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COLE & 9SS.00. dba COLE DESIGN GROUP AGR# TBD PROJ. <br />166852 REVIEWED BY4,�l <br />EUNICE HEREDIA (PG 4 OF 4) <br />4C oR:® CERTIFICATE OF LIABILITY INSURANCE <br />♦�+" <br />DATE(MMIOOIYVYV) <br />06/29/2015 <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(ies) 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 />CONTACT <br />NAME: <br />Marsh Sponsored Programs <br />a division of Marsh . Inc. <br />701 Market Street, Ste. 1100 <br />(PA NE FAX <br />AIC No Ext :600- 336 -1391 A/C No; 888- 621 -3173 <br />ADDRESS: acecclientrequest @marsh. com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />St. Louis MO 63101 <br />INSURERA:The Travelers Insurance CO. <br />31199 <br />INSURED <br />Cole & Associates, Inc <br />INSURERS, <br />INSURER C : <br />INSURERD: <br />901 S. 18th Street, Ste. 200 <br />INSURER E: <br />St. Louis, NO 63103 <br />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 />ILT R <br />TYPE OF INSU RANCE <br />S <br />N <br />S <br />p <br />POLICY NUMBER <br />MM /DDYYYY <br />�YP <br />MMIOIYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />_ <br />$ <br />CLAIMS -MADE F—IOCCUR <br />MED EXP(Anyone person) <br />S <br />PERSONAL It ADV INJURY <br />5 <br />GENERALAGGREGATE <br />5 <br />G 1 AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP /OP AGG <br />S <br />POLICY PRO <br />JET OC <br />S <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accitlant <br />5 <br />BODILY INJURY (Par person) <br />$ <br />ANY AUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY(Peraceident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />$ <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE <br />$ <br />$ <br />DE RETENTION $ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />WO STATU� OTH- <br />TORY LIMITS ER <br />ANY PROPRIETOR/PARTId <br />E. L . EACH ACCIDENT <br />$ <br />OFFICERMEMBEER EXCLUDED ?ECUTIVE❑ <br />NIA <br />E. L, DISEASE EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />If yes, desorlbe under <br />DESCRIPTION OF OPERATIONS below <br />E., DISEASE - POLICY LIMIT <br />$ <br />A <br />PROFESSIONAL <br />105829793 <br />09/19/2014 <br />09/19/2015 <br />PER CLAIM $3,000,000 <br />LIABILITY <br />AGGREGATE $3,000,000 <br />DED: $50,000 each Claim <br />$150,000 All Claims <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza - Ross Annex <br />-d� <br />Santa Any, CA 92701 <br />ACORD 25 (2010/05) <br />© 1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />