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DENOV-2
<br />OP ID: DB
<br />ACORO CERTIFICATE OF LIABILITY INSURANCE
<br />E(MMIDD/YYYY)
<br />F�12101/2023
<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 cer,'�fi to holoerffi lieu.of such Pn orse ent s
<br />916-
<br />"Os, Agency, Inc.
<br />gieAcevedo
<br />4401 Havenue, Suite 110
<br />Fair Oaks, CA 96628 ^�
<br />A E: nsurance Agency
<br />PHONE 916-961-6000 FAX 916-961-3046
<br />(A/C, No, Ext): (A/C, No):
<br />E-MAIL
<br />ADDRESS:
<br />U n Date: 2024.O
<br />qrl�l_ 1 I
<br />. N R S AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA:Admlral Insurance Co.
<br />24856
<br />_ 0700
<br />INSURED
<br />De Novo Planning Group
<br />Steve McMurtry
<br />INSURER B : Nationwide Mutual Insurance Co
<br />23787
<br />INSURER C : Hartford CasualtyIns Co
<br />29424
<br />1020 Suncast Lane, #106
<br />El Dorado Hills, CA 96762
<br />INSURER D
<br />INSURER E
<br />INSURER 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 />INSR
<br />ITRMMIDD/YYYY
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />FEIECC1484610
<br />04/29/2023
<br />04/29/2024
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />50,000
<br />$
<br />MED EXP (Any oneperson)
<br />$ 5,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />POLICY � JECT1:1 LOC
<br />PRODUCTS -COMP/OP AGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1 000 000
<br />$
<br />X
<br />BODILY INJURY Perperson)
<br />$
<br />ANY AUTO
<br />ACP3038668630
<br />03/15/2023
<br />03/15/2024
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />PROPERTY DAMAGE
<br />Per accdent
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />L
<br />$
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE [Y]
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />57WECZ03688
<br />04/29/2023
<br />04/29/2024
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />A
<br />Professional Liab
<br />FEIECC1484610
<br />04/29/2023
<br />04/29/2024
<br />E&O AGG
<br />2,000,10
<br />Retro Date 4/29/09
<br />E&O DED
<br />5,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Additional Insured: City of Santa Ana, its officers, employees, agents, and
<br />representatives as per attached.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />SANTA27
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF
<br />ACCORDANCE WITH THE POLICY PRC
<br />orz,N�F RA ManagementDMs(an
<br />a� REVIEWED & APPROVED BY:
<br />AUTHORIZED REPRESENTATIVE1-11�d,-I--�Y[-L:
<br />®'
<br />Risk Management Specialist
<br />ACORD 25 (2016/03)
<br />©1988-2015 ACORD
<br />The ACORD name and logo are registered marks of ACORD
<br />
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