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DATE (MMIOD/YYYY) <br />1® CERTIFICATE OF LIABILITY INSURANCE DATE <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 certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER 'NAME, ' Maa Walsh <br />Hauser Insurance Group PHONE A <br />8280 Northcreek Drive, Suite 200 A 111?, wi-513145-9200 AIC.No):513-745-9919 <br />Cincinnati OH 45236 <br />INSURED MANAG.2 INSURER B : <br />Management Partners, Inc. INSURER C: <br />1730 Madison Road INSURERD <br />Cincinnati OH 45206 INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 785023488 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELUW F1AVh tsEEN Issutu Iv I ne Mounau ""we v now- <br />NOTVdTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED <br />. <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 /> <br />INSR <br />TYPE OF INSURANCE <br />A-L <br />INSR <br />r <br />XD? <br /> <br />POLICY NUM ER PO I Y EFF <br />IM POLICY P <br /> <br />M <br /> <br />LIMITS <br />A OENERALLU'OIL" 3SBAUG1832 1/2013 11/2014 EACH OCCURRENCE $1,000,000 - <br /> <br /> X ENERAL LIABILITY PREMISESiEff-poicufflool- $300,000 <br /> COMMERCIAL G <br />MADE 15F] OCCUR MED EXP (Any one person) $10,000 <br /> CLAIMS- <br /> PERSONAL & ADV INJURY 311,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br />- <br /> TE LIMIT APPLIES PER: PRODUCTS • COMPKW AGO S2 000,000 <br /> GEITL AGGREGA <br />POLICY PRO• LOC 5 <br />A AUTOMOBILE LIABILITY 33UECVG5096 /1/2013 11/2014 Eeac dent 1000000 <br /> A <br />T BODILY INJURY (Per person) $ <br /> ANY <br />U <br />O <br />LL OOYMED X DULED <br />SSC <br />E BODILY INJURY (Per eooideel) S <br /> <br /> <br />X A <br /> <br />X O <br />S <br />AUT <br />NON•OYJ.NED <br />PROPERTY MAGE <br />a <br />S <br /> HIRED AUTOS AUTOS S <br />A UMBRELLAUAB X CUR 33SBAUG1832 1/2013 11/2014 EACH OCCURRENCE $3.000,000 <br /> OC <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 <br /> <br /> DED X RETEN(IONS10000 $ <br /> WORKERS COMPENSA110N 3WECRX9356 /112013 1112014 VvC STATU- O R <br />OR <br /> AND EMPLOYERS' LIABILITY <br />ROPRIETORIPARTNERIEXECUTiVE <br />Y <br />EL EACH ACCIDENT <br />$1000000 <br /> AN <br />P <br />OFFICERMAEMBER EXCLUDED? <br />Li <br />in NH) <br />M <br />d <br />t NIA <br />SOMA R. <br />?+ ?r1??-?, <br />M <br />E.L. DISEASE - EA EMPLOYE <br />51000000 <br /> ory <br />( <br />an <br />a <br />GL a dowAbe under <br />IIS <br />D RIPTK)N OF OPERATIONS belcx <br /> <br />E.L. DISEASE • POLICY LIMIT <br /> <br />$1000000 <br />B Professional Liab PLIOD8386 /20/2013 /2012014 Ea. Claim $1,000,000 <br />Agg $1,000,000 <br />000 <br />?? $10 <br />, <br />Deductible L??? <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD III s In reaulred) <br />. CITY ATTORNEY <br />i <br />CEI <br />SHOULD ANY 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 82702 AUTHORIZED REPRESENTATIVE <br />®1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD