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Client#: 585636 <br />EVANBROO /_/ 13 " ' o <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM0f7' <br />1/06/2014 <br />THIS CERTIFICATE IS ISSUED ASA 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 BYTHE 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 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 <br />Hub International <br />HUB Int'I Insurance Serv. Inc. <br />40 East Alamar Avenue <br />Santa Barbara, CA 93105 <br />CONTACT <br />NAME: <br />PHONE FA% <br />AIC No Exl: AIC No: <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAICK <br />INSURERA: Sentinel Insurance Company Ltd <br />11000 <br />INSURED <br />Evan Brooks t Associates, Inc, <br />215 W. Seventthh SSt #610 <br /># <br />INSURER B: Twin City Fire Insurance Compan <br />29459 <br />INSURER C: Travelers Casualty and Surety o <br />31194 <br />GENL AGGREGATE LIMIT APPLIES PER, <br />POLICY PELT LOC <br />PRODUCTS - COMPIOP AGO $2,000,000 <br />Los Angeles, CA 90014 <br />;{} ?0(__?Y `'/g <br />INSURER D: <br />AUTOMOBILE <br />X <br />INSURER E: <br />INSURERF. <br />728BAZB5496 <br />/1'I /7y� <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />TR <br />TYPE OF INSURANCE <br />ISR <br />WO <br />POLICY NUMBER <br />POLICY EFF <br />MMflDOIYYYY <br />LIMITS <br />A <br />GENERALLIABILPY <br />X COMMERGIALGENERALLIABILITY <br />CLAIMS -MADE ®OCCUR <br />72SBAZB5496 <br />1212012013 <br />12120/2014 <br />EACH OCCURRENCE $1006000 <br />OAMAGET RENTED <br />PREMISES Eeoccurrence $1,006000 <br />MEDEXP(Anyonsperson $10,000 <br />PERSONAL&ACV INJURY--$ 1 000,000 <br />GENERALAGGREGATE $2,006006 <br />GENL AGGREGATE LIMIT APPLIES PER, <br />POLICY PELT LOC <br />PRODUCTS - COMPIOP AGO $2,000,000 <br />$ <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED F7 SCHEDULED <br />AUTOS AUTOS <br />HIREDAUTOS X NON -OWNED <br />AUTOS <br />728BAZB5496 <br />12/20/2013 <br />12/20/201 <br />Ea COMBINEDDI SINGLE LIMIT 1,666,666 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTYDAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DEO RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYTO <br />ANY PROPRIETOR/PARTNERIEXECUTIVEV/N <br />CFFICERIMEMBER EXCLUDED? ® <br />(Mandatory in NH) <br />ryes, describe under <br />DB SC OPTION OF OPERATIONS below <br />NIA <br />72WECDG3193 <br />5/25/2013 <br />05/25/2014 <br />1WCSTATU- OTH- <br />, <br />E, L. EACH ACCIDENT $1,000,006 <br />E, L. DISEASE - EA EMPLOYEE $1.000.000 <br />E, L, DISEASE -POLICY LIMIT 1 $1,000,000 <br />C <br />Professional105734155 <br />Liability <br />1/20/2013 <br />01/20/201 <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as <br />additional insured under the general liability policy. Primary and non-contributory wording applies. <br />Al'ieRONIEL) AS TO FORIVI <br />City of Santa Arfff"'"' <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2010/05) 1 of 1 <br />#S2621261/M2621256 <br />Laura <br />y-yr "---- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />!.3Urti �.\'1tl iieCI y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ASctstant City Akt.oTneY ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />JJ44 <br />