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—LOLE DESIGN GRO'UP A-2015-128 REVIEWED BY� -I - EUNICE HEREDIA (PG 1 OF 1) CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 09/30/2015 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($), 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 CONTACT NAME: Marsh Sponsored Programs PHONE FAX ,(A�C,No,Ext):8U0-338-1391 6.2111- 3173 a division of Marsh USA Inc. E-MAIL `701 Market Street, Ste. 1100 ADDRESS: aCeCClie,ntreques t@iaarsh. com _FNAIC9- St. Louis MO 63101 INSURER (S) AFFORDING COVE AGE INSURER A: Travel e rs Casualtv and Suretv Cc 31194 INSURED INSURER B Cole & ASSOCiateS, InC 401 S. 18th Street, Ste. 200 St. Louis, MO 63103 INSURER E.: 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. . —-...- Tw§R- ADbL -SUBR -POLICY EXP TYPE OF INSURANCE LTR [ I VrVD POLICY NUMBER IMMIDDIYYYY. LIMITS GENERAL LIABILITY EACH OCCURRENCE $ -DAMAGE TO RENTED COMMERCIAL GENERAL L LIABILITY , PREAISESLFa�qugonqe) $ r--, CLAIMS-MADE OCCUR --1 MED EXP (Any one person) .. . . .. . ..... ........... . . . ...... . PERSONAL AOV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 1 $ —1 PRO [7 F7JFCT POLICY LOC $ AUTOMOBILE LIABILITY CCMBINED SINGLE LIMIT (Ea accident ?_ $ BODILY INJURY (Per person) ANY AUTO ALL OWNED F— SCHEDULED BODILY INJURY (Par accident) s A UTO, 9 AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accidents UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LAB CLAIMS -MADF� AGGREGATE $ DED RETENTIONS 5 WORKERS COMPENSATION STAT AND EMPLOYERS' LIABILITY YIN TNG 'RY ", TIU S JOTH ANY PROPRIE-FORIPARTNERfEXECUTIVE E L EACH ACCIDENT OPHCER/MEMBER EXCLUDED? [:] NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ A Professional Liability 105829793 T9/7rI/21015 ()9/T9/2016 Per Claim $3,000,000 Aggregate $3,000,000, Deductible $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddItIonal Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic: CenLer Plaza - Ross Annex Santa An,, CA 92701 (D 1988-2010 ACORD CORPORATION. All! rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD