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AeC>R a CERTIFICATE OF LIABILITY INSURANCE <br />°"T3;212022 YY <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 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 />HAUSER <br />5905 E. Galbraith Rd, Ste 9000 <br />Cincinnati OH 45236 <br />CONTACT <br />NAME:PHONE <br />FAX <br />.513-745-9200 ac Na.513-745-9219 <br />EDo Ikss: swood@thehausergroup.com <br />INSURERS AFFORDING COVERAGE <br />NAIC M <br />INSURER A: Houston Specialty Insurance Company <br />12936 <br />INSURED MANAPAR-01 <br />INSURER B : <br />Management Partners, Inc. <br />1730 Madison Road <br />INSURER C: <br />INSURER O: <br />Cincinnati OH 45206 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1007649912 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 />INSR <br />LTR <br />OF INSURANCE <br />ADDLTYPE <br />INSR <br />MO SUER <br />POLICY NUMBER <br />MMIooY EFF <br />POLIMMIDD EXP <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGERENTED <br />PREMISESS ( Ea occurrence) <br />$ <br />MED EXP(My one person) <br />$ <br />CLAIMS -MADE 11 OCCUR <br />PERSONAL S ADV INJURY <br />$ <br />GENERALAGGREGATE <br />$ <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS -COMP/OPAGG <br />$ <br />POLICY <br />PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALLroS $CHOS FOULED <br />AUTOS AUT <br />BODILY INJURY ( ) Per accident <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LMB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LMB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTI+ <br />ANDEMPLOYERS'LIABILITY Y/N <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNEWEXECUTIVE❑ <br />OFFICERIMEMBER EXCLUDED? <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, descnbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />TED <br />3/112022 <br />3/1/2023 <br />15000,000 Per Claim $5,000 Retention <br />Roco,Wlc Aggregate <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ANech ACORD 101, Additional Remarks Schedule, if more space is required) <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />9.M w <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />ram. <br />NEVIXEWED"' 6APPRovEDOrBY: <br />A,� A�watp <br />- Of <br />Risk Management Speaalis[ <br />