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4 Al --,AV 3 --/D/ <br />Accw O® CERTIFICATE OF LIABILITY INSURANCE <br />;/26/203"' <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, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />gEXTEND <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT �"P; S C?fTR�C-50ETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />I <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE LD J <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iess)� be endorsed. If SUBROGATION IS WAIVED, subject to <br />pmust <br />the terms and conditions of the policy, certain policies may IRWIN ah*dor,4Hq',wi ���ment on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). f <br />PRODUCER <br />NA`MEA aWn ettinering <br />Gaston & Associates, Inc. <br />PHONEdd(914)244-1055 ac No,(914)244-1056 <br />100 South Bedford Road <br />nooRess:ettmering@ gas tones soc. corn <br />Suite 110 <br />INSURERS AFFORDING COVERAGE NAIC p <br />INSURERA.Zxedutive Risk Index it Inc. 35181 <br />Mount Kisco NY 10549 <br />INSURED <br />INSURER B i <br />INSURER C: <br />Urban Futures Bond Administration, Inc. <br />INSURER D: <br />and Urban Futures, Inc. <br />INSURER E: <br />3111 North Tustin, Suite 230 <br />INSURER F: <br />Orange CA 92865 <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 />21 <br />TYPE OF INSURANCE <br />AooL <br />BR <br />MD <br />pOLICV NUMBER <br />MM AGCY EFF <br />POLICYEXPIINRR <br />LIMITS <br />/+ /1 <br />�pbwt-CiA heu -rpr" VNlO <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence) $ <br />CLAIMS -MADE F1 OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL &ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN1 AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGS $ <br />17 POLICY D PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />'t1 <br />b <br />% 'ti <br />EO MBctleeDISINGLE LIMIT <br />ANY AUTO <br />1 `' <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />S1 ®�� <br />�Sy' <br />.r' <br />..-- <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident) <br />NON-OWNED <br />HIRED AUTOS AUTOS <br />AGK" <br />s� o <br />�y <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />ty <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />n 1.2h{. <br />Asg)S <br />1 <br />AGGREGATE $ <br />DED I I RETENTION <br />$ <br />( <br />WORKERS COMPENSATIONWC <br />STATU- OTH- <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETOWPARTNERIEXECUTIVEF-] <br />E.L. EACH ACCIDENT $ <br />IM <br />OFFICEREMBER EXCLUDED4 <br />NIA <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />A <br />Professional Liability <br />6801-9352 <br />12/23/201212/23/2013 <br />LIMIT OF INSURANCE: $1,000,000 <br />Errors & Omissions Liab. <br />DEDUCTIBLE: $50,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />EVIDENCE OF COVERAGE <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010105) <br />INS0251cn1 noel m <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />Tha ACnRn name and Innn ara runia;fararl mar4a of ACr1Rn <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 />The City of Santa Ana <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92%00/1 <br />/+ /1 <br />�pbwt-CiA heu -rpr" VNlO <br />F Gaston IV/AA <br />ACORD 25 (2010105) <br />INS0251cn1 noel m <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />Tha ACnRn name and Innn ara runia;fararl mar4a of ACr1Rn <br />