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ACORO® CERTIFICATE OF LIABILITY INSURANCE 11110/25/2019 DATE(MM1/DD 201 Y) 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 Hays Companies 1200 North Mayfair Road Suite #100 Milwaukee NI 53226 CONT Amy Vossekuil -NAME PNONE ,(414)443-0000 FAX C. No: n Unless: INSURERS AFFORDING COVERAGE NAICN INSURER A:Continental Insurance Company 35289 INSURED Hagerty Consulting, Inc. 1618 Orrington Ave, Suite 201 Evanston IL 60201 INSURER B:National Fire Insurance Co of 20478 INSURERC:Valley Forge Insurance Company 20508 INSURER D:Certain Underwriters at Lloyds INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:18-19 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRR TYPE OF INSURANCE DOL AINSID SUER Whin POLICY NUMBER MMIDDY POLICY UP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ MED UP (my one person) $ 15,000 X 6023741069 1/1/2018 1/1/2019 PERSONAL A ADV INJURY $ 11000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECTPRO- F-1LOC PRODUCTS-COMP/OPAGG $ 21000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000,000 Ea accident BODILY INJURY (Per person) $ B ANY AUTO ALLOOWNED F 1 SCHEDULED AAUTOS 6023741055 1/1/20113 1/1/2019 BODILY INJURY (Per accident) $ XX NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Peraccident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAR CLAIMS -MADE DED I X I RETENTION$ 10 000 1 Is 16023741072 1/1/2018 1/1/2019 ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N X PER DTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 Z C ANY PROPRIETOWPARTNEMEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑NIA (Mandatory in NH) 6023741041 LAOS) 1/1/2018 1/1/2019 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes, DESCRIPTION e under DESCRIPTION OF OPERATIONS below 6023741086 (CA) E.L. DISEASE - POLICY LIMIT $ 500 000 D Professional W17828180401 1/1/2018 1/1/2019 Ea Claim/Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder, its officers, agents and employees are additional insured in regards to General Liability policy per attached endorsement. 10 days notice of cancellation for non-payment. City of Santa Ana Attn: Purchasing Dept. 20 Civic Center Plaza Santa Ana , CA 92701 ACORD 25 (2014101) INS025 (201ac1) 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 Hays/FHALAS ©1988.2014 ACORD The ACORD name and logo are registered marks of ACORD