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►'corzc�® CERTIFICATE OF LIABILITY INSURANCE <br />F DATE(MMIDDIYYYY) <br />1 08/06/2014 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In Ileu of such endorsement(s). <br />PRODUCER <br />Yutz Markle Insurance Agency, Inc. <br />205 Lifeline Road <br />Suite 101 <br />CONTACT <br />NAME: Diane Rixner <br />PHONE Ext:(570 421 -7300 AAC No) (570)421-0785 <br />E-MAIL <br />ADO ss emallaYutzmerkle.com <br />INSURERS) AFFORDING COVERAGE <br />NAICx <br />Stroudsburg, PA 18360 <br />INSURERA Erie Insurance Exchange <br />26271 <br />INSURED <br />Ernest Swiger Consulting Inc <br />123 Acorn Lane <br />Stroudsburg, PA 18360 <br />INSURERS' <br />$ 1000000 <br />INSURERC, <br />4COMMERCIALGENERAILLIABILITY <br />CLAIMS -MADE [X] XCIUR <br />INSURERD: Erie Insurance Exchange <br />26271 <br />INSURER E: <br />INSURER F <br />77AR-Ar, 0 RENTE <br />PREMIGE6 Eeocourrence <br />$ 1000000 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />rypE OF INSUR NICE <br />D <br />e <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYV <br />LIMITS <br />A <br />Q2824OC686 <br />4/242014 <br />4/24/2015 <br />EACH OCCURRENCE <br />$ 1000000 <br />4COMMERCIALGENERAILLIABILITY <br />CLAIMS -MADE [X] XCIUR <br />77AR-Ar, 0 RENTE <br />PREMIGE6 Eeocourrence <br />$ 1000000 <br />MED FAR ( Any one person) <br />$ 5000 <br />PERSONAL& ADV IN JURY <br />$ 1000000 <br />GEN'L <br />X <br />q� AmtO <br />$ 1� ^ ®v D ^ "t7 <br />+""' �{ <br />°- <br />AGGREGATE LIMIT APPLIES PER'. <br />POLICY ❑ 1Epr LOC <br />OTHER'. <br />GENERAL AGGREGATE <br />$ 2000000 <br />PRODUCTS - COMP /OP AGG <br />$ 2000000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALLOANED SCHEDULED <br />AUTOS AUTOS <br />w <br />�• s T <br />L15P' jt+1 <br />slstant� Y <br />RCK e <br />Attorn Y <br />COMBINED SINGLE LIMIT <br />dcrJt <br />BODILY INJURY (Perperson) <br />$ <br />BODILY INJURY(Peraccdenl) <br />$ <br />HIRED AUTOS NON - OWNED <br />AUTOS <br />AS <br />$ <br />/l <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />6 / /. <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED <br />RETENTION$ <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIE'I'ORIPARTNER /EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />0910200537 <br />7/22014 <br />7/2/2015 <br />sTAruTE OTRH <br />EL EACH ACCIDENT <br />$ 500000 <br />EL DISEASE - EA EMPLOYEE <br />$ 500000 <br />IMandatoryln NH) <br />DESCRIPTION OF OPERATIONS below <br />EL. . DISEASE - POLICY LIMIT <br />$ 500000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addltlonal Remarks Schedule, maybe attached if more space is required) <br />Certificate holder is Additional Insured. Forms: CG 0001 04/13, <br />CG 2026 04/13 Additional Insured Designated Person or Organization <br />GU128 08/13 Cancel Notice to Designated Entity <br />City of Santa Ana <br />Community Development Agency <br />20 Civic Center Plaza 6th Floor <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 />M .. <br />EIKTK •IC711I4HIe1S01:7!riiCP��t�'t, f2ltSla <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />