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11364 Phil Martin & Associates, Inc. Certificate of Insurance (page 1 of 1) 12/03/2015 10:57:34 AM A °r CERTIFICATE OF LIABILITY INSURANCE 12/3 /2015YVY) 12/3/2015 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(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: SelectSolutions Insurance Services, LLC #0127711 PNONE 2Xu. 866 - 500 -6359 alc No: (855) 804 -8449 E -MAIL ADDRESS: 1350 Carlback Avenue Walnut Creek, CA 94596 PRODUCER CUSTOMER ID INSURERS/ AFFORDING COVERAGE NAICH INSURED INSURER A: The Hanover Insurance Company 22292 INSURER e: Continental Casualty Company 20443 Phil Martin & Associates, Inc. 4860 Irvine Blvd, Suite 203 Irvine, CA 92620 - INSURER C: INSURER D $ 1,000,000 INSURER E: $ 5,000 PERSONAL &ADV INJURY INSURER F A 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HER TYPE OF INSURANCE ADDLSUBR JNSR POLICY NUMBER POLICY EFF MMIDDIri'YV POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY -UM EACHOCCURRENCE $ 1,000,000 ✓ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 571 OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 A Yes OH3910540504 611/2015 6/1/2018 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ 2,000,000 POLICY ✓ IFQT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Peraccident) $ A ✓ SCHEDULEDAUTOS HIRED AUTOS OH3910540604 611/2015 6/1/2016 PROPERTY DAMAGE (Peraccidenh $ ✓ NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMIT EL EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? � NIA E.L. DISEASE - EA EMPLOYE $ (Mandatary In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ B Professional Liability (Errors and Omissions) EEH288383079 9/512015 9/512017 $1,000,000/$2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: As Per Contract or Agreement on File with the Insured. City of Santa Ana is named as Additional Insured as their interests may appear in regards to General Liability policy per attached endorsement. The Professional Liability Limits shown represent the Per Claim /Aggregate Limits of Liability. A-- -0/ ra U�d CERTIFICATE HOLDER CANCELLATION © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DES IBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THER OF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1988 AUTHORIZED REPRESENTATIVE mmom�.. Santa Ana, CA 92702 © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD