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<br />OP 10: MD <br />DATE (MMIDDIYYYY) <br />06/23/11 <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 pollcy(les) 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 certlflcate does not confer rights to the <br />certificate holder In lieu of such endorsement s . . <br />PRODUCER 513-745-9200 <br />THE HAUSER GROUP 6137459219 PHONE <br />8260 Northcreek Dr. Suite 200 - . <br />Cincinnati, OH 46236 <br />Hauser Insurance Group <br /> <br />COVERAGE 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 />IN <br /> <br />~ <br />ACORD" <br />~. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />INSURED <br /> <br />Management Partners. Inc. <br />Gerald Newfarmer <br />1730 Madison Road <br />CIncinnati, OH 45206 <br /> <br /> <br />AlC No: <br /> <br />INSURER C : <br />INSURER 0 : <br />INSURER E : <br />INSURER F : <br /> <br />TYPE OF INSURANCE <br />GENERAL UABILITY <br /> <br /> <br />EACH OCCURRENCE <br /> <br />POLICY NUMBER <br /> <br />LIMITS <br /> <br />$ <br />$ <br />MED EXP (Any one rsOll $ <br />PERSONAl & AOV INJURY $ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMPfOP AGO $ <br />Ltd. EPL $ <br /> <br />A <br /> <br />33SBAlU7089 <br /> <br />EMI S Ea OCCUtrence <br /> <br />09/28/10 <br /> <br />X COMMERCIAL GENERAllIABllI"TY <br /> <br />CLAIMS-MADE W OCCUR <br />X contractural <br /> <br />Liability <br /> <br />09/28/11 <br /> <br /> <br /> <br />COMBINED SINGLE LIMIT <br />(Ea sccklenl) <br /> <br />BODILY INJURY (Per pll(son) $ <br /> <br />BODILY INJURY (Per accidsnl) $ <br /> <br />PROPER"TY DAMAGE <br />(Por sccklenl) <br /> <br />A X ANY AUTO <br />ALL OWNED AUTOS <br />X SCHEDULED AUTOS <br />X HiRED AUTOS <br />X NON.OWNEDAUTOS <br /> <br />09/28/11 <br /> <br />UMBRELLA LIAS <br />EXCESS lIAB <br /> <br />X OCCUR <br />CLAIMS.MADE <br /> <br />33SBALU7089 <br /> <br />EACH OCCURRENCE $ <br /> <br />AGGREGATE $ <br /> <br />$ <br /> <br />$ <br /> <br />09/28/10 <br /> <br />09/28/11 <br /> <br />A <br /> <br />DEDUCTIBLE <br />X RETENTION 10 000 <br />WORKERS COMPENSAllON <br />AND EMPLOYERS' LIAelLl"TY Y f N <br />my PROPRIETORIPARTNERfE)(ECUTIIIE 0 <br />OFFICERlMEMBER EXCLUDED? <br />(Mandalory.ln NH) <br />~~~~~tfr~ 'b~~PERATIONS bel";" <br />8 Professlonall.lab <br /> <br />09/28/10 <br />03/01 Iii <br /> <br />09/28/11 <br />03/01/12 <br /> <br />X WCSTATU- X OTH. <br /> <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE. EA EMPLOYEE $ <br />E.L. DISEASE. POLICY LIMIT $ <br />Ea. Claim <br />Agg <br /> <br />A <br />A <br /> <br />NfA <br /> <br />33SBAlU7089 OH EMPL LI <br />33WECRX9356 <br /> <br />MPL 10083B8 <br />$10,000 DEDUCTIBLE <br />DESCRlPllON OF OPERAllONS f LOCAllONS f VEHICLES (Attach ACORD 101, Addlllonal Remarl<. Schedule,lt more apace Is requlredl <br /> <br />06/20/11 <br /> <br />06/20/12 <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />NAICII <br />22357 <br /> <br />$ <br /> <br /> <br />$ <br /> <br />$ <br />$ <br /> <br /> <br />SANTAAN <br /> SHOULD AKY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE <br />I &:v~ ciJ~ <br /> <br />ACORD 25 (2009/09) <br /> <br />@1988.2009ACORDCORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />