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DATE (MMIDDIYYYY) .... ,�C"RL � CERTIFICATE OF LIABILITY INSURANCE 12x1 u2a15 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 l of such endorsement(s). PRODUCER CONTACT MARSH RISK & INSURANCE SERVICES NAME: 345 CALIFORNIA STREET, SUITE 1300 IwoNN . I xt) FAX c,_� —..... CALIFORNIA LICENSE NO. 0437153 E-MAIL SAN FRANCISCO,, CA 94104 . ._ 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. - -�, - - - - ILT R TYPE OF INSURANCE AOOL SUBR�I POID Y EFF POLICY EXP LIMITS LTR I I S POLICY NUMBER MMfODJYYYY MMIOOJYYYY COMMERCIAL GENERAL LIABILITY f I EACH OCCURRENCE S I:. -� AUTHORIZED REPRESENTATIVE , ..— .— DAMAGE TO RENT£D .... ...... I CLAIMS -MADE OCCUR ..i. ....,, , ......... , ............. i I ..PREMISES. Cla occurrence r ED EXP (Any one person) $ - -- __..._._ PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER. ? GENERAL AGGREGATE I P'RC JE.CT OO PRODUCT MPn 1P AGr I OTHER: f $ AUTOMOBILE. LIABILITY COMBVNED SINGLE LIMIT $ Aug acgdent2_.. ...... , I I ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS ,.. AMAGE ' $ HIRED AUTOS 1 Ap OSy^lNED Peer acciidenCD $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ ....., EXCESS LIAR i CLAIMS MADE I �� _. AGGREGATE $ ....__.... ._............_ ......... , -____ C DIED RETENTION $ � 5 WORKER'S COMPENSATION PER STATUTE '�R AND EMPLOYERS' LIABILITY YdN) - — . ANN'CERWEMBERfPXCLUDEDXECUTIilE t E EACH ACCIDENT S 7 N DFFrCERIMEM6ER EXCLUDED. Nia _ (Mandatary in NH) E L DISEASE EA EMPLOYEE S If yes, describe winder f DESCRIPTION. OF OPERATIONS below I E.L. DISEASE POLICY LIMIT S A J PROFESSIONAL LIABILITY ELU141789 -15 11/2672015 1111129/2016 SEE ATTACHED INVESTMENT COMPANY I DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlarhed if more space is required) REF: EVIDENCE OF PROFESSIONAL LIABILITY COVERAGE r"-FRT'IFIrATF HCIII DFR 17AN0717I I ATIr7N CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTENTION: BICH TA THE EXPIRATION DATE THEREOF,. NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA, M -25 ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE of Marsh Risk 8. Insurance Services Evan Long�ccr U 1988 -2614 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD C,W(A eawh clo'trtuf