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w A4-" <br />,,_,..-.- CERTIFICATE OF LIABILITY INSURANCE <br />DATE07/14205YYV) <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 />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Central, Inc. <br />Chicago IL Office <br />CONTACT <br />NAME: <br />PHONE (g66) 283-7122 FAX 800-363-0105 <br />(AID. No. Ext): AIC. No.: <br />E-MAIL <br />ADDRESS: <br />200 East Randolph <br />Chicago IL 60601 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />p Q7a41 <br />INSURED <br />INSURER A: Illinois National Insurance Co <br />23817 <br />Aon COrporati on <br />INSURER B: <br />CLAIMS -MADE ❑OCCUR <br />(see subsidiary Information Below) <br />200 E. Randolph <br />INSURER C; <br />INSURER D: <br />Chicago IL 60601 USA <br />INSURER E: <br />MED EXP (Any one person) <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570058699170 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. Limps shown are as requested <br />rMaK <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />MD <br />POLICY NUMBER <br />IMMIDIVYYYYI <br />VMMIDoYYYYILIMITS <br />Attn: eri2d Morales, M-28 92701 <br />MMERCIAL GENERAL LIABILITY <br />(7/% (JGI�-y� <br />- /l 5j%llw <br />p Q7a41 <br />EACH OCCURRENCE <br />CLAIMS -MADE ❑OCCUR <br />#—Clo <br />DAMAGEO <br />PREMISES RENT 5- <br />MED EXP (Any one person) <br />PERSONAL 6 ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />POLICY ❑PRO. F-] LOG <br />ECT <br />PRODUCTS - COMPIOP AGS <br />OTHER. <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accldenl <br />BODILY INJURY ( Per person) <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />UMBRELLA LIAB <br />EACH OCCURRENCE <br />AGGREGATE <br />HOCCUR <br />EXCESSLIAB <br />CLAIMS -MADE <br />DED 1RETENTION <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR I PARTNER I EXECUTIVE <br />PEROTH- <br />STATUTE ER <br />E.L, EACH ACCIDENT <br />OFFICERIMEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandalory in NH) <br />/lyes, describe under <br />UseOF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />A <br />E&O-PL-Primary <br />039331049 <br />03/01/2015 <br />03/01/2019 <br />Each Claim $5,000,000 <br />Errors & Omissions <br />Aggregate $5,0001000 <br />SIR applies per policy ter <br />s & condi <br />ions <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Aon Global Risk consultants, 100 Bayview Circle, Suite 100, Newport Beach, CA 92660. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />©1988.2014 ACORD CORPORATION. All rights reserved <br />ACORD 26 (2014101) The ACORD. name and logo are registered marks of ACORD `0, <br />`RD <br />C <br />0 <br />V <br />Ad <br />V <br />O <br />2 <br />O <br />Z <br />q) <br />A <br />u <br />atu <br />U <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />Attn: eri2d Morales, M-28 92701 <br />20 Civic Center Plaza <br />Santa Ana CA 92701 USA <br />(7/% (JGI�-y� <br />- /l 5j%llw <br />p Q7a41 <br />©1988.2014 ACORD CORPORATION. All rights reserved <br />ACORD 26 (2014101) The ACORD. name and logo are registered marks of ACORD `0, <br />`RD <br />C <br />0 <br />V <br />Ad <br />V <br />O <br />2 <br />O <br />Z <br />q) <br />A <br />u <br />atu <br />U <br />