KOSMONT REAL ESTATE SERVICES, DBA: KOSMONT REALTY

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`;C"RhP CERTIFICATE OF LIABILITY INSURANCE �r Acct# „?,ass Da E(MMIDDrcrrY) 8/4/2020 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 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 Lockton Companies, LLC 3657 Briarpark Dr., Suite 700 CONTACT 888-828-8365 NAME PHONE FAX A/C, No Exl: LAIC, No: E-MAIL Houston, TX 77042 ADDRESS: INSURER(SI AFFORDING COVERAGE NAIL# INSURER A: Ace American Insurance Co. 22667 INSURED Insperity, Inc. L/C/F INSURER B KOSMON T & ASSOCIATES, INC. INSURER C 19001 Crescent Springs Drive Kingwood, TX 77339 INSURER D 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 RINSD TYPE OF INSURANCE ADDL MDSUBR POLICYNUMBER EFF MMIDPOLICYYYY EXP MMIDDI�YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1:1 OCCUR DAMAGE TO REN PREMISES EaoccunTED ence $ MED EXP (Any one person) $ PERSONAL&ADV INJURY $ GENU AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PRO-JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER'. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BCD I LY INJURY (Per person) $ MY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per ad. dent $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA X C66712679 10/1/2019 10/1/2020 X PER OTH- STATUTE ER E. L EACH ACC I DENT $ 1,000, 000 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD ID1, Additional Remarks Schedule, may be attached if more space is required) Notice to Others Endorsement Included WAIVER OF SUBROGATION IN FAVOR OF CITY OF SANTAANA WHEN REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA 4TH FLOOR SANTA ANA, CA 92701 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ride Mrtinagnnent Didsion rrREVIEWED &{{A�PPRO�VVED By., $ rAsi-H(�e ram. V�RRE/t¢afl. 'ep'll"Fill'iIi Risk Management Analyst ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD