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A� & CERTIFICATE OF LIABILITY INSURANCE <br />DATEIMMDDYYYY) <br />12/20/2019 <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(iss) 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 />Hays Companies Inc. <br />1200 North Mayfair Road <br />Suite #100 <br />Milwaukee WI 53226 <br />CONTACT Amy <br />NAME: VOBBBILu11 <br />PHONE EMD, (414)443-0000 1 INC. No: <br />ADUARESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC0 <br />INSURER A:National Fire insurance Co of <br />20478 <br />INSURED <br />Hagerty Consulting, Inc. <br />1618 Orrington Ave, Suite 201 <br />Evanston IL 60201 <br />INSURER B:COatinental Insurance Company <br />35289 <br />INSURERC:Valley Fore Insurance Company <br />20508 <br />INSURERD:Certaia IInderwritera at Lloyds <br />INSURER E <br />INSURERF: <br />rnVFRArSFC CFRTIFICATF NUMRFR-20 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 />IN$R <br />LTR <br />TYPE OF INSURANCE <br />ADM <br />SUBIR <br />POLICY NUMBER <br />POLICY <br />POLICY <br />MJ OI EXP <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />CLAIMS -MADE X OCCUR <br />DAMAGETO RENTED100, <br />PREMISES Ea occurars <br />S 000 <br />MEDEXP( "person) <br />$ 15,000 <br />X <br />6023741069 <br />1/1/2020 <br />1/1/2021 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />X POLICY�jEa �LOC <br />PRODUCTS - COMP/OP AGO <br />$ 2,000,000 <br />$ <br />OTHER: <br />I <br />AUTOMOBILE LIABILITY <br />MBINEp SINGLE LIMITS <br />Ea ac.d. <br />1,000,000 <br />BODILY INJURY (Per parson) <br />S <br />A <br />ANY AUTO <br />ALL O`ANED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />X HIREDAUTOS N AUTOS <br />BUA 6023741035 <br />1/1/2020 <br />1/1/2021 <br />BODILY INJURY(PW ecadem) <br />S <br />PROPERTY DAMAGE <br />Pera en! <br />$ <br />S <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000 000 <br />AGGREGATE <br />$ 2,000,000 <br />B <br />EXCESSLIAB <br />CLAIMS -MADE <br />DE <br />XI <br />RETENTIONS 10,000 <br />5 <br />16023741072 <br />1/1/2020 <br />1/1/2021 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPMETORIPARTNERIE)(ECUTIVE <br />X SRH- <br />STATUTE R <br />E.L. EACH ACCIDENT <br />S 500,000 <br />C <br />OPFICERMIEMBER EXCLUDED? <br />(Mandatory In NX) <br />NIA <br />6023741041 (ADS) <br />1/1/2020 <br />1/1/2021 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 500,000 <br />E.L DISEASE POLICY LIMIT <br />S 500,000 <br />❑ySCRIPTION �Ww under <br />DESCRIPTION Of OPERATIONS Delrnv <br />6023741086 (CA) $1N <br />D <br />�Profesional <br />W17028200601 <br />1/1/2020 <br />1/1/2021 <br />Ea ClelmlAggregMe $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AMMdral Remarks Scmwle, may w aaached K more.Pace la reeulmd) <br />Certificate Holder, its officers, agents and employees are additional insured in regards to General <br />Liability policy per attached endorsement. A 30 day notice of cancellation/non-renewal for any reason <br />other than for non-payment of premium will be provided to those parties indicated in the written <br />contract. <br />chuang®Banta-ana.org <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City Of Santa Ana p THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Divisio REVI ED 81 APPR)VLLIRDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza gy Ri MANAGEMENT D <br />4th Floor AUT14ORMED REPRESENTATIVE <br />Santa Ana , CA 92702 1 4 2ULU James Hays/FHALAS <br />01988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014/01) The9.dXJV4jgft** IoJM@ Mstered marks of ACORD <br />INS025 (201401) <br />