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CERTIFICATE OF LIABILITY INSURANCE °ATE (10 /° °"Y"' 10/2912013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Karen Bronson PHONE (312) 930 -5556 FAX (866) 741 -2778 Leatzow Insurance EMAIL ADDRESS karen @leatzowinsurance.com 500 W. Madison St. - Suite 3000 INSURER(S) AFFORDING COVERAGE NAIC# Chicago, IL 60661 INSURER A: New Hampshire Insurance Company 23841 INSURED INSURER B: MDG Associates, Inc. 10722 Arrow Route INSURER c: Suite 822 INSURER D: INSURER E. Rancho Cucamonga, CA 91730 INSURER F: cove RAOr_o CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ]NOR LTR IADDL TYPE OF INSURANCE.' iINSR-WVD SIIBR POLICY NUMBER I POLICY EFF (MMIDDIYYYY) POLICY EXP fMM /DD /YYYV1 LIMITS _ GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY �I CLAIMS MADE OCCUR a r ❑ DAMAGE TO RENTED PREMISES (Ea occurrence) S MED EXP (Any one person) $ DOES NOT APPLY PERSONAL AND ADS INJURY $ GENERAL AGGREGATE $ GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $ POLICY PROJECT n LOC $ I AUTOMOBILE LIABILITY �I ANY AUTO ❑Scheduled III Autos -- r IAU OS — Non -owned ! DOES NOT APPLY _ COMDINED SINGLE LIMIT $ BODILY r BODILY INJURY (Par person) $ BODILY INJURY (Per eoclaent) I$ L AUTOS Autos Hired Autos ti i PROPE [do,t) AGE (Per acoldenlJ $ UMBRELLA HAS OCCUR EXCESS LIAB CLAIMS MADE t a {{ DOES NOT APPLY EACH OCCURRENCE $ - $ AGGREGATE DEO El RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETGR/PARTNERIWECUTISE❑ OFFICER /MEMBER EXCLUDED? NIA ' DOES NOT APPLY ANC ST4, J OTI1- TORY LIMITS�J� ER EL EACH ACCIDENT �$ E L DISEASE- EA EMPLOYEE $ ':. E.L. DISEASE - POLICY LIMIT $ A PROFESSIONAL LIABILITY f � a ❑,.... 012296063 7/1/2013 7/l/2014 1,000,000 each claim 1,000,000 aggregate DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) t, /e_./�{jC i CERTIFICATE HOLDER City of Santa Ana Community Development Agency _ CANCELLATION „t5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACC RDANCE WITH Attn: Terri Eggers, Senior' Mgmt. Analyst THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE LEATZOW INSURANCE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD ZS (2010/05) The ACCORD name and logo are registered marks of ACORD