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DATE (MMIDDIYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />7/13%2016 <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 SUBROGATIONIS 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 />CONTACT,-ennifer Lichtman <br />NAME: <br />Assured SKCG, Inc. <br />PHONE Ext); (914) 761-9000 (AIC, Na]: (414)761-3749 <br />123 Main Street <br />E-MAIL ADDRESS: cram <br />ADDRESS: 7 � <br />14th floor <br />..... _.,INSURER(S)AFFORDING COVERAGE NAIL# <br />White Plains NY 10601 <br />INSURER.AMass Bay 22306 <br />INSURED_ <br />INSURER...B:Hanover Insurance Company ....... _ 22292 <br />OverDrive Holdings, Inc. <br />INSURERC'Al.lmerica Financial Benefit Ins 4194.0 <br />One OverDrive Way" ( <br />INSURERD:Illinois union 27960 <br />INSURER.E : <br />Cleveland OH 441,25 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER CL1671380206 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 POL0ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS., <br />EXCLUSIONS AND CONDIT@ONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR _... TYPE OF INSURANCE AODL SUER __. _ POLICY fF'F POLICY EXP LIMITS <br />''..... LTR N. POLICY NUMBER MMIDDlYYYY MMYDDFYYYY <br />X COMMERCIAL. GENERAL LIABILITY EACH OCCURRENCE $ 1, GOO, 000 <br />OAMAGE TO RENTED <br />A CLAIMS -MADE X OCCURPREMISES ( a occu ence $ 1,000,000 <br />�j C <br />';uDY 04 5.30 2016 6/30/2017 <br />/ 30!2(917 MED EXP (Any one person) $ 10,000 <br />t PERSONAL 8 ACV INJURY $ 1, 090, 000.... <br />GEN'L AGGREGATEPIM)X <br />IT APPLIES PER: � �' � GENERAL AGGREGATE_. $ ..... 2,000,000 <br />.. POLICY JECT LOC PRODUCTS COMPPOP AGG $ ........ 2,000,000 <br />., OTHER_ w M1 y _ $ <br />AUTOMOBILE LIABILITY V COMBINED SINGLE LIMIT $ 1, 000, 000 <br />.. 4 4 , yy {.�, (Ea accident).... _.. ......... ..... <br />B X ' ANY AUTO h v h...l,. BODILY INJURY (Per person) $ .._. ... <br />ALL OWNED SCHEDULED A.Y-, 3368-01 z 6/30/2016 6/30/2017 BODILY INJURY (Per accident) $ <br />AUTOS AUTOS, <br />�"� C ' PROPERTY DAMAGE _ $ <br />HIR ED AUTOS AUTOS (Per accident)_ _... _. <br />X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $.......15,000,00..0 <br />B EXCESS LIAB .... CLAIMS -MADE... AGGREGATE.. $_ 15,0100 , OOO <br />!.DED RETENTION$ UHY 9599285-04. 6/30/2016 6/30/2017 $ <br />WORKERS COMPENSATION X PER OTH- <br />AND EMPLOYERS' LIABILITY YIN _. STATUTE ER _ <br />ANY PROPRIETORIPARTNER;ECECUTIVENIA E.L EACH ACCIDENT $ 1,000,000 <br />OFFICERIMEMSER EXCLUDED? <br />C (Mandatory in NH) W2Y-9 571546-05 6/30/2016 6/3012017 F L DISEASE - EA EMPLOYEE $ 1, 000, 000.. <br />If yes describe under <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000'.00,0 <br />D Technology, Media '., EON 625541546 005. 6/30/2016 6/30/2017 Limit ofUability $10,000,000 <br />Professional Liability <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, its officers, employees, agents and representative are named as additional insureds. <br />Additional insured status is granted for General Liability per policy terms and conditions, when required <br />by written contract per endorsement number 421-2915 06 15 ('see attached). <br />Thirty (30) day notice of cancellation, General Liability Coverge is Primary & Non -Contributory when <br />required by written contract per endorsement number 421-2915 06 15 (see attached). <br />City of Santa Ana <br />20 Civic Center plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2014/01) <br />INS025rgrlr4nv <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 />Richard Cant. r/ ENN' �u�-.� ��,�c✓i r ?'�rr.._.t <br />Cc} 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />