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ACC ® DATE (MM/DD/WY <br />CERTIFICATE OF LIABILITY INSURANCE 06/22/2021 <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 />ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />CorRisk Solutions <br />180 N Stetson Ave Suite 4500 <br />Chicago, IL 60601 <br />MDG Associates, Inc. <br />10722 Arrow Route <br />Suite 822 <br />Rancho Cucamonga, CA 91730 <br />COVERAGES <br />Karen Bronson <br />o,r„r 312-637-8755 iu�o. xe.un <br />kbronson@corrisksolutions.com <br />INSURER(S) AFFORDING COVERAGE NAICa <br />INSURERA: New Hampshire Insurance Company 23841 <br />INSURER <br />INSURER E: <br />INSURER F: <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 />1NSR <br />LTR <br />TYPE OF INSURANCE <br />AUD'L <br />INSRD <br />SUER <br />MD(MMIDDIYYYY) <br />POLICY NUMBER <br />PODGY EPF <br />POLICY BXP <br />(MWDDII'YYYI <br />LIMRS <br />GENERAL LIABILITY <br />EACH OCCURANCE <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE F-IOCCUR <br />DOES NOT APPLY <br />DAMAGE TO RENTED <br />PREMISES (Es mcurance) <br />MED UP (Anyone person) <br />PERSONAL B AND INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PROJECT FLOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT lee <br />ealdenu <br />BODILY INJURY JP., parson) <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />DOES NOT APPLY <br />BODILY MJURY(Per accident) <br />PRUPERTY Da IJE leer <br />amldentl <br />HIRED AUTOS NONIWNED <br />Al ITnF <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURANCE <br />AGGREGATE <br />EXCESS LIAR <br />CLAIMS MADE <br />DOES NOT APPLY <br />DED I IRETENTION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />WG STATU- <br />TOR LIMITS <br />OTHER <br />ANY PROPRIETOWPARTNER/EXECUTIVE <br />OFFICE/MEMBEREXCLUDED? YIN <br />(t yes,daryin NH) ❑ <br />a antler DESCRIPTION OF <br />tt yes, OPERATIONS <br />OPERATIONS below <br />NIA <br />DOES NOT APPLY <br />E.L. EACH ACCIDENT <br />E.L. UI8E5At-EA <br />EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />A <br />Professional Liability <br />069991891- <br />05 <br />07/01/21 <br />07/01/22 <br />Per Occunenca: $2,000,000 <br />Annual Aggregate: $2 000 0()0 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space is required) <br />CtKI IFICAIt HULULK CANCELLAIIUN <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />9th Floor <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2010105) ©1988-2010 ACC <br />The ACORD name and logo are registered marks of ACORD <br />CBWIIIE:.L' <br />RiskManegrnunfDlWalan <br />REvim,ED&pAPPROVED BY. <br />1 �K ram. VaCW�tC <br />Risk Nianagemenl Analyst <br />