ORGANIZATIONAL QUALITY ASSOCIATES - 2016

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CERTIFICATE OF LIABILITY INSURANCE GATE (NMAIDIYYYY) 11/20/2018 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(les) must be endorsed. If SUBROGATIONIS 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 WEAVER BROS INS ASSOCS INC/PHS NAME: LIMITS 42630405 THE HARTFORD BUSINESS SERVICE CENTER 3600 WISEMAN BLVD SAN ANTONIO, TX 78265 (AIC No, Ext): (866) 467-8730 AX (A/C, No): (888) 443-6112 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICO INSURED INSURER A: The Hartford Casualty Insurance 29424 ORGANIZATIONAL QUALITY ASSOCIATES INC. Company 2802 MOORINGS WAY SE INSURER e : SOUTHPORT NO 28461-8328 INSURER C 42 SBA BW3781 INSURER D 01/21/2019 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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 INSR SUB MID POLICY NUMBER POLICY EFF IMMIDDdYYYY1 POLICY E LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,00 OCCUR CLAIMS-MADEEMI DAMAGE TO RENTED nc $300,00 EEa ne X MED EXP (My one person) $10,00 X General Liability A 42 SBA BW3781 01/21/2016 01/21/2019 1 PERSONAL &ADV INJURY 0 .00 GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,0001 POLICY E PRO- ❑ LOC JECT PRODUCTS - COMPIOP AGG $2,000,00 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,00 Ea accident) BODILY INJURY (Per person) ANY AUTO A ALLOWNED M SCHEDULED AUTOS AUTOS 42 SBA BW3781 01/21/2018 01/21/2019 BODILY INJURY (Par accident) X HIRED AUTOS X ""WINED AUTOS PROPERTY DAMAGE Per accident yJ UMBRELLALIAB IV OCCUR EACH OCCURRENCE $2,000,000 A EXCESS UAB CLAIMS -MADE 42 SBA BW3781 01/21/2018 01/21/2019 AGGREGATE $2,000,00 DED X RETENTION s 10,000 WORKERS COMPENSATIONPER OTH- AND EMPLOYERS' LIABILITY STA TUTE E.L EACH ACCIDENT ANY PROPRIETOMPARTNERIEXECUTNE YIN OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yea, diecnbe under DESCRIPTIONP E.L DISEASE -POLICY LIMIT A EMPLOYMENT PRACTICES LIABILITY 42 SBA BW3781 I01,21/20,8101/21/2019 Each Claim Limit $5,00 Aggregate Limit $5,0000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be aftached If more space Is required) Those usual to the Insured's Operations.Please see Additional Remarks Schedule Acord Form 101 attached CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 CIVIC CENTER PLZ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SANTA ANA CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE e/�BA/) r�GltO�Ritl-Ge�2l ©1988-2015 ACORD CORPO �TI . A Yrights r •erved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD