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HASSE-1 OP ID: BR <br />A`CQRl7 CERTIFICATE OF LIABILITY INSURANCE <br />GATE 09109/201609/2016 <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 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 />The Business Benefits Group <br />4069 Chain Bridge Road, Top FI <br />Fairfax, VA 22030 <br />Brock Reynolds <br />CONTACT Certificate Team <br />PHONE FAX <br />A/c No Ext703-385.7200 AIc Ne: 703-756.0202 <br />E-MAIL <br />ADOREss: certificates@bbgbroker.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Hartford Casualty Insurance Co <br />29424 <br />INSURED Hassett Willis & AssociatesLLC <br />T/A Hassett Willis & Company <br />1100 New York Ave NW #940W <br />INSURER B: Beazley Ins. Co <br />INSURER C: <br />INSURER D: <br />Washington, DC 20005 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />DAVD- <br />POLICY NUMBER <br />MMIDDY� <br />MMI�DYYXYY <br />LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS.MADE ❑X OCCUR <br />Business Owners <br />X <br />42SBAIG6094 <br />04/11/2016 <br />04/11/2017 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />_UAN RENTED <br />PREMISES Ea occurrence <br />$ 300,00 <br />X <br />MED EXP(Anyone Person) <br />$ 10,000 <br />PERSONAL&ADV INJURY <br />$ 11000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY r7 PROT- ❑ <br />JECLOG <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />PRODUCTS - COMP/OP AGO <br />$ 2,000,00 <br />$ <br />AANYAUTO <br />LIABILITY <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />X <br />42SBAIG6094 <br />04/11/2016 <br />04111/2017 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,00 <br />BODILY INJURY (Per person) <br />$ <br />POMOBILE <br />(Per accent <br />) BODILY INJURY id <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A <br />X <br />UMBRELLA LIAR <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />42SBAIG6094 <br />04/11/2016 <br />04111/2017 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1,000,00 <br />DED I X RETENTION$ 10000 <br />$ <br />A <br />WORKERS COMPENSATION YIN <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />42WECCQ6606 <br />04/11/2016 <br />04/11/2017 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />E.L DISEASE - EA EMPLOYEE <br />$ 1,000,00 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,00 <br />B <br />Prof.Liab/E&O <br />V156613140101 <br />04/23/2016 <br />04/23/2017 <br />LIMIT 1,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Certificate Holder, its officers, agents, and employees are named as <br />Additional Insured in regards to General Liability per attached SS0008 04105 <br />CERTIFICATE HOLDER CANCELLATION <br />SANTANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ATTN: Purchasing Department <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Crater Plaza <br />Santa Ana, CA 92701 <br />R /� - <br />@ 1988.2014 ACORD COfial'lRMIO& JMvrffiA6R st*Ad. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SEP <br />BYsc_Y_ l <br />