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OP ID: YC
<br />,dacoRas CERTIFICATE OF LIABILITY INSURANCE
<br />`i
<br />D04/011202 YY)
<br />oalovza2o
<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(les) 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 1509INC.No
<br />San Gabriel, CA 91778-1509
<br />WESLEY HAMPTON HOUSE
<br />CONTACT
<br />NAME: June.Samarin
<br />PHONE
<br />a 626-943-2237 Arc No : 686-299-1010
<br />E-M" samarin@narver.com
<br />ADDRESS:
<br />PR
<br />...TWEI f; LIEBE-1
<br />INSURERS AFFORDING COVERAGE
<br />NAICM
<br />INSURED Liebert Cassidy Whitmore
<br />6033 W.Century Blvd.5th Fir
<br />Los Angeles, CA90045
<br />INSURERA:Sentinel Insurance Company
<br />11000
<br />INSURERS: Federal Insurance Company
<br />20281
<br />INSURER C:Aspen Specialty Insurance
<br />10717
<br />INSURERD: Lloyd of London
<br />15792
<br />INSURER E :
<br />'Sun 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 />INSSR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />MMIDDIYYYY
<br />MNVDD/YYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />f 2,000,00
<br />-UAWA= HEWED
<br />PREMISE Ea =un-enceI
<br />$ 1,000,00
<br />A
<br />X COMMERCIAL GENERAL LIABILITY /
<br />X
<br />72SBAAK0318
<br />12/14/2019
<br />12/14/2020
<br />MED EXP one n)
<br />$ 10,00
<br />CLAIMS -MADE K OCCUR
<br />✓
<br />PERSONAL&ADV INJURY
<br />$ 2,000,00
<br />GENERAL AGGREGATE
<br />$ 4,000,00
<br />GENT AGGREGATE
<br />LIMIT APPLIES PER
<br />PRODUCTS - COMPIOP AGG
<br />$ 4,000,00
<br />$
<br />X POLICY
<br />PRO- LOC
<br />AUTOMOBILE
<br />LUSKITY
<br />COMBINED SINGLE LIMIT
<br />(Ea acddo M)
<br />S 2,000,00
<br />BODILY INJURY (Per person)
<br />E
<br />ANY AUTO
<br />BODILY INJURY (Per accident)
<br />i
<br />ALL OWNED AUTOS
<br />PROPERTY DAMAGE
<br />(PER ACCIDENT)
<br />$
<br />A
<br />SCHEDULED AUTOS
<br />HIREDAUTOS
<br />72SBAAK0318
<br />1211412019
<br />12114/2020
<br />X
<br />X
<br />$
<br />A
<br />NON-OWNEDAUTOS
<br />72SBAAK0318
<br />1211412019
<br />12/1412020
<br />E
<br />X
<br />UMBRELLA LAB
<br />�(
<br />OCCUR
<br />EACH OCCURRENCE
<br />E 4,000,000
<br />AGGREGATE
<br />S 4,000,000
<br />A
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />2SBAAK0318
<br />12/14/2019
<br />12114/2020
<br />DEDUCTIBLE
<br />$
<br />X
<br />$
<br />RETENTION $ 10,000
<br />WORKERS COMPENSATION
<br />X WCSTATU- OTH-
<br />B
<br />AND EMPLOYERS'=ftJTY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE YIN
<br />OFFICE"EMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />175.0&95
<br />04/01/2020
<br />✓
<br />0410112021
<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 />f 1,000,00
<br />I yes, d I,e, under
<br />DESCRIPTION OF OPERATIONS belay
<br />C
<br />Professionat Liab.
<br />LRA9AF818
<br />12/1012019
<br />1211512020
<br />Per Claim 5,000,000
<br />D
<br />Cyber Liability
<br />N163087
<br />12/06/2019
<br />1V0612020
<br />Aggregate 3,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddI tonal Remarks Schedule, I more apnea Is mqulred)
<br />Certificate Holder is named as an Additional Insured in regards to attached ✓
<br />General Liability Form SS 00 rQji.�A1gF-}vrritten contract or agreement. ✓ �I(C[C �� APPROVED
<br />BY RISk MANA EM
<br />CFRTIFICATF HOI nFR CANCELLATION
<br />8 20SAA
<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 />ty
<br />ANGiF
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Acevedo
<br />P.O. Box 1988
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702�
<br />©1988.2009 ACORD CORPORATION. All rights reserved.
<br />M
<br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
<br />
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