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ACOR" CERTIFICATE OF LIABILITY INSURANCE 05/02/2016 ' `' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 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 POLICIE 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 CONTACT NAME: Marsh Sponsored Programs PHONE 800- 338 -1391 FAx 888 -6 _ 21 -3173 a division of Marsh USA, Inc. _Nn_Ext): I (A/c Not: E -MAIL acecclientregiest @marsh.com ADDRESS: PO Box 14404 Des Moines IA 50306 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE !OCCUR INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Sentinel Insurance Company Ltd 11000 -- — _ INSURED Cole & Associates, Inc INSURER B: Hartford Underwriters Insurance 30104 INSURER C : $ 10,000 401 S. 18th Street, Ste. 200 INSURER D: St. Louis, MO 63103 NSURER E INSURER F : r0VFRAGFB CERTIFICATF NIIMRFR- RFX/ICIr1NI NIIIMRGR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO 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 TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTRR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM POLICY EFF DDIYYYY MMIDID /YYYY LIMITS A GENERAL LIABILITY Y 84SBWE04701 04/15/2016 04/15/2017 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE !OCCUR Prof. Liab. Excl. DAMAGE TO RENTED PREMISES Ea occurrence $ 1, 000,000 MED EXP(Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000, 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO $ 2, 000, 000 POLICY X PRO- LOC JECT $ A AUTOMOBILE LIABILITY Y 84UEGKV6439 04/15/2016 04/15/2017 COMBINED SINGLE LIMIT Ea accident $ 1, 000, 000 BODILY INJURY (Per person) $ ANYAUTO ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X AUUTOSWNED accd ntDAMAGE _(Perr $ A X UMBRELLA LIAR X OCCUR 84SBWE04701 04/15/2016 04/15/2017 EACH OCCURRENCE --- -- ....---- -- $ 10,000,000 ................._. EXCESS LIAR CLAIMS -MADE AGGREGATE $ 10,000, 000 DED I X RETENTION $10,000 _ _ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 84WBGBQ1579 {)4/15/2016 04/1:x/2017 WC STATU- OTH- X _ER_ E.L. EACH ACCIDENT 000 ANY PROPRIETOR /PARTNER/EXECUTIV� OFFICER /MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE _$_1_L000 1, 000, 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Santa Ana, it's officers, employees, agents, and representative are included as additi.unal insured for the above coverage's except WC when required by written contract. Vii \ltiG�l" ED B / f.l fiilt k I I F k B BBJ� drSt /�� City of Santa Ana 20 CIVIC CENTER PLAZA, P.O. BOX 1988 M -16 SANTA ANA, CA 92702 UANULLLAI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . 4-j- @ 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD