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AC4 RL> CERTIFICATE LIABILITY INSURANCE DATE E
<br />(M/2015YYY)
<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(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 lieu of such endorsement(s).
<br />PRODUCER Risk Strate les Com an CONTACT
<br />g P Y n
<br />NAME: _ Risk Strategies Compay_ _
<br />2040 Main Street, Suite 450PHONE - 949-242-9240 aiX No
<br />Irvine, CA 92614 1 E.MAn_ _--
<br />www. risk -strategies. com
<br />INSURED
<br />T & B Planning, Inc.
<br />17542 E. 17th Street, Suite 100
<br />Tustin CA 92780
<br />CA DOI License No. OF06675
<br />COVERAGES CERTIFICATE NtIMRFR- ')ggrlqRA RFVICInN NIIMRFR•
<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 />_ INSURER(S) AFFORDING COVERAGE
<br />INSURER A:
<br />Citizens Insurance Co. of America
<br />INSURER B:
<br />Allmerica Financial Benefit Ins Co
<br />INSURER C :
<br />Hanover American Insurance Co.
<br />INSURER D:
<br />Continental Casualty Company
<br />INSURER E
<br />LIMITS
<br />INSURER F
<br />✓ COMMERCIALGENERALLIABILITY
<br />CLAIMS-MADEDAMAGE
<br />✓ OCCUR
<br />COVERAGES CERTIFICATE NtIMRFR- ')ggrlqRA RFVICInN NIIMRFR•
<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 />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />MOLDDYYY
<br />FOLIC YYYY
<br />LIMITS
<br />A
<br />✓ COMMERCIALGENERALLIABILITY
<br />CLAIMS-MADEDAMAGE
<br />✓ OCCUR
<br />✓
<br />OB3A54679200
<br />2/1/2015
<br />2/1/2016
<br />EACH OCCURRENCE $ $2,000,000
<br />TO RENTED
<br />PREMISES Ea occurrence $
<br />_$1,000,000
<br />MED EXP (Any one person) $ ^� $10,000
<br />PERSONAL & ADV INJURY $ $2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PO -
<br />POLICY 1 JEC F—]LOC
<br />GENERAL AGGREGATE $ $4,000,000
<br />PRODUCTS - COMP/OPAGG $ $4,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />AW3A21249701
<br />2/1/2015
<br />2/1/2016
<br />EO aBINEDtSINGLE LIMIT $ $1,000,000
<br />BODILY INJURY (Per person) $
<br />o/
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) $
<br />✓
<br />NON -OWNED
<br />HIRED AUTOS y/ AUTOS
<br />PROPERTY DAMAGE
<br />Per accident $
<br />A
<br />`/
<br />UMBRELLA LAB
<br />�/
<br />OCCUR
<br />OB3A54679200
<br />2/1/2015
<br />2/1/2016
<br />EACH OCCURRENCE $ $2,000,000
<br />AGGREGATE $� $2,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED I ✓ I RETENTION $0
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y I N
<br />ANY PROPRIETOR/PARTNEFUEXECUTIVE j—j
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N f A
<br />WZ3A54682100
<br />2/1/2015
<br />2/1/2016�/
<br />STATUTE OERH
<br />E.L. EACH ACCIDENT $ $1,000,000
<br />E.L. DISEASE - EA EMPLOYE $ $1,000,000
<br />E.L. DISEASE - POLICY LIMIT I $ $1,000,000
<br />D
<br />Professional Liability
<br />MCH288294144
<br />9/20/2014
<br />9/20/2015
<br />Per Claim: $1,000,000
<br />Aggregate: $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Projects as on file with the insured including but not limited to Walnut Pump Station Building Upgrade, City of Santa Ana, T&B Project No. 788-004.
<br />City of Santa Ana, It's officers, employees, agents, volunteers and representatives are named as additional insureds and primary/non-contributory
<br />clause applies to the general liability policy -see attached endorsement.
<br />T&B PLANNING A-2014-225 REVIEWED BY" ° EUNICE FIE'RECIA (PG. 1 of 4)
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of
<br />WAMW "Wal ••• .
<br />1111=11101 1 . �:. -M -
<br />AUTHORIZED REPRESENTATIVE
<br />jr'�''.r ..,.�- tom.-.✓._-"f���.�Y'%�•�`,..f /�,... �.
<br />Michael Christian
<br />@ 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />CMRT NO.: 23361364 Sherry Young2/5/201.5 2:12:41 PM (PST) Page 7. c.f 4
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