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®® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMYYY) <br />02l2312013l2015 <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 />cortificate holder In lieu of such endorsement(s). <br />PRODUCER <br />Richard Migilore(3079349) <br />26500 Agoura Rd Ste 202 <br />Calabasas CA 91302-3555 <br />CONTACT <br />NAME: <br />PHONE 815-830-3442 uc No: II1II-330-5247 <br />ADgRI6ss• mI911oreinsumnospamall,com <br />INSURERS AFFORDING COVERAGE <br />NAICA <br />INSURERA: 'Duck Insurance Exchange <br />21709 <br />INSURED <br />HUNT DESIGN ASSOCIATES INC <br />25 N MENTOR AVE <br />PASADENA CA 91106 <br />INSURER B: Farmers Insurance EXChanga <br />21662 <br />INSURER C I Mld Century Insurance Company <br />21687 <br />_ <br />INSURER D : <br />INSURER E: <br />1 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 />ADDLSU <br />INISR <br />R <br />ma <br />POLICY NUMBER <br />POLICY Er <br />C <br />POLICY C%P <br />fh1MlD91YYYY1. <br />LIMITS <br />GENERAL LIABILITY <br />- <br />EACH OCCURRENCE '.$ <br />2,000,000 <br />X COMMERCIAL GENERAL LIA6ILITY <br />CLAIMS -MADE a OCCUR <br />MISFs 'a accurc . <br />1$ 75,000 <br />MEOCXP(Anyoneperson <br />is 5,000 <br />A <br />X <br />Bg5501I500 <br />I11/28/2014 <br />11/25/2015 <br />PERSONAL &ADV INJURY <br />is 2,000.000 <br />G ENERAL AGGREGATE <br />$ 4,000,000 <br />GEN'LAGGREGATELIMIT APPLIES PER: <br />PRODUCTS-COMPIOP qGG <br />$ 2,000,000 <br />Is <br />X POUCY PRO- LOU <br />AUTOMOBILE <br />LIABILITY <br />F <br />CEDNSiSIRED ISINGLE LIMIT <br />I 2,000,600 <br />BODILY INJURY )Perporann))'$ <br />ANY AUTO <br />BODILY INJURY (Par occldont <br />$ <br />A <br />Hx <br />ALL OWNED gUTOSULEO <br />X <br />r r <br />605501500 <br />11/2812014 <br />11l28l2015 <br />PROPERTY DAMAGE <br />Par acdddn0 <br />I$ <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />i$ <br />I <br />UMBRELLA LIAR <br />OCCUR <br />I <br />EACH OCCURRENCE <br />Is <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIM6.MAOE <br />I <br />„gK RETENN$ <br />WORKERS COMPENSATION TIO <br />X WC STATU- OTH- <br />$ <br />B <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOWPARTNERfiA11 TIVE YIN <br />OFFICi RIMEMBER EXCLUDED? <br />(tdantlatoryin NH)I <br />N/A <br />E18094989 <br />( <br />. 11/28/14 <br />11/28/15 <br />I E.L. EACH ACCIDENT <br />IE.L. DISBASE-EA EMPLOYEE <br />$ 1,000,000 <br />1,000,000 <br />IrYye9, dOscdbe under <br />DE80RIPTION OF OPERATONS below <br />IE.L, OISEAEE-PGMGY LIMIT <br />$ 1,000,000 <br />� <br />I <br />I <br />Oescmp hot OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORO 1E1, Additional 1611 ScheduE, if more space N rdgvimd) <br />30 DAY NOTICE OF CANCELLATION AND 10 DAY FOR NON -PAY <br />THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED <br />PROJECT: JOB 92873 <br />ACORD 25 <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 />SANTA ANA CA 92701 AUTHORIZED REPRESRNTAT'­- <br />©1 <br />The ACORD name and logo are registered marks of ACORD <br />HUNT DESIGN ASSOCIATES INC AGR # TBD REVIEWED BY: �� ��",�� EUNICE HEREDIA (PG 1 OF 2) <br />roserved. <br />