HUNT DESIGN ASSOCIATES, INC. 3 -2015

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' C)RD' CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 01122/2016 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 polloy(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 endorsements . PRODUCER Joe Chiang(3079G49) 26500 Agoura Rd Ste 202 CONTACT NAME: PHONE 1: 818-614-9014 FAX No; 818-330-5247 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL It Calabasas CA 91302-3555 INSURER A: Truck Insurance Exchange 21709 INSURED INSURER 0: Farmers Insurance Exchange 21652 HUNT DESIGN ASSOCIATES INC INSURER C : Mid Century Insurance Company 21687 25 N MENTOR AVE INSURERD : INSURER E : PASADENA CA 91106 INSURERF: COVERAGES CER TlFICATE NUMBER: 17wIC1n61 hill Innoeo. 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. INBRR TYPE OF INSURANCE ADD-S S BR POLICY NUMBER POLICY EFF IMMiDDffYYYI POLICY EXP IMMIDDIYYYY LIMITS GENERAL LIABILITY E EACHMAGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMA PREMrrence _' $ 75,000 CLAIMS -MADE a OCCUR MED Eoneerson) $ 6,000 A Y 605501500 11/28/2015 11/28/2016 PERSJURY $ 2,000,000 GENETE $ A rinn 000 GEN'L AGGREGATE LIMIT APPLIES PER: __ PRODUCTS - COMPIOP AGO $ 2,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY EOMBINEDa atSINGLE t.IMIT 2,000,000 BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED AUTOS AUTOS Y 605501500 11/28/2015 11/28/2016 BODILY INJURY (Par accldont) $ v !� NON -OWNED HIRED AUTOS Ix AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION W'C STATU-OTH- AND EMPLOYERS' LIABILITY YIN E TANY E.L. EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBEREXCLUDED7 PROPRIETOR/PARTNERIEXECUTIVE NIA Y 818094989 11l26l2015 11/28/2016 E1. DISEASE - EA EMPLOYE $ 11000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE- POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) 30 DAY NOTICE OF CANCELLATION FOR NON -PAY Hunt Design Reference # 2938 REV E NECK H"Y l l.lNlCL 61F..C7i DIA (&yG OF � CERTIFICATE HOLDER CANCELLATION 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 Santa Ana CA 92701 ACORD 25 (2014/05) 01988-2010 „:J.,,.� .,,�,.,,,,,., All rights reserved. The ACORD name and logo are registered marks of ACORD