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A O® CERTIFICATE OF LIABILITY INSURANCE <br />o09i22010omw1 <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, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 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(les) 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 />MARSH RISK & INSURANCE SERVICES <br />345 CALIFORNIA STREET, SUITE 1300 <br />CALIFORNIA LICENSE NO, 0437153 <br />E; CONTACT <br />�� <br />PHONE FAX <br />IAL6.No,F�a• _ wm N01• <br />EidAILSS• <br />SAN FRANCISCO, CA 94104 <br />Ann; Gene Williams (415)743.8320 <br />19025.OHS-WC-1314 <br />- - -_. -. <br />NAD9 <br />INSURER A: Twin City Flre Insurance CO <br />29459 <br />INSURED <br />BLX Group, LLC <br />777 South Figueroa Street, Suite 3200 <br />Los Angeles, CA 90017 <br />INSURER a 1 Hanford Accident &Indemnity Co. <br />22357 <br />H1oN Casualty Ins Co� <br />INSURER C : atl _ -... <br />29424 <br />INSURER O; Sentinel Insurance Company <br />Et <br />_INSURER <br />INSURER F: <br />MED EXP(Ally one person) <br />PERSONAL B ADV INJURY <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 />OF INSURANCE <br />A <br />OR <br />POLICYNUMBER <br />POLICS`EFF <br />m DO W <br />POLICYEXP <br />MMI tlmw <br />LIMITS <br />TY <br />L GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />A A O—RffT i - "' <br />RE Eaocc Once <br />S <br />S <br />-MADE EJOCCUR <br />MED EXP(Ally one person) <br />PERSONAL B ADV INJURY <br />S <br />Z57��7 <br />GENERAL AGGREGATE <br />S <br />TE LIMIT APPLIES PER: <br />PRODUCTSCOMP /OP AGO <br />s <br />S <br />PRO LOC <br />AUTOMOBILE LIABILITY <br />eemba 1 I <br />S <br />BODILY INJURY (Pal person) <br />S <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS OWNED <br />NON HIRED AUT09 AUTOS <br />SOOILY INJURY (Per accldenn) <br />S <br />PR PE TY DA AGG <br />P r cc <br />g <br />5 <br />_ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S--- <br />EXCESS LIAS <br />CLAIMS MADE <br />DED RETENTIONS <br />WORKERS COMPENSATION <br />AND EMPLOYER9'LIABILITY <br />ANY PROPRIETOWPARTNEWEXECUTIVE YIN <br />(Mandatory In BER EXCLUBEep o <br />Iryesdescdbeunder <br />DESCRIPTION OF OPERATIONS below <br />n�RY L1ATTU- OTH. <br />S <br />A <br />B <br />C <br />D <br />NIA <br />57 WE 74 (AOS)(FL,NY,WA) <br />57WE0Z7249 CO,OC,OR,MA,MN,WV) <br />I <br />57 WE DZ7249 (TX and AZ) <br />67 WE OZ7249(CA) <br />01011'2013 <br />1010112013 <br />1010112013 <br />10N112013 <br />TU112014 <br />*0112014 <br />1010112014 <br />1010112014 <br />E.L. EACH ACCIDENT <br />1,000,000 <br />S <br />El. DISEASE - EA EMPLOYE <br />S 1,000,000 <br />E.L. DISEASE- POLICY LIMIT <br />5 1,000,000 <br />O /�l <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAaaeh ACORD101,Addltlenal R...Im, SehadWe, If mom space b mnelrad) APPROVEI)AS`i <br />Professional Services Contract �)WJy <br />Laura A. Rossini <br />Senior Assistant City Attori <br />City of Santa Ana <br />Alin: Bich To <br />20 Cod Canter Plaza, M -2 5 <br />Santa Ana, CA 92701 <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 />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance SBYVIaaS <br />Gene Williams <br />01988.2010 <br />ACORD 26 (20101051 The ACORD name and logo are registered marks of ACORD <br />L <br />:y <br />