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,4coR0� CERTIFICATE OF LIABILITY INSURANCE <br />�....-! <br />DIOD <br />t0/21/21/z014 <br />la <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 Brown & Brown of NY, Inc. <br />dba Gaston & Associates <br />j300 Westchester Avenue <br />Suite N-311 <br />Rye Brook NY 10573 <br />CONTACT Gina Jagr <br />PHONE (914)244-1055 IFNC. Not: (919)244-1056 <br />D Ress:GJagr@gastonasaoc.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA:Executive Risk Indemnity Inc. 35181 <br />INSURED <br />Urban Futures, Inc. <br />3111 North Tustin, Shite 230 <br />Orange CA 92865 <br />INSURER B <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />, TYPE OF INSURANCE <br />ADDL <br />SUER <br />- <br />POLICYNUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MMDO <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F7OCCUR <br />X <br />DAMAGE TO RET <br />P EMISES Ea occurrence $ <br />_ <br />MED EXP (Any one person) $ <br />PERSONAL& ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $ <br />POLICY <br />PRO- lFr.T F7 LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBI N ED SINGLE LIMIT <br />Ea accident <br />BODI LV I NJURY(Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTYntAGE $ <br />Per accidIdlent <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />$ <br />WORKERS COMPENSATION <br />WC STATUS OTH- <br />IM <br />ANDEMPLOVERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE❑ <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mandatory In NH) <br />If es,describaundar <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />A <br />Professional Liability <br />8801-9352 <br />12/23/201312/23/2014 <br />Limit of Liability: $1,000,000 <br />(Errors &Omissions) <br />Dadmlble: $50,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />City of Santa Ana is listed as an Additional Insured. Waiver of Subrogation is included. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />PO Box 1988 AUTHORIZED REPRESENTATIVE <br />'Santa Ana, CA 92702 <br />E Gaston IV/AA <br />ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All <br />