HODGES LACY & ASSOCIATES, LLC - 2014

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rda1mTRTr Rift. A_ ° CERTIFICATE OF LIABILITY INSURANCE DOW301201YY) 05/3012014 HIS 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 poiicy(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 endorsement(s). PRODUCER John J. Matsock & Assoc. Inc. 1750 N Washington Street Naperville, IL 60663 Steven L. Monteith CONTACT NAME: AIDNNO EXr : a- An. I �Y - -- CUSTOMER HODGE-2 _ INSURE VERAGE NAICC INSURED Hodges Lacey & Associates, LLC INSURER A: Hartford Insurance Company 29424 19647 Valley View Dr Topanga, CA 90290 INSURERS: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OX OCCUR INSURER C: INSURERD: 05/2012014 05120/2018 INSURER E: S 300,00 MED EXP(My one person) INSURER F: PERSONAL &ADV INJURY S 2,000,000 COVERAGES CERTIFICATE NUMBER' RFVIRION NIIMRFR. 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR LrAi TYPEOFINSURANCE T POLICY NUMBER C 0 LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OX OCCUR X 83SBVX6302 05/2012014 05120/2018 PREMISES Ea ocurntrical S 300,00 MED EXP(My one person) $ 10,000 PERSONAL &ADV INJURY S 2,000,000 GENERAL AGGREGATE 3 4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 4,000,000 X POLICY PRO- JECT F-1 LOC $ AUTOMOBILE LIABIUW COMBINED SINGLE LIMIT (Ea accident)_ $ ANY AUTO BODILY INJURY (Per perecn) �, S ALL OWNED AUTOS BODILY INJURY (Par accident) $ SCHEDULEDAUTOS HIRED AUTOS - PROPERTY DAMAGE (PER ACCIDENT) S S NON- OWNEDAUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ AGGREGATE S EXCESS LIAB CLAIMS -MADE DEDUCTIBLE .� 3 3 ftETENTiON S WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY YIN OFFICENIMEMBER EXCLUDED4 ECUTIVE ❑ NIA CSi TU- OTH- Y E.L. EACH ACCIDENT 5 E.L. DISEASE -EA EMPLOYEE _ 3 (Mandatory." NH) Ifyas.deacrlbeunder DE SCRIPTIO14 OF OPERATION E.L, DISEASE - POLICY LIMIT 5 A _helm Property Section 83SBVX6302 05/20120114 05/2012015 Ded $250 1,000 DESCRIPTION OP OPERATIONS f LOCATIONS IVEHICLES (Attach ACORDIDI,Addit.onal Remark,Schedule,ifmcmapaceta require ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY PER WRITTEN R VE'D &M CONTRACT: CITY OF SANTA ANNA ITS OFFICER$ EMPLOYEES, AGENTS, /F VOLUNTEERS AND REPRESENTATIVE`S "THE INS15A 13 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SVBOECT TO THE TERMS AND CONDITIONS OF SUCH POLICIES" SANTAAN CITY OF SANTA ANNA 20 CIVIC CENTER PLAZA SANTA ANNA, CA 92702 SHOULD ANY OF PE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORMED REPRESENTATIVE ©1988 -2009 ACORD CORPORATION, All rights reserved ACORD 26 (2009109) The ACORD name and logo are registered marks Of ACORD