatory In gER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE
<br />S 1,DDD,DDD
<br />If yes. ,mscnbe untler
<br />E.L. DISEASE -POLICY LIMIT
<br />S 1,006,000
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />Crime
<br />2BDDGP5459
<br />1/1/2018
<br />111/2021
<br />Limit
<br />600,000
<br />D
<br />Prof. Errors8 Omiss
<br />V1566D1110501
<br />4/23/2019
<br />4/23/2020
<br />Limit
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached if more space is required(
<br />Certificate Holder, its officers, agents, and employees are named as Additional Insured In regards to General Liability per attached SS0008 04105
<br />City of Santa Ana
<br />ATTN: Purchasing Department
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<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,,'/nItA/'✓
<br />REPRESENTATIVE
<br />ACORD 25 (2016/03)
<br />The ACORD name and
<br />1988-2015 ACORD CORPORATION. All rights reserved.
<br />of ACORD
<br />�- or Z�7
<br />
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