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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDDIYYYY)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER TechServe Alliance Services Corp.
<br />1420 King Street; Suite 610
<br />Alexandria, VA 22314
<br />INSURED
<br />Corsi Group Inc., The
<br />100 E. Thousand Oaks Blvd.
<br />Suite 284
<br />Thousand Oaks CA 91360
<br />COVERAGES CERTIFICATE NUMBER: 30485891 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADOLSUBR
<br />POLICYNUMSER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />D
<br />COMMERCIAL GENERAL LIABILITY
<br />✓
<br />NDA0791984
<br />6115/2016
<br />6/15/2017
<br />EACHOCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO
<br />PREMISES Ea RENTED
<br />$ 1,000,000
<br />MED EXP (Any one pemon)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLI ES PER:
<br />GENERAL AGGREGATE
<br />$ 2.000,000
<br />✓
<br />POLICY JECOT F7 LOC
<br />PRODUCTS - COMPIOP AGG
<br />$ 2,060,000
<br />S
<br />OTHER:
<br />O
<br />AUTOMOBILE
<br />LIABILITY
<br />✓
<br />NDB0791984
<br />6/1512016
<br />6/15/2017
<br />EOecc tlEDlSINGLE LIMIT
<br />s 1,000660
<br />BODILY INJURY (Par person)
<br />$
<br />AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />1ANY
<br />BODILY INJURY (Per accident)
<br />$
<br />V
<br />✓
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY ✓ AUTOS ONLY -
<br />D
<br />�/
<br />UMBRELLALIAB
<br />r/
<br />OCCUR
<br />,/
<br />NDC0791984
<br />6/15/2016
<br />6/15/2017
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,006
<br />EXCESS LIAB
<br />'DA "_MADE
<br />DED ✓ RETENTION $10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETORIPARTNERIEXECUTIVE VI❑
<br />WC0791984
<br />6/15/2016
<br />6/15/2017
<br />,/ STATUTE ERH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />E.L. DISEASE � EA EMPLOYEE
<br />$ 1,000,00
<br />(Mandai in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />E &O /Professional Liab
<br />✓
<br />NDA0791984
<br />6/15/2016
<br />6/15/2017
<br />$1,000,000 Ea Claim /$1,000,000 Aggregate
<br />A
<br />Crime - 3rd Party Blanket
<br />CR0791984
<br />6/15/2016
<br />6/15/2017
<br />$25,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana, its Officers, Agents and Employees are Additional Insured as respects to General Liability
<br />per attached CG2010 1093 Additional Insured Endorsement. Should any of the above described policies be cancelled or reduced before the expiration
<br />date thereof, the issuing insurer and /or agent will endeavor to mail 30 days written notice the the Certificate Holder, but failure to do so shall
<br />impose no obligation or liability of any kind upon the insurer, its agents or representatives.
<br />City of Santa Ana,
<br />its Officers, Agents, and Employees
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Mark B. Roberts
<br />©1988 -2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />ione se9l I ama�[n xn[ is- �yln "/�,� Approval
<br />��Cartificaeee I Jill
<br />w�Norton
<br />,, s/211/2,o016 8:59:15 AM (EDT) I Page 1 of 2
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