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Client#: 388 <br />SALLYSWANI <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />DATE 11112IDDI <br />11112/201144 <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 />Dealey, Renton & Associates <br />P. O. Box 12675 <br />Oakland, CA 94604-2675 <br />510 465-3090 <br />CONTACT <br />NAME: <br />PA1C HONENo Ext: 510 465-3090 FAX 510 452.2193 <br />AIC, No <br />EMAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC0 <br />INSURER A: Sentinel Insurance Co. LTD 11000 <br />INSURED <br />Sally Swanson Architects, Inc. <br />220 Sansome Street, Suite 1100 <br />San Francisco, CA 94104 <br />INSURER B: Hartford Ins. CO of Midwest 37478 <br />INSURER c: Hudson Insurance Company 25054 <br />INSURER D <br />INSURER E <br />INSURER F: <br />GENERAL AGGREGATE $2,000,000 <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 CONTRACTOR 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 />LTRR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ®OCCUR <br />57SBWBHO903 <br />GENERAL LIAB <br />EXCLUDES CLAIMS <br />ARISING OUT OF <br />THE PERFORMANCE <br />OF PROFESSIONAL <br />SERVICES. <br />11/151201411/15/2015 <br />EACHOCCURRENCE$1000000 <br />PREMISEB Eaocarrence $1000000 <br />MED EXP (Any one parson) $10000 <br />PERSONAL & ADV INJURY $1,000,000 <br />GENERAL AGGREGATE $2,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />PDUCv X PRO Loc <br />PRODUCTS - COMPIOP AGS $2000,000 <br />$ <br />A <br />AUTOMOBILE <br />IXANYAUTO <br />LIABILITY <br />ALL OWNED SCHEDULED <br />AUTOS AUTOSHIRED AUTOS X NON -OWNED <br />AUTOS <br />57UEGAE7910 <br />D710112014 <br />07101/2015 <br />COMBINED SINGLE LIMIT 1 <br />Ea accident ,000,000 <br />BODILY INJURY(Per person) $ <br />BODILY INJURY(Per eccldent) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />I <br />EACH OCCURRENCE $ <br />AGGREGATE <br />DED RETENTION$ <br />_$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYIMIJS <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? N <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />57WEGGD6783 <br />5/08/2014 <br />05/0812015 <br />WC STATU- OTH- <br />FR <br />E.L. EACH ACCIDENT $1000000 <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />C <br />Professional <br />Liability <br />AEE7290000 <br />510312014 <br />05103/2015 <br />$1,000,000 per claim <br />$3,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />RE: Bowers Implementation <br />Cit of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Risk Management, M28 ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />©198&2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S11699891M1165300 BMA <br />r J <br />