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CERTIFICATE OF LIABILITY INSURANCE V" DATEIMMIDO YYY) mmv2o15 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(es) 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 MARSH RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 CONTACT NAME: PHONE FAC Net E-MAIL ADDRESS: CALIFORNIA LICENSE N0.0437153 SAN FRANCISCO, CA 94104 Attn: Angela Bacon (415) 743-7521 INSURERS AFFORDING COVERAGE NAIC 9 INSURER A: Twin City Fire Insurance Co 29459 INSURED BLX Group, LLC 777 South Figueroa Street, Suite 3200 INSURERS: Hanford Accident & Indemnity Co. 22357 INSURER C: Harford Casualty Ins Co 29424 Los Angeles, CA 90017 INSURER D: Sentinel Insurance Company 11000 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: SEA -002676925-19 REVISION NUMBER:18 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. INSR LTR TYPE OF INSURANCE ADDL Man SUBR Me POLICY NUMBER POLICY EFF MMIDDMYY POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑ OCCUR PREMIET RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY _ $ GENIE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ECT PRO- LOC PRODUCTS - COMPIOP AGO $ _ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY OAMAGE Pereccident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS UAB CLAIMS MADE DED RETENTION$ $ A B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA 57 WB P14833 (FL,NY,WA) 57 WB P14833 (CO,DC,OR,MA,MN,WV) 57 WB P14833 (TX,AZ) 1010112015 1010112015 1010112015 1010112016 1010112018 1010112016 X I PEROTH- STATUTE ER EL EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 D It yes, describe under DESCRIPTION OF OPERATIONS below 57 WB P14533 (CA) 10(0112015 1010112016 EL. DISEASE - POLICY LIMIT $ 1,000,000 C":1 :5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may be attached it more space Is required) _ *• Professional Services Contract +:e r ,j ,tti c jn- CERTIFICATE HOLDER CANCELLATION City of Santa Ana Attn: Bich To .,.;.,, ..••,Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza, M-2 5 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE of Marsh Risk Ek Insurance Services Angela Bacon ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks - 014 AC RD CORPORATION. 47 'Aghti Ca$Tezlw