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A� o® CERTIFICATE OF LIABILITY INSURANCE DATE12017 /YYYY) OF INSURANCE osnslzol7 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 have ADDITIONAL INSURED provisions or 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 RISK& INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 (A/CNo FxtIPHONE A1C No E-MAIL CALIFORNIA LICENSE NO. 0437153 SAN FRANCISCO, CA 94104 ADDRESS: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jECT F-1 LOC OTHER: Attn: Angela Bacon (415) 7437521 INSURERS AFFORDING COVERAGE NAIC N INSURER A: Chubb Indemnity Insurance CD 12777 INSURED BLX Group, LLC INSURER B: INSURER C 777 South Figueroa Street, Suite 3200 Los Angeles, CA 90017 INSURER D: INSURER E COMBINED S INGLE LIMIT $ Ea accident INSURER F: BODILY INJURY (Per accident) $ COVERAGES CERTIFICATE NUMBER: SEA -003415011-24 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 OF INSURANCE ADDLTYPE 1i SUER POLICYNUMBER YEFF MM/01DIYYYY MY EXP MIDD/YYYY LIMITS of Marsh Risk & Insurance Services COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR Angela Bacon Y1p_ �j'ry7y� EACH OCCURRENCE $ DAMAGE PREMISES TO REa oENccuTErrenceD $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jECT F-1 LOC OTHER: GENERALAGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED S INGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Peraccident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNEWEXECUTIVE N OFFICEWMEMBEREXCLUDED? N (Mandatory In NH) Use, describe under DESCRIPTION OF OPERATIONS below N/A 71756264 10/0112017 1010112018 X PER OTH- STATUTE ER E.LEACHACCIDENT $ 1,666,066 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Professional Services Contract CERTIFICATE HOLDER CANCELLATION City of Santa Ana Attn: Bich Ta 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 & Insurance Services Angela Bacon Y1p_ �j'ry7y� ©1988-2016 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD