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<br />OP ID: MD <br />T <br />ACORO' <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMMDlYYYY) <br /> 04112/11 <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 endorsements . <br />PRODUCER 513-745-9200 NAMEACT <br />THE HAUSER GROUP <br />74 PHONE FAX <br />5-9219 <br />Suite 200 513- <br />8260 Northcreek Dr AIC No ; <br />. <br />Cincinnati, OH 45236 a DRESS: <br />Hauser Insurance Group PROW ER MAN-P-1 <br />O ER ID 6: <br /> INSURERS AFFORDING COVERAGE NAIC S <br />INSURED Management Partners, Inc. INSURERA:The Hartford Casual Ins. Co. 22357 <br />Gerald Newfarmer INSURER a:Lloyds of London <br />1730 Madison Road <br /> INSURER C: <br />Cincinnati, OH 45206 <br /> INSURER D <br /> INSURER E : <br /> INSURER F : <br />cn?IGOAr?c RI=ATIFICATr- rill IMRFR• RFVECInN NI IMRPR <br />THIS 15 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. LIMOS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />LTR SR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />M/DD/YYW <br />MMIDD YEXP <br />Y <br /> <br />LIMITS <br /> GENERALUABILITY EACH OCCURRENCE $ 1,000,0 <br />A X COMMERCIAL GENERAL LIABILITY 33SBALU7089 - 09/28110 09128111 PREMISES Ea occurrence) $ 300.00 <br /> CLAIMS-MADE O OCCUR MED EXP (Any one person) $ 10,00 <br /> X Contractural PERSONAL & ACV INJURY $ 1,000,00 <br /> Liability GENERAL AGGREGATE S 2,000,00 <br /> GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 2,000,00 <br /> POLICY X PRO- LOC Ltd. EPL $ 5,00 <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT S 1 <br />000 <br />000 <br /> <br />09128110 <br />09!28111 (Ea accident) , <br />, <br />A ANY AUTO 33UECT12490 <br /> BODILY INJURY (Per person) $ <br /> j ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br /> x SCHEDULED AUTOS PROPERTY DAMAGE <br /> X HIRED AUTOS (Per accident) $ <br /> X NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 <br /> EXCESS LIAR CLAIMS-MADE <br />2 <br />110 <br />0 <br />1 AGGREGATE $ 3,000,0 <br />A 33SBALU7089 09/ <br />8 9 <br />28111 <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMiPENSATKW X WC STATU- X <br /> EMPLOYERS' LIABILITY ER <br /> YIN <br />A ANY PROPRIETORIPARTNERIEXECUTIVE <br />NIA 33SBALU7089 OH EMPL LI 09128110 09128111 E.L. EACH ACCIDENT $ 1,000,000 <br />A OFFICERIMEMBER EXCLUDED? ? <br />(Mandatory in NH) 33WECRX9356 03101111 03101112 F-L DISEASE- EA EMPLOY $ 1,000,0 <br /> X desabs under <br />DESCRIPTION OF OPERATION below <br />E.LDISEASE -POLICY LIMIT <br />$ 1,000,00 <br />B Professional Liab PL 1008388 <br />r <br />m 06/20/10 06/20/11 Ea Claim 1,000,00 <br /> 0,000 DEDUCTIBLE <br />$ <br />l Agg 1,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) <br />APP R OV SANTAAN <br />AS ' NT F? ?3 OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />! :lU<<t S(lt `ilJeedy 11 r ??,L- D Q <br />?:,sisial/[ C;ily Altor <br />®1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD