MACIAS GINI & O'CONNEL, LLP (MGO) 3g -2015

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� �0 CERTIFICATE OF LIABILITY' INSURANCE DATE(MM1DDiY'YYY) 04/17/2.015 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(ies) 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 (847) 385- 6800 (847) 385 -6801 Lemme Insurance Group, Inc. 111 West Campbell Street NAAME: David Koenen . A/C1 N .ExtS; (847) 385 -6800 (iii ,No): (847) 3,85-6801 E-MAIL SS, dkoenenl lemme.com 4th Floor INSURER(S) AFFORDING COVERAGE NAtC # INSURER A: ProSi htt - ndicate 1110 at Lloyd's__.. Arlington Heiehts IL 60005 CA DO[ LIC #Oc4246. INSURED INSURER B : EACH OCCURRENCE INSURER C.: Macias Gini & O'Connell LLP, Macias Consulting 'Group, Inc., INSURER D: and IntelliBridge Partners, LLC INSURER E : 3000 S Street, Suite 300 .S'. ,��^^�� Sacramento, CA 95816 A -Al S _039 INSURER F: _, ..... ... $ 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. m....._m_ _..._....___ �...... _. ILTR TYPE OF INSURANCE A DDL SUBR ....._.. POLICY NUMBER POLICY EFF MIMIDD!YYYY POLICY EXP MMIDDIYYYY - _..... _ _.._._. LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR DAMAGE TO RENTED PREMISES iEa occurrence _, ..... ... $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ _ CE;N'L ACCRECATE LIMIT APPLIES PER _m- PRODUCTS - COMP /OP AGG $ POLICY 0 PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED AUTO'S AUTOS SCHEDULED BODR..LY INJURY (Per accident) NON -OWNED HRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE $ DED RETENTION $ WORKERS COMPENSATION WC STATU- 10TH- AND EMPLOYERS' LIABILITY YIN -- "'"""" ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N ! A E.L. EACH ACCIDENT $ ---- E.L. DISEASE - EA EMPLOYE E.L.. DISEASE - POLICY LIMIT $ $ (Mandatory in NH) IF yes, describe under DESCRIPTION OF OPERATIONS below $2,000,000 Each Claim A Professional Liability PL2015APL10006 05101/2015 05/0112016 $2,000,000 Annual Aggregate Errors & Omissions $150.000 Self- Insured Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach. ACORD 101, Additional Remarks Schedule, it more space is required) CERTIFICATE HOLDER CANCELLATION City of Santa Ana 20 CIVIC Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. Santa. Ana, CA 92703 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS,. AUTHORIZED REPRESENTATIVE l�.Jtm� @ 1988 -2090 ACORD ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD CORPORATION. All rights reserved. 'Revi euA �v E V24A 6u2aYw y- al.;� 4- lac