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A-;olq- I-�6-of <br />Ac Ro® CERTIFICATE OF LIABILITY INSURANCE <br />F -BATE <br />2/16/2016Dm ) <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 INSURANCHIE OT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />f� <br />REPRESENTATIVE OR PRgYgy1QFF0„A'D';TH,°E'jTl ICATE 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 yo^f tFlef pp,licy,.�certaln policlas Binary require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of eOcfN' ehhdorsemeri s : -` <br />PRODUCER ?' <br />The Van Wagner Group <br />a Division of SterlingRisk <br />135 Crossways Park Drive, P.O. Box 9017 <br />NAME: Patti Kenn <br />PHONE PxU.516-719-8760 FAX .888-290-0302 <br />EMAIL <br />,.pkenny@sterlingrisk.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />Woodbury NY 11797 <br />INSURERA:GREAT AMER ASSURCO 26344 <br />Y <br />INSURED REACEM P-01 <br />INSURER 8: <br />INSURER C: <br />Reach Employee Assistance, Inc <br />101 E Lincoln Ave, #230 <br />Anaheim CA 92805 <br />INSURERD: <br />CLAIMS -MADE 71OCCURDAMAGE <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER. 617246317 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 />INSLICY <br />RR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICYNUMSER <br />EFF <br />MMIDDDLSUBR IDYmYY <br />EXP <br />MMIDDNYYV <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />GLP 4788802 <br />2/17/2016 <br />2/17/2017 <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE 71OCCURDAMAGE <br />TO RENTED <br />PREMISES Ea occurrence $100,000 <br />MED EXP(Anyone person) $5,000 <br />PERSONAL&ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $3,000,000 <br />X pDLIDY� PRO- LOU <br />ECT <br />PRODUCTS-COMP/OP AGO $3,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />Ea accident E IMIT $ <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS( <br />BODILY I NRPer accident <br />V JU ) $ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS MADE <br />` <br />DED RETENTION$ <br />$ <br />\ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YINANY <br />PER TRH - <br />STATUTE E <br />E.L. EACH ACCIDENT $ <br />OFFICERIMEMBER EXCLUDEp?PROPRIETOR]PARTHENEXECUTIVE ❑NIA <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mandatory In NH) <br />If yes, describe under <br />ns, <br />DE OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />A <br />Professional Liability <br />Y <br />Y <br />GLP 4786802 <br />2/17/2016 <br />2/17/2017 <br />Each Incident $1,000,000 <br />Aggregate $3,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />City of Santa Ana is included as an additional insured as required by written contract but only as respects to the operations performed by the <br />named insured. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014/01) <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <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 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />_Q�� <br />ACORD 25 (2014/01) <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />