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""� WORDA-1 OP ID: GK ac"Ro CERTIFICATE OF LIABILITY INSURANCE DA 0412 9/20 1 3V) 04128,/2013 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(les) 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 endomement(s). PRODUCER Brakke-Schafnitz Ins. Brokers Phone: 949.365.5100 License#0428915 Fax:949-365.5161 28202 Cabot Road, Suite 600 Laguna Nigguel, CA 92677-1251 CONTACT "AME; Gabriella Kaufman _ _ wco"N 5",949.365-5102 ale No:949-313-3260 E- AIL — —v ADDRea : gka@sig.Us ' INSURER(S) AFFORDING COVERAGE_ NAICB Gabriella Kaufman INSURER A: Gre at American E&S Ins Cc _ INSURED Word and Brown Insurance Administrators, Inc. (See NOTES for complete _ INSURER B:Lan{lmark American Ins Company - _ COMMERCIAL GENERAL LIABILITY X CLAIMS-MAOE [—A OCCUR ---- INSURER c:Tra yeiers Casualty & Surety ---- INSURER o: Hartford Fire Ins Co 19682 Schedule of Named Insureds) 721 South Parker, Suite 300 -- -- Orange, CA 92868 INSURER E: INSURER F: TER2099617 04/3D/2013 COVERAGES CERTIFICATE NUMBER: I 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 CONTCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POL CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, fNSR TYPE OF INSURANCE AUTHORQED REPE ENTATIVE POLICY NUMBER MM �pY E FII M LOO/ YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10,000,000 _ COMMERCIAL GENERAL LIABILITY X CLAIMS-MAOE [—A OCCUR -15ANiAACE"f0-RENT---_.,.— PREMISES. Ea occurrence $ MED EXP Any one person) $ A X Prof Liab(E&O) TER2099617 04/3D/2013 04/30/2014 PERSONAL& ADV INJURY $ Cyber Liability _Included GENERAL AGGREGATE $__ 10,000,_00.0_ C LOYS20889 04/30/2013 04/30/2014 AGGREGATE LIMIT APPLIES PER'.. _ PRODUCTS - COMP/OP AGO $ I�X IGEN'L POLICYPRQ 71 LOC E&O Ded. $V 100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LMIT _+— — Ea aeeltlen0 $ ANY AUTOBODILY INJURY (Per person) It ALL OWNED SCHOEDULED NON -OWNED' HIRED AUTOS AUTOS '{� OV.moi �^ BODILY INJURY (Per accident) $ PROPER DA ACE $ i^ hPeraccldentl_ $ a...H UMBRELLA LIAR OCCUR ��VV 30sev, ttoru• EACH OCCURRENCE $ AGGREGATE $ — EXCESS LIAB CLAIMS -MADE 99t5titldt O ty DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTNE❑ EXCLUDED?— (Mandatory In NH) [NIE.L. ORY ETATU- OTH- LIMITS EACH ACCIDENTOFFICERNEMBER E.L. DISEASE - EA EMPLOYE $__ E.L.DISEA$E-POLICY LIMIT $ " yea, daSTel111e under DESCRIPTIONOF OPERATIONS below C Crime/Fidelity 105606504 04/29120,13 04/29/2014 Limit 5,000,00 D Third Party Crime 00TP027583413 04/29/2013 04/2912014 Ded. 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAtlach ADDED 101, Additlonal Remarks Schedule, If more sPw9,s,a is requlmd) All Agents and Brokers are included for coverage under the Professional Liability coverage. See Notes for .Additional Coverages and Excesls Cyber Liab Thirty Day Notice of Cancellation/10 days for non-payment of premium will. be provided to policyholder. rrPTIFICATF HOi nFR CANCELLATION INFORON SHOULD ANYI'OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOR INFORMATION PURPOSES ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORQED REPE ENTATIVE O 9$88-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD