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ACTOR& CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDNYYY) �=. ,_ 1 10/21/2014 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(les) 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 of such endorsement(s). PRODUCER Brown & Brown of NY, Inc. CONTACT GiNAME:na Jagr (914)244-1055 FAC No: 1914)294-1056 dba Gaston & AssociatesPHONE;GJ 800 Westchester Avenue E-MAIESSagr@ gas tonas soc. com Suite N-311 INSURERS AFFORDING COVERAGE NAIC# INSURERAExecutive Risk Indemnity Inc. 35181 Rye Brook NY 10573 INSURED INSURER B Urban Futures, Inc. INSURER C: 3111 North Tustin, Suite 230 INSURER D: INSURER E : 1 INSURER F: Orange CA 92865 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. MSR LTR TypE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF M/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITYDAMAGE O RENTED PREMISES Ea cccurre oe $ MED EXP (Any one person) $ CLAIMS -MADE F] OCCUR PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGO $ POLICY JECT PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BOO I LY I NJURY(Per person) $ ANY AUTO H AU OS SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS _ PROPERTY DAMAGE $ Peramident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS' LIABILITY YINER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFFICERIMEMBEI EXCLUDEDP N/A E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability 6801-9352 12/23/201312/23/2014 Limit of Liability: $1,000,000 (Errors & Omissions) Deductible: $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) EVIDENCE OF COVERAGE CERTIFICATE HOLDER CANCELLATION ,,.ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. II rightsed. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE PO BOX 1988 Santa Ana, CA 92702y�- F Gaston IV/AA ,,.ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. II rightsed.