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A-2017-225-01 <br />ACORU CERTIFICATE OF LIABILITY INSURANCE <br />�./ <br />DATE(MMIDDIYYYY) <br />06/23/2020 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Bannister & Associates Insurance Agency <br />CA License #0691071 <br />CONTACT <br />NAME Rich Higgins <br />PHONE FAX <br />(714) 536-6086 AIC Mai: (714) 536-4054 <br />E-MAIL <br />ADDRESS: richVbai-ins.com <br />305 17th Street <br />Huntington Beach CA 92648-4209 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC9 <br />INSURERA: Continental Casualty CoMany <br />20443 <br />INSURED (949) 399-9050 <br />Townsend Public Affairs, Inc. <br />INSURERS: Nationwide Mutual Insurance Co <br />23787 <br />INSURER C: Oak River Insurnace Company <br />34630 <br />INSURER D: AXIS Surplus Insurance company <br />26620 <br />1401 Dove Street, Suite 330 <br />INSURRS: <br />Newport Beach CA 92660 <br />NSUREER F : <br />COVERAGES CERTIFICATE NUMBER: Cart ID 4206 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 />HER <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICYEFF <br />fiyIWDDIYYTY <br />POLICY EXP <br />MMIDDrIYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />y <br />B 6074573557 <br />08/31/2019 <br />Q/yROaB <br />EACH OCCURRENCE <br />$ 11000,000 <br />DAMAGE TO RENT ED <br />PREMISES Ea occurrence <br />$ 300,000 <br />NED EXP(My one person) <br />$ 10,000 <br />PERSONAL BADV INJURY <br />$ Excluded <br />GENL <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECTPRO- I —XI LOG <br />OTHER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS -COMPIOPAGG <br />$ 2,000,000 <br />IS <br />B <br />LIABILITY <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />ACP 3028752757 <br />0 5/0 1/2 02 0 <br />05/01/2 02 1 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />NOMOBILE <br />BODILY INJURY (Per accident ) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />A <br />X <br />UMBRELLA LIAR <br />EXCESS OAS <br />OCCUR <br />CLAIMS -MADE <br />B 6074573560 <br />08/31/2019 <br />08/31/2020 <br />EACHOCCURRENCE <br />$ 5,000,000 <br />N <br />AGGREGATE <br />$ 5, D00, 000 <br />DEO X RETENTION$ 10,000 <br />$ <br />C <br />AND EMPLOYERS LIABILITY <br />AND EMPSYERS'LIATIONILIT YIN <br />ANYPROPRIETORIPARTNEREXECUTIVE ❑ <br />OFFICEMMEMBEREXCLUOED? <br />(Mandatory, In NH) <br />0 yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />TOWC121809 <br />07/01/2020 <br />07/01/2021 <br />X STATUTE ERH <br />E.L. EACHACCIDENT <br />$ 11000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 11000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 11000,000 <br />D <br />Professional Liability <br />(claims -made form) <br />P-001-000144554-02 <br />Retention: $5,ODO <br />07/31/2020 <br />07/31/2021Limit <br />(each <br />claim): <br />Limit (aggregate): <br />$ 21000,000 <br />$ 4,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />The certificate holder is named as additional insured with respects general liability policy limits. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Public Works Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plz <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />�- ^r( �• <br />91988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />