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OP ID: YC
<br />,a►�oRflW CERTIFICATE OF LIABILITY INSURANCE
<br />DAT61221219 019
<br />05/221
<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 endorsements .
<br />PRODUCER
<br />Narver Associates Ins Agcy
<br />P,O. BOX 1509
<br />San Gabriel, CA 91778.1609
<br />WESLEY HAMPTON HOUSE
<br />CONTACT June Samarin
<br />PHONE 626-943.2237 FAX
<br />AIC No Ext: Nc,No: 686-299-1010
<br />E-MAIL s: lSan nE-narver.com
<br />PRODUCER
<br />CUSTOMER ID N: LIEB1
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICM
<br />INSURED Liebert Cassidy Whitmore
<br />INSURER A: Sentinel Insurance Company
<br />11000
<br />6033 W. Century Blvd. Sth Fir
<br />Los Angeles, CA 90046
<br />INSURER B: Federal Insurance
<br />12890
<br />INSURERC:Aspen Specialty Insurance
<br />10717
<br />INSURER D: Lloyds of London
<br />15792
<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 />ADDLSUBR
<br />INBR
<br />MIL
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDIVYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X❑ OCCUR
<br />X
<br />72SBAAK0318
<br />12/14/2018
<br />12/14/2019
<br />ET RENT
<br />PREMISES Eaoccurrence
<br />$ 1,000,000
<br />MED EXP (Any one parson)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOP AGO
<br />$ 4,000,000
<br />X POLICY PRO-IECT LOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 2,000,000
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />--
<br />ALL OWNED AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />A
<br />X
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />72SBAAK0318
<br />12114/2018
<br />12/14/2019
<br />PROPERTY DAMAGE
<br />(PER ACCIDENT)
<br />$
<br />A
<br />X
<br />NON-OWNEDAUTOS
<br />72SBAAK0318
<br />12114/2018
<br />12/14/2019
<br />s
<br />S
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />S 4,000,000
<br />AGGREGATE
<br />-
<br />$ 4,000,000
<br />A
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />72SBAAK0318
<br />12114/2018
<br />12/14/2019
<br />DEDUCTIBLE
<br />$
<br />$
<br />X
<br />RETENTION $ 10,000
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFF IC MEMBER EXCLUDED9 ❑
<br />(MandatoryinNH)
<br />f yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />7175.05.95
<br />04/0112019
<br />04/01/2020
<br />X C STATU- OTH-
<br />TOR L M T ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />--
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,00
<br />C
<br />Professional Liab.
<br />LRA9AF817
<br />12/10/2018
<br />12/10/2019
<br />Per Claim 5,000,00
<br />D
<br />Cyber Liability
<br />WN163087
<br />12/06/2018
<br />12/06/2019
<br />Per Claim 3,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Certificate Holder is named as an Additional Insured in regards to attached
<br />General Liability Form SS 00 08, per written contract or agreement.
<br />CERTIFICATE HOLDER CANCELLATION
<br />CITYSAA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Cityof Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />P.O. Box 1988
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />© 1988.2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
<br />
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